Nutrition, Feeding and Eating

Problem

Risk for malnutrition related to specific health conditions

Study Question

What specific health conditions increase the risk of malnutrition?

Malnutrition in a sample of community-dwelling people with Parkinson’s disease

Study data

Sheard, J. M., Ash, S., Mellick, G. D., Silburn, P. A., & Kerr, G. K. (2013). PLOS One, 8(1), e53290.

The purpose of this study was to provide an estimate of the extent of malnutrition in community-dwelling people who have Parkinson’s disease. The Subjective Global Assessment (SGA) and Patient Generated Subjective Global Assessment (PG-SGA) were used to assess nutritional status in 125 participants who have Parkinson’s disease. In addition, body weight, standing or knee height, mid-arm circumference, and waist circumference were measured. There were 19 (15.2%) who were moderately malnourished. The symptoms most influencing intake were loss of appetite, constipation, early satiety, and problems swallowing.

Conclusions

The authors concluded that malnutrition remains under-recognized and undertreated in people who have Parkinson’s disease, and that regular screening of nutritional status is needed, with a focus on identifying problems that affect intake so that appropriate interventions can be implemented.

Create a 2-3 page summary which supports the topic question. Provide a current research article (less than 5 years). The 2-3 page limit does not include title and reference pages.

• What methods can be used to assess nutritional status?

• What methods can be used to identify those at risk for malnutrition?

• What specific health conditions increase the risk of malnutrition?

• What associations exist between nutritional status and health outcomes?

• What type of interventions improve adherence to recommendations on nutritional intake?

The Summary must include the following headings (see rubric for criteria under each heading):

a. Introduction and Key Points (10 Points)

• Choose one of the assigned topics and identifies one of the questions

• Defines the topic and question

• States why it is a problem

• Information presented in logical sequence

b. Article Search (25 Points)

• Current (less than 5 years) and credible resource

• Database search – terms and methods used

• Number of articles located

• Source outside of ATI module used

c. Article Findings (25 Points)

• How it addresses the topic

• Type of research conducted

• Findings of research

• Why this article was chosen

d. Evidence for Practice (25 Points) • Summary of evidence

• How it will improve practice

• How this evidence will decrease a gap to practice

• Any concerns or weaknesses located in the evidence

e. Sharing of Evidence (25 Points)

• Who would you share the information with?

• How would you share this information?

• What resources would you need to accomplish this sharing of evidence?

• Why would it be important to share this evidence with the nursing profession?

f. Conclusion (20 Points)

• Summarizes the theme of the paper

• Information presented in logical sequence

• All key points addressed

• Conclusion shows depth of understanding of topic