Prolonged length of stay and reduced functional improvement rate in malnourished stroke rehabilitation patients

Finestone, Hillel M.; Greene-Finestone, Linda S.; Wilson, Elizabeth; Teasell, Robert

doi:10.1016/s0003-9993(96)90081-7

Cited by 151 publications

(76 citation statements)

References 22 publications

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“…Nutritional problems are common amongst stroke patients; sequential assessments during acute and rehabilitation stages have demonstrated overall deterioration in nutritional status and weight loss (Davalos et al, 1996;Finestone et al, 1996). This is significant as malnutrition has been associated with increased morbidity and risk of death and dependency after a stroke (Davalos et al, 1996;Gariballa et al, 1998a).…”

Section: Nutritional Problems In Stroke Patientsmentioning

confidence: 99%

Developing workable research methods: lessons from a pilot study with vulnerable participants and complex assessments

Jones

Hamilton

Perry

et al. 2010

Journal of Research in Nursing

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Following acute stroke, deterioration in nutritional status and weight loss is common; few studies have investigated this, perhaps due to difficulties with recruitment and completion of complex assessments with stroke patients. This study reports the feasibility of a study protocol to determine predictors of nutritional intake in stroke patients. The aim of the study was to test the feasibility of a protocol to measure taste and smell function, and explore links with dietary intake following stroke. Patients were recruited from one Acute Stroke Unit in 2007/8. Data were collected at three time-points and entailed standardised validated assessments of taste and smell function, diet, appetite and mood state. Recruitment of this vulnerable population to a demanding assessment schedule was challenging. Of a cohort of 166 admissions, six were recruited and complete data collected from four participants. Slow recruitment was largely due to exacting inclusion criteria and rapid hospital discharge. Those who completed all assessments reported the schedule as tolerable and acceptable. This study illustrated the difficulties of recruiting this vulnerable population. Identification of reasons for slow recruitment facilitated development of measures to address them. It was possible to format a complex and lengthy assessment schedule to be acceptable to vulnerable participants.

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Section: Nutritional Problems In Stroke Patientsmentioning

confidence: 99%

Developing workable research methods: lessons from a pilot study with vulnerable participants and complex assessments

Jones

Hamilton

Perry

et al. 2010

Journal of Research in Nursing

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“…This level of weight loss significantly impacted his level of energy and ability to participate in therapy sessions, which included speech-language services, occupational, and physical therapy (Finestone, Greene-Finestone, Wilson, & Teasell, 1996). The associated fatigue also decreased oral intake which amplified the level of undernutrition.…”

Section: Case Illustrationmentioning

confidence: 99%

Malnutrition: Risks & Concerns in Dysphagia Management

Yarrow

Garcia

2010

Perspect Swal Swal Dis (Dysph)

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Malnutrition, particularly undernutrition, negatively affects health outcomes. Risk of malnutrition, often identified by a Registered Dietitian as part of a patient's dietary assessment, increases greatly in the presence of dysphagia. Patient characteristics that may be linked to malnutrition include advanced age, medical diagnoses, level of diet tolerated, actual calorie and protein intake, need for feeding assistance, weight changes, and quality of life issues. Many older adults may be malnourished at the time of their hospital admission or become so during the course of their medical care. Poor physical condition from malnutrition could negatively impact on a patient's rehabilitation potential. This article highlights possible causes and effects of undernutrition and the importance of nutrition strategies to patient care through a case study illustration.

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“…The problem of hospital malnutrition has been well documented, and elderly, longstay patients, such as those commonly found in rehabilitation wards, are at particular risk, with estimates of the rate of malnutrition ranging between 29-63% (Finestone et al 1996;Beck et al 2001; Thomas et al 2002;Visvanathan et al 2003;Neumann et al 2005). Dietary intakes can be influenced by many factors, including the patient's medical condition, appetite, the degree of flexibility in the foodservice, the amount of food packaging and the availability of assistance to eat (Isaksson 1982;Stephen et al 1997;Green 1999).…”

Section: Introductionmentioning

confidence: 99%

Observations of mealtimes in hospital aged care rehabilitation wards

et al. 2013

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Version:This is the authors' final version of a work that was accepted for publication in Appetite. Changes resulting from the publishing process, such as editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication.http://www.canberra.edu.au/ University of Canberra, ACT 2601 Australia, Switchboard +61 2 6201 5111. The University of Canberra is located on Ngunnawal Country. CRICOS number: University of Canberra / University of Canberra College #00212K.

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Prolonged length of stay and reduced functional improvement rate in malnourished stroke rehabilitation patients

Cited by 151 publications

References 22 publications

Developing workable research methods: lessons from a pilot study with vulnerable participants and complex assessments

Developing workable research methods: lessons from a pilot study with vulnerable participants and complex assessments

Malnutrition: Risks & Concerns in Dysphagia Management

Observations of mealtimes in hospital aged care rehabilitation wards

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