|
|
The role of sipping in the nutritional support of geriatric patients
Ondrová, Ellen ; Vágnerová, Tereza (advisor) ; Mádlová, Pavla (referee)
Introduction: Malnutrition is a significant problem in old age. Malnutrition is present in 30 - 70 % of hospitalized elderly and its consequences are severe. Systematic screening and early treatment are essential to ensure and maintain good health in the elderly and are an integral part of overall geriatric care. Nutritional support with sipping - oral nutriti- onal supplements (ONS) is one of the basic approaches in the management of malnutriti- on in geriatric patients. Aim of the thesis: The main aim of this thesis was to evaluate the intake of sipping in geri- atric patients and to monitor possible pitfalls in its use. To answer the main objective, four research questions were set to provide the following answers: 1. What proportion of the total energy intake (CEP) of a patient is from diet and from sipping, and how does gender and age affect energy intake from sipping ? 2. What proportion does dietary and sipping protein make up of the patient's prescribed intake? 3. Will the diet, including sipping, cover the patient's energy and protein needs? 4. Will patients drink their prescribed dose of sipping, and will certain factors such as education by the nutritional therapist and ability to eat affect the patient's in- take of sipping? Research methods: Quantitative research in the form of data...
|
|
|
Patients tolerance of sipping in a hospital facility (quantity, product type, duration of administration, flavors)
MRAČNOVÁ, Karolína
The bachelor thesis entitled "Tolerance of sipping in patients in a hospital facility (amount, type of preparation, duration of administration, flavours)" is divided into theoretical and practical parts. The main objective of the bachelor thesis was to map the tolerance of sipping in patients in a hospital setting and to further assess the reasons why sipping is not tolerated in some patients. The theoretical part focuses on malnutrition, nutritional status examination, enteral nutrition and oral nutritional supplements. The practical part focused on mapping the tolerance of sipping in patients in the internal medicine and oncology wards. How well the respondents tolerated sipping in terms of duration of use, flavour, type of product and quantity was investigated. A quantitative method in the form of a self-constructed questionnaire was used for the study. The practical part includes the analysis of the questionnaire data and the analysis of the diets from several patients. The data obtained were processed using Microsoft Excel and Nutriservis Professional. From the analyzed data, it was found that approximately 1/3 of the respondents did not tolerate sipping well. These were mainly patients who had been taking the products for less than 7 days. Sipping was best tolerated by informants who were indicated to take 1-2 preparations per day. The majority of respondents had no favourite or disliked sipping flavours and therefore tolerability cannot be assessed regarding flavour. Among the respondents, the milk type preparation was the best tolerated. The most common reason for poor tolerance of sipping was its taste and, to a greater extent, indigestion. Not being able to try multiple types of preparations and flavours from different companies also had an impact on poorer tolerability for some respondents. In addition, inadequate temperature and lack of familiarity of patients with the principles of proper sipping use may have had a negative impact on tolerance of product administration.
|
|
|
Use of sipping in care.
JANÁČKOVÁ, Iva
The bachelor's thesis is dedicated to the use of sipping in healthcare. It evaluates sipping by hospitalized patients and nurse's cooperation with nutritional therapists and their general awareness. The most common cause of inability to eat are extensive surgery, injuries, tumours, or infections. After intestinal peristalsis is restored, it is possible to start taking enteral nutrition and one of the procedures is to use sipping. Sipping is a liquid supplement with a precisely defined composition of nutrients. Sipping does not replace food, as some are frequently mistaken it only complements the basic diet. Sipping supplements are intended for drinking between meals and are widely available at the pharmacy. This bachelor thesis is divided into theoretical and empirical parts. The aim of this work is to map non-medical healthcare professional's sipping knowledge and to investigate whether they use sipping as a supplement in their patient's treatments. Three hypotheses were established for these purposes. The bachelor's empirical part dealt with confirmation or refusal of these established hypotheses. For this thesis, I chose a quantitative method of data collection which was in the form of a questionnaire survey in three selected subjects. All data then were transferred to Microsoft Excel and sent to statistician who processed and evaluated it. The results are presented in this thesis. The research revealed that the collaboration between nutritional therapists and non-medical health professionals is not as sufficient as I thought it should be. Majority of nurses are aware of the term sipping and have basic knowledge. In the patient wards sipping is used as a dietary supplement, but the benefit of sipping as a treatment is rarely evaluated.
|
|
|
Current possibilities and resources of enteral nutrition
Hrnčířová, Naďa ; Heczková, Jana (advisor) ; Meisnerová, Eva (referee)
0BABSTRACT This thesis is focused on enteral nutrition. This issue is an integral part of intensive and resuscitation care, but it is also a part of standard and follow-up care. There are more and more new resources and the products for enteral nutrition are improving. The theoretical part deals with malnutrition, discusses the different components of nutrition. Much of the thesis forms ways of application of nutrition. The issue is a nasogastric tube, a nasojejunal tube, percutaneous endoscopic gastrostomy, percutaneous endoscopic jejunostomy, feeding button or sipping. There are further expanded the introductions, nursing care, indications and contraindications of these options. The following chapters analyse the modes of enteral feeding, advantages and disadvantages of enteral nutrition compared to parenteral. The practical part is focused on research using anonymous questionnaires in the area of enteral nutrition. The survey was conducted in four departments of three teaching hospitals in Prague. It was focused on nurses and paramedics in medical intensive metabolic care units. The survey had 73 respondents. The aim was to identify the mode of feeding that nurses prefer and how they apply it, analyze the extent to which the nurses actively involve themselves in this, how they are oriented in...
|
|
|
Current possibilities and resources of enteral nutrition
Hrnčířová, Naďa ; Heczková, Jana (advisor) ; Meisnerová, Eva (referee)
0BABSTRACT This thesis is focused on enteral nutrition. This issue is an integral part of intensive and resuscitation care, but it is also a part of standard and follow-up care. There are more and more new resources and the products for enteral nutrition are improving. The theoretical part deals with malnutrition, discusses the different components of nutrition. Much of the thesis forms ways of application of nutrition. The issue is a nasogastric tube, a nasojejunal tube, percutaneous endoscopic gastrostomy, percutaneous endoscopic jejunostomy, feeding button or sipping. There are further expanded the introductions, nursing care, indications and contraindications of these options. The following chapters analyse the modes of enteral feeding, advantages and disadvantages of enteral nutrition compared to parenteral. The practical part is focused on research using anonymous questionnaires in the area of enteral nutrition. The survey was conducted in four departments of three teaching hospitals in Prague. It was focused on nurses and paramedics in medical intensive metabolic care units. The survey had 73 respondents. The aim was to identify the mode of feeding that nurses prefer and how they apply it, analyze the extent to which the nurses actively involve themselves in this, how they are oriented in...
|
guest ::
