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2013 | OriginalPaper | Hoofdstuk

Screenen op ondervoeding bij volwassenen

(augustus 2010)

Auteurs: Dr.Ir. H.M. Kruizenga, A.M. Evers

Uitgeverij: Bohn Stafleu van Loghum

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Abstract

Het probleem van aan ouderdom en ziekte gerelateerde ondervoeding is in alle sectoren van de Nederlandse gezondheidszorg hoog. Gemiddeld is één op de vier patiënten in ziekenhuizen, zorginstellingen of bij de thuiszorg ernstig ondervoed en ruim één op de drie patiënten matig ondervoed. Tijdige behandeling van (dreigende) ondervoeding leidt tot verbetering van de voedingsinname, stabilisatie van het gewicht, eventuele gewichtstoename, een verbetering van de voedingstoestand en functionele uitkomstparameters zoals spierkracht en kwaliteit van leven en vermindering van het aantal complicaties, opnameduur en mortaliteit.
Een eerste stap om ondervoeding aan te pakken is screening van de hoogrisicogroepen. De afgelopen jaren zijn verschillende screeningsinstrumenten ontwikkeld voor de verschillende sectoren van de zorg. Voor de ziekenhuispopulatie wordt de SNAQ of de MUST aanbevolen, op de polikliniek de MUST of de SNAQ+BMI, voor de verpleeg- en verzorgingshuizen de SNAQRC, voor ouderen in de eerstelijnszorg en thuiszorg de SNAQ65++ en voor de leeftijdsgroep van 18 tot 65 in deze setting de Gewicht Š Gewichtsverlies65-. Aan deze screeningsinstrumenten is een multidisciplinair behandelplan gekoppeld.
Het screenen op ondervoeding is een prestatie-indicator voor ziekenhuizen en verpleeg- en verzorgingshuizen.
Voetnoten
1
Het Kwaliteitsinstituut voor de Gezondheidszorg CBO (www.cbo.nl) heeft in 2008 de richtlijn Perioperatief voedingsbeleid uitgegeven. Deze richtlijn bevat aanbevelingen en handelingsinstructies ter ondersteuning van de dagelijkse praktijkvoering met betrekking tot de voeding van patiënten die een operatieve ingreep moeten ondergaan en bestemd voor alle zorgverleners die bij de behandeling van chirurgische patiënten zijn betrokken.
 
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Metagegevens
Titel
Screenen op ondervoeding bij volwassenen
Auteurs
Dr.Ir. H.M. Kruizenga
A.M. Evers
Copyright
2013
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-0510-0_35