NUTRITIONAL STATUS AND QUALITY INDICATORS FOR ENTERAL NUTRITIONAL THERAPY IN INSTITUTIONALIZED PATIENTS WITH CEREBRAL PALSY
DOI:
https://doi.org/10.12957/demetra.2015.14451Keywords:
Paralisia Cerebral. Estado Nutricional. Indicadores de Qualidade. Nutrição Enteral.Abstract
This study aimed to describe the nutritional status (NS) of institutionalized patients with cerebral palsy receiving enteral nutrition therapy (ENT) and apply quality indicators concerning administration of enteral nutrition (EN). Retrospective observational study. To assess NS, data on body weight, height, arm circumference (AC), triceps skinfold thickness (TSF), muscle circumference spleen (MCS) and body mass index (BMI) were collected from the individuals’ medical records. Six quality indicators were monitored: (1) frequency of BMI measurement in patients with nutritional therapy (NT); (2) frequency measurement or estimation of energy expenditure and protein needs of patients in NT; (3) frequency of days of adequate fluid administration in patients in NT; (4) frequency of days of proper management of energy in patients in NT; (5) frequency of days of proper administration of protein in patients with NT; and (6) frequency of complications related to the administration of EN. Eight individuals were assessed. The mean BMI was 18.65 ± 3.2 kg / m²; %AC was 85.63% ± 6.05%; MCS was 85.13% ± 15.27%; and TSF was 116.5% ± 76.6%. Regarding indicators 4 and 6, it was found (ou observed) 25% of adequacy, and 5 showed 75% of adequacy. The other indicators showed 100% compliance. The patients presented depletion of muscle tissue and fat reserve, despite low weight. Indicators 4, 5 and 6 presented low percentage of adequacy, reflecting the importance of their monitoring.
DOI: http://dx.doi.org/10.12957/demetra.2015.14451
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