Journal of Gerontological Nursing

CLINICAL OUTLOOK 

Nutritional Status of Institutionalized Older Americans

Mary Nagy, MS, RNC

Abstract

Nutrition is one element of health common to all age groups; however, it becomes more critical for institutionalized older adults.2 Accountability by documentation is essential to monitor the nutritional status of this population.1 Completion of food consumption sheets is a form commonly used by nursing homes to document the nutritional status for specific residents.4

The OBRA '87 regulations provide guidelines to monitor the nutritional status of institutionalized older adults.3 A model for documentation of food and fluid intake has been developed that calculates the various categories according to the regulations and forms used by state surveyors under OBRA. This form was developed by the nurse consultant, the dietary consultant, and the director of nursing of a free-standing Midwest health-care facility. The nursing assistants needed a simple form to document food and fluid consumption; the director of nursing and dietary manager needed one that would conform with the state survey requirements.

The 7-day form is arranged according to the seven food categories required by OBRA and coded according to the percentage of consumed food. Before it was implemented in October 1990, all nursing staff received orientation regarding its use. At the end of each week, the forms are reviewed by the dietary manager and become a part of the permanent record of the residents. Two months following implementation, the nursing assistants reported the form was easy to use; a random audit reported a compliance rate in recording required information on the form.

Table

FOOD CONSUMPTION SHEET…

Nutrition is one element of health common to all age groups; however, it becomes more critical for institutionalized older adults.2 Accountability by documentation is essential to monitor the nutritional status of this population.1 Completion of food consumption sheets is a form commonly used by nursing homes to document the nutritional status for specific residents.4

The OBRA '87 regulations provide guidelines to monitor the nutritional status of institutionalized older adults.3 A model for documentation of food and fluid intake has been developed that calculates the various categories according to the regulations and forms used by state surveyors under OBRA. This form was developed by the nurse consultant, the dietary consultant, and the director of nursing of a free-standing Midwest health-care facility. The nursing assistants needed a simple form to document food and fluid consumption; the director of nursing and dietary manager needed one that would conform with the state survey requirements.

The 7-day form is arranged according to the seven food categories required by OBRA and coded according to the percentage of consumed food. Before it was implemented in October 1990, all nursing staff received orientation regarding its use. At the end of each week, the forms are reviewed by the dietary manager and become a part of the permanent record of the residents. Two months following implementation, the nursing assistants reported the form was easy to use; a random audit reported a compliance rate in recording required information on the form.

Table

FOOD CONSUMPTION SHEET

FOOD CONSUMPTION SHEET

1 . Eberso Ie P, Hess P. Toward Healthy Aging: Human Needs and Human Responses. St. Louis: CV Mosby; 1990.

  • 2. Mallison M, McConnell M. Gerontological Nursing: Concepts and Practice. Philadelphia: WB Saunders; 1988.
  • 3. National Health Publishing. Long-Term Care Administration: Standards and Guidelines for Long-Term Care Facilities. Owings Mills, NY: National Health Publishing; 1990.
  • 4. Snow T. Handbook of Geriatric Practice Essentials. Rockville, Md: Aspen; 1988.

FOOD CONSUMPTION SHEET

10.3928/0098-9134-19911101-12

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