+Improving Inpatient Nutrition

Education

By Andrea Schmidt Sodexo Dietetic Intern

Professional Research Project

+Learning Objectives

Examine research on improving nutrition education

Identify effective inpatient nutrition education strategies

Develop a plan to improve St Anthonyrsquos current nutrition education

+

Diabetic patients receiving clinical nutrition education from a RD versus education from a non-RD health professional see greater improvements

in glycemic control

+ True

In an Indian Health Service Diabetic Care and Outcomes study participants receiving clinical nutrition education from an RD or from an RD as well as a non-RD had the largest improvements in HbA1c levels (1113089026 and 1113089032 respectively) compared with those receiving either only non-RD or no clinical nutrition education (1113089019 and 1113089010 respectively)

This study concluded that to be effective clinical nutrition education should be delivered by an RD or a team that includes an RD

+

An inpatient obesity intervention followed up with a post-discharge telephone call is an effective

intervention for weight loss

+ False

A prospective randomized controlled trial in 2014 examined whether an inpatient weight loss intervention with post-discharge follow-up resulted in weight loss at 6 months when compared to the control group

The result No difference in weight loss between the intervention and control groups at 6 months

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+Learning Objectives

Examine research on improving nutrition education

Identify effective inpatient nutrition education strategies

Develop a plan to improve St Anthonyrsquos current nutrition education

+

Diabetic patients receiving clinical nutrition education from a RD versus education from a non-RD health professional see greater improvements

in glycemic control

+ True

In an Indian Health Service Diabetic Care and Outcomes study participants receiving clinical nutrition education from an RD or from an RD as well as a non-RD had the largest improvements in HbA1c levels (1113089026 and 1113089032 respectively) compared with those receiving either only non-RD or no clinical nutrition education (1113089019 and 1113089010 respectively)

This study concluded that to be effective clinical nutrition education should be delivered by an RD or a team that includes an RD

+

An inpatient obesity intervention followed up with a post-discharge telephone call is an effective

intervention for weight loss

+ False

A prospective randomized controlled trial in 2014 examined whether an inpatient weight loss intervention with post-discharge follow-up resulted in weight loss at 6 months when compared to the control group

The result No difference in weight loss between the intervention and control groups at 6 months

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+

Diabetic patients receiving clinical nutrition education from a RD versus education from a non-RD health professional see greater improvements

in glycemic control

+ True

In an Indian Health Service Diabetic Care and Outcomes study participants receiving clinical nutrition education from an RD or from an RD as well as a non-RD had the largest improvements in HbA1c levels (1113089026 and 1113089032 respectively) compared with those receiving either only non-RD or no clinical nutrition education (1113089019 and 1113089010 respectively)

This study concluded that to be effective clinical nutrition education should be delivered by an RD or a team that includes an RD

+

An inpatient obesity intervention followed up with a post-discharge telephone call is an effective

intervention for weight loss

+ False

A prospective randomized controlled trial in 2014 examined whether an inpatient weight loss intervention with post-discharge follow-up resulted in weight loss at 6 months when compared to the control group

The result No difference in weight loss between the intervention and control groups at 6 months

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+ True

In an Indian Health Service Diabetic Care and Outcomes study participants receiving clinical nutrition education from an RD or from an RD as well as a non-RD had the largest improvements in HbA1c levels (1113089026 and 1113089032 respectively) compared with those receiving either only non-RD or no clinical nutrition education (1113089019 and 1113089010 respectively)

This study concluded that to be effective clinical nutrition education should be delivered by an RD or a team that includes an RD

+

An inpatient obesity intervention followed up with a post-discharge telephone call is an effective

intervention for weight loss

+ False

A prospective randomized controlled trial in 2014 examined whether an inpatient weight loss intervention with post-discharge follow-up resulted in weight loss at 6 months when compared to the control group

The result No difference in weight loss between the intervention and control groups at 6 months

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+

An inpatient obesity intervention followed up with a post-discharge telephone call is an effective

intervention for weight loss

+ False

A prospective randomized controlled trial in 2014 examined whether an inpatient weight loss intervention with post-discharge follow-up resulted in weight loss at 6 months when compared to the control group

The result No difference in weight loss between the intervention and control groups at 6 months

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+ False

A prospective randomized controlled trial in 2014 examined whether an inpatient weight loss intervention with post-discharge follow-up resulted in weight loss at 6 months when compared to the control group

The result No difference in weight loss between the intervention and control groups at 6 months

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+ What Else Is The Research Saying

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+ Improvements in oral intakes of patients at risk of pressure ulcer with patient-

centered nutrition intervention

Objective To determine the effectiveness of a patient-centered intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital

Method A 3-day intervention targeting patients at risk of pressure ulcer was developed based on three main foundations patient education patient participation and guided goal setting This was a pilot randomized control trial in 3 separate hospital wards

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+Patient-Centered Nutrition Intervention

Result 66 out of 80 patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time

Conclusion This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+ Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control

Objective To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes

Research Design amp Method Patients with a discharge diagnosis of diabetes (ICD-9 code 250x) and HbA1c gt9 who were hospitalized between 2008 and 2010 were retrospectively identified All-cause first readmissions were determined within 30 days and 180 days after discharge IDE was conducted by a certified diabetes educator or trainee

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+Less Frequent Hospital ReadmissionFrom Effective Inpatient Nutrition Education

Result In all 2265 patients were included in the 30-day analysis and 2069 patients were included in the 180-day analysis Patients who received IDE had a lower frequency of readmission within 30 days than those who did not (11 vs 16 P = 00001)

Conclusion Formal IDE was independently associated with a lower frequency of all-cause hospital readmission within 30 days

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+Take Away From The Research

Education delivered by an RD or a team that includes an RD makes a difference

Patient-centered education including patient participation and guided goal setting is effective

Less frequent hospital readmission when patients received nutrition education during hospital stay

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+Now That You Know

BASED ON WHAT WErsquoVE LEARNED TODAY WHAT CAN RDS DO HERE AT ST

ANTHONYrsquoS NORTH TO IMPROVE THE CURRENT NUTRITION EDUCATION TO

BETTER SERVE OUR CLINICAL PATIENTS

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+Questions

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References

+References

bull Healy SJ Black D Harris C Lorenz A Dungan KM Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control Diabetes Care 2013 Oct 36(10)2960-7 Epub 2013 Jul 8

bull Roberts S Desbrow B Chaboyer W Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer a pilot randomized control trial Scand J Caring Sci 2015 Jun 2

bull Wachsberg KN Creden A Workman M Lichten A Basil A Inpatient obesity intervention with post-discharge telephone follow-up A randomized trial J Hosp Med 2014 Aug 9(8) 515-20 Epub 2014 May 23

bull Wilson C Brown T Acton K Gilliland S Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian Health Service Diabetes Care 2003 Sep 26(9) 2500-4

• Improving Inpatient Nutrition Education
• Learning Objectives
• Slide 3
• True
• Slide 5
• False
• What Else Is The Research Saying
• Improvements in oral intakes of patients at risk of pressure ul
• Patient-Centered Nutrition Intervention
• Inpatient Diabetes Education Is Associated With Less Frequent H
• Less Frequent Hospital Readmission From Effective Inpatient Nut
• Take Away From The Research
• Now That You Know
• Questions
• References