Feeding the skeleton in the hospital closet: self-selecting mid-meals in a tertiary hospital.Dietitians Association of Australia 27th National Conference (2009)
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 DateMay, 2009
Citation InformationEkta 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/