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The Gastrointestinal (GI) System
In this episode of the #theEDDMpodcast, I speak about the physical and psychological impact of hospital acquired deconditioning on the gastrointestinal tract, the links between a sedentary lifestyle and gastrointestinal disorders, and how EDDM principles can help. With each episode we will also have time for shout outs, pledges and examples of best practice so make sure you post yours on social media with the #EDDM and #theEDDMpodcast! And we always finish off by mobilising our minds in the EDDM brainteasers - an opportunity for you to win a sought after EDDM badge!
Read show notes at https://www.theeddmproject.co.uk/theeddmpodcast
Key facts:
It is estimated that at least one-third of patients in developed countries are malnourished upon admission to the hospital, and, if left untreated, approximately two-thirds of those patients will experience a further decline in their nutrition status during inpatient stay (1).
For patients who are not malnourished upon admission, approximately one-third may become malnourished while in the hospital (1).
In one study, one fifth of hospitalized patients 65 years and older had an average nutrient intake of less than 50% of their calculated maintenance energy requirements (2).
A 10% loss of Lean Body Mass (LBM) results in immune suppression and increases the risk of infection, and a loss of more than 15%–20% of total LBM will impair wound healing. A loss of 30% or more LBM leads to the development of spontaneous wounds such as pressure ulcers, an increased risk of pneumonia, and a complete lack of wound healing (3).
Studies have shown that passage of food is 66% slower in recumbent positions compared to when a person is upright (4).
Resources:
Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to
Action to Address Adult Hospital Malnutrition https://www.sciencedirect.com/science/article/pii/S2212267213006412
Post-Hospital Syndrome – A Condition of Generalized Risk https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688067/#:~:text=In%20one%20study%2C%20one%20fifth,not%20fed%20by%20alternate%20means.
Nutrition, anabolism and the wound healing process: An overview https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2642618/
Nursing Times – Effects of bedrest 3: gastrointestinal, endocrine and nervous system https://www.nursingtimes.net/clinical-archive/gastroenterology/effects-of-bedrest-3-gastrointestinal-endocrine-and-nervous-systems-21-01-2019/
Inflammation, Appetite and Food Intake in Older Hospitalized Patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770921/
theEDDMpodcast © 2024 by Jacqui Holmes is licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
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By Jacqui HolmesIn this episode of the #theEDDMpodcast, I speak about the physical and psychological impact of hospital acquired deconditioning on the gastrointestinal tract, the links between a sedentary lifestyle and gastrointestinal disorders, and how EDDM principles can help. With each episode we will also have time for shout outs, pledges and examples of best practice so make sure you post yours on social media with the #EDDM and #theEDDMpodcast! And we always finish off by mobilising our minds in the EDDM brainteasers - an opportunity for you to win a sought after EDDM badge!
Read show notes at https://www.theeddmproject.co.uk/theeddmpodcast
Key facts:
It is estimated that at least one-third of patients in developed countries are malnourished upon admission to the hospital, and, if left untreated, approximately two-thirds of those patients will experience a further decline in their nutrition status during inpatient stay (1).
For patients who are not malnourished upon admission, approximately one-third may become malnourished while in the hospital (1).
In one study, one fifth of hospitalized patients 65 years and older had an average nutrient intake of less than 50% of their calculated maintenance energy requirements (2).
A 10% loss of Lean Body Mass (LBM) results in immune suppression and increases the risk of infection, and a loss of more than 15%–20% of total LBM will impair wound healing. A loss of 30% or more LBM leads to the development of spontaneous wounds such as pressure ulcers, an increased risk of pneumonia, and a complete lack of wound healing (3).
Studies have shown that passage of food is 66% slower in recumbent positions compared to when a person is upright (4).
Resources:
Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to
Action to Address Adult Hospital Malnutrition https://www.sciencedirect.com/science/article/pii/S2212267213006412
Post-Hospital Syndrome – A Condition of Generalized Risk https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688067/#:~:text=In%20one%20study%2C%20one%20fifth,not%20fed%20by%20alternate%20means.
Nutrition, anabolism and the wound healing process: An overview https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2642618/
Nursing Times – Effects of bedrest 3: gastrointestinal, endocrine and nervous system https://www.nursingtimes.net/clinical-archive/gastroenterology/effects-of-bedrest-3-gastrointestinal-endocrine-and-nervous-systems-21-01-2019/
Inflammation, Appetite and Food Intake in Older Hospitalized Patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770921/
theEDDMpodcast © 2024 by Jacqui Holmes is licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/