GET THE APP

Healthy Aging Research

Healthy Aging Research
Open Access

ISSN: 2261-7434

+44-20-4587-4809

Abstract

Insights from a retrospective chart audit of oral nutrition supplement use in long-term care

Shanthi Johnsona, Roseann Nasser, Cherith L. McGregorb,, Krista R. Sawatzkyb,Kimberly T. Thieub, Sharon Walkerb, Jean Colemanb,

Background: Prescribing oral nutritional supplements (ONS) in long-term care (LTC) has steadily increased over time. This study aimed to develop insight into ONS use and prescription practices from a retrospective chart audit in LTC.

Methods: A standard tool collected data on background/demographics, nutritional assessment, intervention and monitoring information. A chart audit was conducted on 38 residents prescribed with ONS in 4 LTC homes.

Results: In 68% (n =25/38) of the charts, researchers were able to determine whether residents received ONS daily. Ninety-six percent (n= 24/25) received ONS on a daily basis. In 13% (5/38) of the charts, weight loss, poor appetite, and/or blood glucose control were indications for ONS. In 21% (n= 8/38), there were attempts to increase caloric intake using food and/or fortified foods. Of the charts reviewed, 84% (n= 32/38) had documentation of monitoring (eg, weight, dietary intake) and of these, 72% (n= 23/32) had documentation done annually. Only 34% (13/38) of the charts had prescriber information and the most common prescriber of ONS were physicians (85%, n= 11/13).

Conclusions: There is limited information collected regarding ONS use and prescribing practices are inconsistent. Guidelines, policies, and education are required to support ONS practice in LTC homes and should involve dietitians.

Top