Souza, Bruna de; Campos, Giovanna Vicentini Simonetti; Garzone, Emmanuella Oliveira CaÃºla; Guanabara, Camila Chaves; Salustiano Santos, Isabella; Valente, Ana Paula Nascimento; Stanich, Patricia
Introduction: The different nutritional methods adopted in clinical practice interfere directly with patient care. The creation of protocols is necessary to optimize nutritional assistance, standardize and systematize processes for greater therapeutic safety, minimize individual variations and unify the care model.
Objective: To systematize the nutritional treatments for patients in a University Hospital for screening, evaluation, application of protocols and monitoring of nutritional therapy.
Results: 297 subjects participated in the study, being 245 (82%) in oral nutritional therapy (Group 1) and 52 (18%) in exclusive enteral or parenteral nutritional therapy (Group 2). 69% of group 1 were screened in the first 24 hours; the majority classified as eutrophic or overweight and 29.8% presented nutritional risk. The predominant consistency of diet was general or mild, with good acceptance in 69.8% of the cases. In group 2, 42.3% were screened in the first 24 hours, 28.8% were classified as low weight, but 51.9% presented nutritional risk. The mean time to reach the nutritional goal was 3 days.
Discussion: The nutritional diagnosis is fundamental for the adoption of an early therapy. The NRS 2002 has been considered the best instrument for nutritional risk detection. Early initiation of enteral nutritional therapy is recommended between 24-48 hours and achieving nutritional goals within 48-72 hours.
Conclusion: Screening from the nutritional was sensitive to the identification of nutritional risk. Quality indicators are out of line with the literature. From its measurement, it is possible to identify the factors to be modified and develop of strategies to optimize the care provided.