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Presentation
Feeding the skeleton in the hospital closet: self-selecting mid-meals in a tertiary hospital.
Dietitians Association of Australia 27th National Conference (2009)
  • Ekta Agarwal, Princess Alexandra Hospital, Brisbane
  • Maree Ferguson, Princess Alexandra Hospital, Brisbane
  • Angela Vivanti
Abstract
To combat malnutrition, patients requiring nutritional support are com-menced on high energy high protein (HEHP) mid-meals through a meal order plan (MOP) prescribed by dietitians at least 24 hours preceding the actual mid-meals. This results in reduced choice, intake and patient satisfaction.  This study  aimed  to compare  patients’  nutritional  intake and satisfaction in  the  MOP  system (phase  1)  with spontaneous  self-selection of HEHP snacks through a mid-meal trolley (phase 2). Patients on HEHP diets and MOPs were recruited from the orthopaedic, neuro-vascular and respiratory wards of a tertiary hospital. A visual evaluation of oral intake (0, 25, 50, 75, 100%) was completed for all meals and mid-meals by a dietitian over 3 days in each phase. For phase 2, patients were  offered  a  selection  of  up  to  three  HEHP  snacks  off  the  trolley (including the dietitian-prescribed MOPs). Patient satisfaction surveys were conducted in both phases. Patients’ age and gender in both phases were  not  significantly  different  (phase  1:  n  =  17,  51.7  ±  24.4  years, 52.9% male; phase 2: n = 16, 50.3 ± 23.9 years, 68.8% male) and rep-resented ward discharges for 2007–2008. Patients’ intake through mid-meals  was  significantly  greater  in  phase  2  (energy:  3080  ±  1209 kJ, protein: 25.8 ± 9.5 g) compared to phase 1 (energy: 1391 ± 1077 kJ, protein: 12.8 ± 9.6 g). Patient satisfaction surveys completed pre- (n = 25) and post- (n = 51) trolley introduction showed significantly increased “overall” satisfaction (45% versus 20%; p = 0.042). Spontaneous self-selection of snacks through a mid-meal trolley significantly increased patients’ overall nutritional intake and satisfaction with mid-meals.
Publication Date
May, 2009
Location
Darwin, Australia
DOI
http://dx.doi.org/10.1261/j.1747-0080.2009.01328.x
Comments
Published version

Agarwal, E., Ferguson, M., Vivanti, A. (2009). Feeding the skeleton in the hospital closet: self-selecting mid-meals in a tertiary hospital. Nutrition and Dietetics. Special Issue: Dietitians Association of Australia 27th National Conference, 28–30 May 2009, Darwin, Australia, 66(s1), A23.

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© 2009 Dietitians Association of Australia

Citation Information
Ekta Agarwal, Maree Ferguson and Angela Vivanti. "Feeding the skeleton in the hospital closet: self-selecting mid-meals in a tertiary hospital." Dietitians Association of Australia 27th National Conference (2009)
Available at: http://works.bepress.com/ekta-agarwal/12/