Summery of Are housestaff identifying malnourished hospitalized medicine patients?
By Michael A. Mitchell, Donald R. Duerksen, and Adam Rahman
Hospitals have a percentage of “40%-60%”(Mitchell, 2014, p.1192) of patients admitted with malnutrition. The “nutritional and functional status” has plummeted leaving elderly patients to increase their stay. Malnourished patients are more susceptible to infections, which lead to “impaired wound healing”(Mitchell, 2014). Regardless of its “high prevalence and high cost to both”(Mitchell, 2014) the patients and health care system, it is unrecognized and ignored by doctors. Medical institutions lack primary “nutritional education”(Mitchell, 2014) for students and residents to assess patients at risk. The …show more content…
The “SGA-A”(Mitchell, 2014) found to be nourished, “SGA-B”(Mitchell, 2014) was “Moderately Malnourished”(Mitchell, 2014) and “SGA-C”(Mitchell, 2014) was most severally malnourished”(Mitchell, 2014). Housestaff reviewed and documented charts of the 74 patients equal men and woman, who’s “mean age was 73 years”(Mitchell, 2014, p.1193). Out of the 74 patients 57% were malnourished, 22% were severely malnourished and 35% were moderately malnourished. However, the documents and assessment done by the housestaff only revealed 2 of the patients being malnourished, gastrointestinal and weight loss problems were factors. There was an “inaptitude in medical housestaff”(Mitchell, 2014) regarding fundamental nutrition knowledge on “nutritional assessments”(Mitchell, 2014). Integrating a “full-time facility responsible for nutritional education”(Mitchell, 2014), hiring a hospitalized dietitian …show more content…
There was “no treatment”(Singer, 2011) that can “reverse his condition” (Singer, 2011). Joseph fate looked bleak, deemed “unconscious,”(Singer, 2011, p.ii) he would not suffer. Eight physicians determined that baby Joseph would not benefit form a Tracheotomy that his parents requested so he could be at home with them and die “when God says he should”(Singer, 2011). Joseph’s case went before “Canada’s Consent and Capacity Board”(Singer, 2011) where it was determined that Joseph’s parents were being selfish and not putting “the child’s best interest”(Singer, 2011) first and that the surgery would also put strain on taxpayers to the heath care system. Despite that, a nonprofit organization “Priests for life”(Singer, 2011, p.iii) flew Baby Joseph to there “Cardinal Glennon Children’s Medical Center”(Singer, 2011) where his tracheotomy was deemed “medically appropriate”(Singer, 2011, p.iii) and saved his life. Moreover, it “shows is that people on the ‘pro-life’…[don’t save] human lives”(Singer, 2011). Physicians based life on statistics of age, heredity or quality of living, whether the person should live. The
By Michael A. Mitchell, Donald R. Duerksen, and Adam Rahman
Hospitals have a percentage of “40%-60%”(Mitchell, 2014, p.1192) of patients admitted with malnutrition. The “nutritional and functional status” has plummeted leaving elderly patients to increase their stay. Malnourished patients are more susceptible to infections, which lead to “impaired wound healing”(Mitchell, 2014). Regardless of its “high prevalence and high cost to both”(Mitchell, 2014) the patients and health care system, it is unrecognized and ignored by doctors. Medical institutions lack primary “nutritional education”(Mitchell, 2014) for students and residents to assess patients at risk. The …show more content…
The “SGA-A”(Mitchell, 2014) found to be nourished, “SGA-B”(Mitchell, 2014) was “Moderately Malnourished”(Mitchell, 2014) and “SGA-C”(Mitchell, 2014) was most severally malnourished”(Mitchell, 2014). Housestaff reviewed and documented charts of the 74 patients equal men and woman, who’s “mean age was 73 years”(Mitchell, 2014, p.1193). Out of the 74 patients 57% were malnourished, 22% were severely malnourished and 35% were moderately malnourished. However, the documents and assessment done by the housestaff only revealed 2 of the patients being malnourished, gastrointestinal and weight loss problems were factors. There was an “inaptitude in medical housestaff”(Mitchell, 2014) regarding fundamental nutrition knowledge on “nutritional assessments”(Mitchell, 2014). Integrating a “full-time facility responsible for nutritional education”(Mitchell, 2014), hiring a hospitalized dietitian …show more content…
There was “no treatment”(Singer, 2011) that can “reverse his condition” (Singer, 2011). Joseph fate looked bleak, deemed “unconscious,”(Singer, 2011, p.ii) he would not suffer. Eight physicians determined that baby Joseph would not benefit form a Tracheotomy that his parents requested so he could be at home with them and die “when God says he should”(Singer, 2011). Joseph’s case went before “Canada’s Consent and Capacity Board”(Singer, 2011) where it was determined that Joseph’s parents were being selfish and not putting “the child’s best interest”(Singer, 2011) first and that the surgery would also put strain on taxpayers to the heath care system. Despite that, a nonprofit organization “Priests for life”(Singer, 2011, p.iii) flew Baby Joseph to there “Cardinal Glennon Children’s Medical Center”(Singer, 2011) where his tracheotomy was deemed “medically appropriate”(Singer, 2011, p.iii) and saved his life. Moreover, it “shows is that people on the ‘pro-life’…[don’t save] human lives”(Singer, 2011). Physicians based life on statistics of age, heredity or quality of living, whether the person should live. The