• Login
    View Item 
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Implementation of a Pediatric Oncology Nutritional Algorithm on an Inpatient Unit

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Weisbrot_Implementation_Pediat ...
    Size:
    4.239Mb
    Format:
    PDF
    Download
    Author
    Weisbrot, Ricki D.
    Advisor
    Simone, Shari
    Date
    2021-05
    Type
    DNP Project
    
    Metadata
    Show full item record
    Other Titles
    Pediatric Oncology Nutritional Algorithm Implementation
    Abstract
    Problem: The rate of malnutrition in pediatric oncology patients receiving chemotherapy is as high as 50% without nutritional support. The consequences of malnutrition are severe and can include reduced survival rates. The Children’s Oncology Group recommends these children receive nutrition screening at diagnosis and throughout treatment. Nutritional management and support for oncology patients in an academic, tertiary care pediatric unit was inconsistent and lacked a standardized policy. Purpose: The purpose of this quality improvement project was to implement a nutritional management algorithm for pediatric oncology patients admitted to an inpatient unit to improve early recognition of malnutrition and early nutritional interventions. Methods: The Mobilize Assess Plan Implementation Track framework was used to develop and implement a novel nutritional management algorithm over a 14-week period. Multifaceted education strategies were used and project leader attended multidisciplinary rounds. Patients were assessed daily for changes in weight/BMI or weight for length. Patients experiencing a loss of 1 z-score in BMI/weight for length or ≥5% weight loss from diagnosis, prompted referencing an algorithm for nutritional interventions. Chart audits were conducted to track outcome measures. Run charts were used to track compliance. Baseline comparison data were patients admitted 14-weeks prior to implementation. Results: Twenty-one patients with over 50 admissions met eligibility criteria. Compliance in daily weights improved from 72% to 88%. 96% of patients received a nutrition consult compared to 32% pre-implementation. 100% of patients had a nutrition consult during their diagnosis admission vs. 56% pre-implementation. 100% of patients had weight/BMI/weight for length tracked during every admission. Conclusion: Implementation of a nutrition management algorithm can improve early recognitionof malnutrition and early nutritional interventions in hospitalized pediatric oncology patients. Standardizing the nutrition assessment with electronic prompts for calculation and evaluation of anthropometric indices improved overall staff compliance. This project may have future application to the outpatient nutritional management of pediatric oncology patients undergoing chemotherapy treatment.
    Keyword
    MAP-IT
    Mobilize, Assess, Plan, Implement, Track framework
    Cancer--Nutritional aspects
    Nutrition Assessment
    Children
    Malnutrition
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/15679
    Collections
    Doctor of Nursing Practice (DNP) Projects

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.