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Dehydration and Malnutrition in Residential Care: Recommendations for Strategies for Improving Practice Derived from a Scoping Review of Existing Policies and Guidelines

机译：院舍护理中的脱水和营养不良：从现有政策和指南的范围回顾中获得的改善实践策略的建议

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Preventing malnutrition and dehydration in older care home residents is a complex task, with both conditions remaining prevalent, despite numerous guidelines spanning several decades. This policy-mapping scoping review used snowballing search methods to locate publicly-available policies, reports and best practice guidelines relating to hydration and nutrition in UK residential care homes, to describe the existing knowledge base and pinpoint gaps in practice, interpretation and further investigation. The findings were synthesised narratively to identify solutions. Strategies for improvements to nutritional and hydration care include the development of age and population-specific nutrient and fluid intake guidelines, statutory regulation, contractual obligations for commissioners, appropriate menu-planning, the implementation and auditing of care, acknowledgment of residents’ eating and drinking experiences, effective screening, monitoring and treatment and staff training. The considerable body of existing knowledge is failing to influence practice, relating to translational issues of implementing knowledge into care at the point of delivery, and this is where future research and actions should focus.

机译：预防养老院居民营养不良和脱水是一项复杂的任务，尽管数十年来有许多指导方针，但两种情况仍然普遍存在。这项政策映射范围审查使用滚雪球式搜索方法来查找与英国寄养院水化和营养有关的公开可用政策，报告和最佳实践指南，以描述现有的知识库并查明实践，解释和进一步调查中的差距。对发现进行叙述性综合以找出解决方案。改善营养和水合保健的策略包括制定年龄和特定人群的营养和水分摄入指南，法定法规，专员的合同义务，适当的菜单计划，保健的实施和审核，确认居民的饮食经验，有效的筛查，监测和治疗以及人员培训。现有的大量知识未能影响实践，涉及在交付时将知识实施为护理的转化问题，这是未来研究和行动应重点关注的领域。

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期刊名称 Geriatrics
作者
Diane Bunn; Lee Hooper; Ailsa Welch;
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作者单位

展开▼
年(卷),期 2018(3),4
年度 2018
页码 77
总页数 13
原文格式 PDF
正文语种
中图分类老年病学;老年卫生;
关键词
aged homes for the aged malnutrition dehydration nutrition policy;

机译：老年;养老院;营养不良;脱水;营养政策;

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Dehydration and Malnutrition in Residential Care: Recommendations for Strategies for Improving Practice Derived from a Scoping Review of Existing Policies and Guidelines

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