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Contents of Site
Glossary
Index

Malnutrition in the Hospitalized Patient

The Problems Associated with Malnutrition
Defining Malnutrition and Its Effects
Cause of Malnutrition
Effect of Malnutrition
Impact of Malnutrition
Cost Implications
Statistics on Cost
The Hypermetabolic State
Challenges
Effect on Metabolism
Negative Acute Phase Proteins
Positive Acute Phase Proteins
Prognostic Inflammatory & Nutrition Index (PINI)

Complying with JCAHO Guidelines

14 JCAHO-Evaluated Functions
Assessment
TX.4 Standards
LD.4 Standards
Link to JCAHO Website

Strategies for Nutritional Assessment Protocols*

Introduction to Strategies*
Financial Benefits*
Screening Protocols*
Warning Signs*
Link to Nutritional Screen Form*
Anthropometrics*
Laboratory Markers*
Ideal Plasma Protein Characteristics*
Features of Protein Markers*
Specifics of Protein Markers*
Nutritional Assessment*
Procedures Algorithm*
Assessment for Special Cases*
Visceral Protein Testing*
Pitfalls of Albumin and Prealbumin*
Financial Impact*
Rural American Hospitals*
Implementing a Nutritional Assessment Protocol: A Benchmarking Study*
Establishment of Need*
Gaining Support*
Implementation*
Four Stages*
Algorithm of Nutrition Care for Malnutrition*
Program Results*
1996 and 1998 Outcome Studies Comparison*