13 results on '"Frías Soriano, Laura"'
Search Results
2. Protocolo de implantación de un cribado para la detección precoz del riesgo nutricional en un hospital universitario
- Author
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García-Peris, Pilar, Velasco Gimeno, Cristina, Frías Soriano, Laura, Higuera Pulgar, Isabel, Bretón Lesmes, Irene, Camblor Álvarez, Miguel, Motilla de la Cámara, Marta, and Cuerda Compés, Cristina
- Published
- 2019
- Full Text
- View/download PDF
3. Impact of kitchen organization on oral intake of malnourished inpatients: A two-center study
- Author
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Calleja-Fernández, Alicia, Velasco-Gimeno, Cristina, Vidal-Casariego, Alfonso, Pintor-de-la-Maza, Begoña, Frías-Soriano, Laura, Villar-Taibo, Rocío, García-Peris, Pilar, Cano-Rodríguez, Isidoro, García-Fernández, Camino, and Ballesteros-Pomar, María D.
- Published
- 2017
- Full Text
- View/download PDF
4. Pediatric parenteral nutrition: Clinical practice guidelines from the Spanish Society of Parenteral and Enteral Nutrition (SENPE), the Spanish Society of Pediatric Gastroenterology, Hepatology and Nutrition (SEGHNP) and the Spanish Society of Hospital Pharmacy (SEFH)
- Author
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Pedrón, Consuelo, Cuervas-Mons Vendrell, Margarita, Galera Martínez, Rafael, Gómez López, Lilianne, Gomis Muñoz, Pilar, Irastorza Terradillos, Iñaki, Martínez Costa, Cecilia, Moreno Villares, José Manuel, Pérez-Portabella Maristany, Cleofé, Pozas del Río, M. Teresa, Redecillas Ferreiro, Susana E., Prieto Bozano, Gerardo, Balmaseda Serrano, Elena, Cañedo Villarroya, Elvira, Gutiérrez Junquera, Carolina, Morais López, Ana, Meavilla Olivas, Silvia, Navas López, Víctor Manuel, Rubio Murillo, María, Vives Piñera, Inmaculada, Vidal Casariego, Alfonso, Cuerda Compés, Cristina de la, Matía Martín, Pilar, Frías Soriano, Laura, Ruiz López, M. Dolores, Vaquerizo Alonso, Clara, and UAM. Departamento de Pediatría
- Subjects
Medicina ,Child ,Newborn ,Parenteral nutrition ,Standardization - Abstract
Introduction: Parenteral nutrition (PN) in childhood is a treatment whose characteristics are highly variable depending on the age and pathology of the patient. Material and methods: The Standardization and Protocols Group of the Spanish Society for Parenteral and Enteral Nutrition (SENPE) is an interdisciplinary group formed by members of the SENPE, the Spanish Society of Gastroenterology, Hepatology and Pediatric Nutrition (SEGHNP) and the Spanish Society of Hospital Pharmacy (SEFH) that intends to update this issue. For this, a detailed review of the literature has been carried out, looking for the evidences that allow us to elaborate a Clinical Practice Guide following the criteria of the Oxford Center for Evidence-Based Medicine. Results: This manuscript summarizes the recommendations regarding indications, access routes, requirements, modifications in special situations, components of the mixtures, prescription and standardization, preparation, administration, monitoring, complications and home NP. The complete document is published as a monographic number. Conclusions: This guide is intended to support the prescription of pediatric PN. It provides the basis for rational decisions in the context of the existing evidence. No guidelines can take into account all of the often compelling individual clinical circumstances., Introducción: la nutrición parenteral (NP) en la infancia es un tratamiento cuyas características son muy variables en función de la edad y la patología que presente el paciente. Material y métodos: el grupo de Estandarización y Protocolos de la Sociedad Española de Nutrición Parenteral y Enteral (SENPE) es un grupo interdisciplinar formado por miembros de la SENPE, Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP) y Sociedad Española de Farmacia Hospitalaria (SEFH) que pretende poner al día este tema. Para ello, se ha realizado una revisión pormenorizada de la literatura buscando las evidencias que nos permiten elaborar una Guía de Práctica Clínica siguiendo los criterios del Oxford Centre for Evidence-Based Medicine. Resultados: este manuscrito expone de forma resumida las recomendaciones en cuanto a indicaciones, vías de acceso, requerimientos, modificaciones en situaciones especiales, componentes de las mezclas, prescripción y estandarización, preparación, administración, monitorización, complicaciones y NP domiciliaria. El documento completo se publica como número monográfico. Conclusiones: esta guía pretende servir de apoyo para la prescripción de la NP pediátrica. Constituye la base para tomar decisiones en el contexto de la evidencia existente. Ninguna guía puede tener en cuenta todas las circunstancias clínicas individuales
- Published
- 2017
5. Implantación de un sistema de gestión de calidad en una unidad de nutrición según la norma UNE-EN-ISO 9001:2008
- Author
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Velasco Gimeno, Cristina, Cuerda Compés, Cristina, Alonso Puerta, Alba, Frías Soriano, Laura, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Plá Mestre, Rosa, Izquierdo Membrilla, Isabel, and García-Peris, Pilar
- Subjects
Quality management system ,Clinical nutrition ,2008 [ISO 9001] ,Nutrición clínica ,Sistema de gestión de calidad - Abstract
Introducción: la implantación de sistemas de gestión de calidad (SGC) en el sector sanitario ha presentado un gran avance en los últimos años, siendo una herramienta clave para la gestión y la mejora de los servicios ofrecidos a los pacientes. Objetivo: describir el proceso de implantación de un SGC según la Norma ISO 9001:2008 en una unidad de nutrición. Material y métodos: el proceso comenzó en octubre de 2012. Se contó con la asesoría del servicio de medicina preventiva y gestión de calidad (MPGC) del hospital. Al inicio se realizaron sesiones formativas sobre SGC y normas ISO para el personal. Se instauró un comité de calidad (CC) con representación del personal facultativo y de enfermería. Semanalmente, se reunían los miembros del CC y del servicio de MPGC para definir los procesos, los procedimientos y los indicadores de calidad. Antes de validarlos se probaron durante dos meses. Resultados: se identificaron y documentaron un total de 4 procesos (Valoración del estado nutricional, Indicación de tratamiento nutricional, Seguimiento del tratamiento nutricional y Planificación y control de la alimentación oral) y 13 procedimientos operativos donde quedó recogida toda la actividad de la unidad. Las interacciones entre ellos quedaron definidas en el mapa de procesos. En cada uno de los procesos se identificaron indicadores de calidad para medir el estado del SGC y detectar oportunidades de mejora. Se desarrollaron todos los documentos asociados a requerimientos de la Norma ISO 9001:2008: política de calidad, objetivos de calidad, manual de calidad, procedimiento de control de la documentación y registros, de auditoría interna, de no conformidad y de acciones correctivas y preventivas. La unidad obtuvo la certificación de AENOR en abril de 2013. Conclusiones: la implantación de un SGC supone hacer una reflexión sobre las actividades que realiza la unidad con el objetivo de satisfacer las expectativas de los usuarios que demandan nuestros servicios. Documentar dichas actividades asegura un mejor entendimiento de la organización, define las responsabilidades de todo el personal y provoca una mejor gestión del tiempo y los recursos. También mejora la comunicación interna y supone un elemento motivador. Explorar la satisfacción y expectativas de los pacientes permite incluir su punto de vista en el diseño de los procesos asistenciales. Introduction: the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients. Aim: to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit. Methods: the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation. Results: a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013. Conclusion: the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes.
- Published
- 2015
6. Implantación de un sistema de gestión de calidad en una unidad de nutrición según la norma UNE-EN-ISO 9001:2008
- Author
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Velasco Gimeno,Cristina, Cuerda Compés,Cristina, Alonso Puerta,Alba, Frías Soriano,Laura, Camblor Álvarez,Miguel, Bretón Lesmes,Irene, Plá Mestre,Rosa, Izquierdo Membrilla,Isabel, and García-Peris,Pilar
- Subjects
2008 [ISO 9001] ,Nutrición clínica ,Sistema de gestión de calidad - Abstract
Introducción: la implantación de sistemas de gestión de calidad (SGC) en el sector sanitario ha presentado un gran avance en los últimos años, siendo una herramienta clave para la gestión y la mejora de los servicios ofrecidos a los pacientes. Objetivo: describir el proceso de implantación de un SGC según la Norma ISO 9001:2008 en una unidad de nutrición. Material y métodos: el proceso comenzó en octubre de 2012. Se contó con la asesoría del servicio de medicina preventiva y gestión de calidad (MPGC) del hospital. Al inicio se realizaron sesiones formativas sobre SGC y normas ISO para el personal. Se instauró un comité de calidad (CC) con representación del personal facultativo y de enfermería. Semanalmente, se reunían los miembros del CC y del servicio de MPGC para definir los procesos, los procedimientos y los indicadores de calidad. Antes de validarlos se probaron durante dos meses. Resultados: se identificaron y documentaron un total de 4 procesos (Valoración del estado nutricional, Indicación de tratamiento nutricional, Seguimiento del tratamiento nutricional y Planificación y control de la alimentación oral) y 13 procedimientos operativos donde quedó recogida toda la actividad de la unidad. Las interacciones entre ellos quedaron definidas en el mapa de procesos. En cada uno de los procesos se identificaron indicadores de calidad para medir el estado del SGC y detectar oportunidades de mejora. Se desarrollaron todos los documentos asociados a requerimientos de la Norma ISO 9001:2008: política de calidad, objetivos de calidad, manual de calidad, procedimiento de control de la documentación y registros, de auditoría interna, de no conformidad y de acciones correctivas y preventivas. La unidad obtuvo la certificación de AENOR en abril de 2013. Conclusiones: la implantación de un SGC supone hacer una reflexión sobre las actividades que realiza la unidad con el objetivo de satisfacer las expectativas de los usuarios que demandan nuestros servicios. Documentar dichas actividades asegura un mejor entendimiento de la organización, define las responsabilidades de todo el personal y provoca una mejor gestión del tiempo y los recursos. También mejora la comunicación interna y supone un elemento motivador. Explorar la satisfacción y expectativas de los pacientes permite incluir su punto de vista en el diseño de los procesos asistenciales.
- Published
- 2015
7. Impact of kitchen organization on oral intake of malnourished inpatients: A two-center study
- Author
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Calleja-Fernández, Alicia, Velasco-Gimeno, Cristina, Vidal-Casariego, Alfonso, Pintor-de-la-Maza, Begoña, Frías-Soriano, Laura, Villar-Taibo, Rocío, García-Peris, Pilar, Cano-Rodríguez, Isidoro, García-Fernández, Camino, and Ballesteros-Pomar, María D.
- Abstract
To determine the impact of the type of hospital kitchen on the dietary intake of patients.
- Published
- 2024
- Full Text
- View/download PDF
8. Nutrición Parenteral Domiciliaria: satisfacción de los pacientes y sus cuidadores con la Unidad de Nutrición Clínica y el Servicio de Farmacia
- Author
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Arrabal Duran, Paula, Romero Jiménez, Rosa María, Cuerda Compes, Cristina, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Lorenzo Pinto, Ana de, Buendía Bravo, Silvia, Frías Soriano, Laura, García Peris, Pilar, and Sanjurjo Sáez, María
- Subjects
Encuesta ,Atención domiciliaria ,Patient's satisfaction ,Home-based Parenteral Nutrition ,Home assistance ,Satisfacción del paciente ,Survey ,Nutrición Parenteral Domiciliaria - Abstract
Introducción: La Nutrición Parenteral Domiciliaria (NPD) es una práctica en continuo crecimiento por las importantes ventajas que presenta para el paciente y el sistema sanitario. En la investigación de los resultados en salud resulta hoy en día fundamental evaluar el punto de vista del paciente. Dentro de las medidas centradas en el paciente con NPD se han realizado varios estudios sobre la calidad de vida, pero no se ha evaluado el grado de satisfacción con esta modalidad de tratamiento. Objetivos: Evaluar el grado de satisfacción de los pacientes que reciben NPD y sus cuidadores con los médicos, farmacéuticos y enfermeros de hospital. Métodos: Se repartió una encuesta anónima y que constaba de 48 preguntas cerradas a los pacientes que recibían NPD y a sus cuidadores, los cuales contestaron de forma voluntaria. Con las respuestas recogidas se creó una base de datos en el programa SPSS con las siguientes variables: datos personales, socioculturales, clínicos y relacionados con la NPD y valoración del personal sanitario implicado (área de nutrición del Servicio de Farmacia y Unidades Médica y de Enfermería de Nutrición) y de las instalaciones del hospital relacionadas con la NPD. También se incluyó un apartado de sugerencias con respuesta abierta. Resultados: Se repartieron 24 encuestas, 12 a pacientes y 12 a cuidadores. La tasa de respuesta fue un 91,7% en el caso de los pacientes y un 58,3% en los cuidadores. El 63,6% de los pacientes y el 42,9% de los cuidadores eran mujeres. La media de edad fue, respectivamente, 46,1 años (DE: 13,7) y 47,0 años (DE: 3,6). La mayoría de los pacientes (54,5%) y de los cuidadores (42,9%) tenían estudios secundarios y eran pensionistas (72,7% y 71,4%, respectivamente). Las enfermedades de base de los pacientes fueron: enteritis rádica (27,3%), obstrucción intestinal (18,2%), carcinomatosis intestinal (45,5%) y enfermedad de Crohn (9,1%). Con respecto a los ítems que evaluaban la satisfacción con médicos, enfermeros y farmacéuticos, en general tanto pacientes como cuidadores estuvieron satisfechos. Las sugerencias recogidas fueron: mayor amplitud del horario de entrega de la NPD e inclusión de información audiovisual. Conclusiones: El grado de satisfacción de los pacientes que reciben NPD y sus cuidadores con el servicio dado por médicos, enfermeros y farmacéuticos es adecuado, aunque se pueden introducir mejoras para optimizar la calidad de todo el proceso. Introduction: Home Parenteral Nutrition (HPN) is a practice in continually growing by the significant advantages involved for the patient and the healthcare system. Today, in the investigation of health outcomes is essential to assess the patient s opinion. Among the measures focused on patients with HPN, several studies about quality of life have been done, but the degree of satisfaction with this treatment modality has not been evaluated. Objective: To evaluate the degree of satisfacion of patients and their caregivers receiving HPN with doctors, pharmacists and nurses in a hospital. Material and methods: An anonymous survey was distributed, which consisted of 48 closed questions to patients and their caregivers receiving HPN who voluntarily answered. With survey responses a database in SPSS with the following variables was created: personal, sociocultural, clinical and related to HPN data and valoration of health personnel involved (nutrition area of the Pharmacy Service and Nursing and Medical Nutrition Units) and hospital facilities related to HPN. Also a section of open response suggestions was included. Results: 24 surveys were distributed, 12 to patients and 12 to caregivers. Response rate was 91.7% in the case of patients and 58.3% in the caregivers. 63.6% of patients and 42.9% of caregivers were women. Mean age was, respectively, 46.1 years (SD: 13.7) and 47.0 years (SD: 3.6). Most of patients (55.6%) and caregivers (60.0%) had secondary studies and were pensoniers (72.7% and 71.4%, respectively). Underlying diseases of patients were: radiation enteritis (27.3%), intestinal obstruction (18.2%), intestinal carcinomatosis (45.5%) and Chron s disease (9.1%). With respect to items assessing satisfaction with physicians, nurses and pharmacists, in general both patients and caregivers were satisfied. Suggestions made were: greater amplitude of delivery schedule of HPN and inclusion of audiovisual information. Conclusions: The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process.
- Published
- 2014
9. Papel del equipo nutricional en el abordaje de la disfagia.
- Author
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García-Peris, Pilar, Velasco, Cristina, and Frías Soriano, Laura
- Subjects
- *
DEGLUTITION disorders , *PATIENT nutrition , *PREVENTION of malnutrition , *ASPIRATION pneumonia , *ENTERAL feeding , *ARTIFICIAL feeding , *PATIENTS - Abstract
Dysphagia is a highly prevalent symptom, which may be due to multiple disease processes, both structural and functional, and located at the oropharyngeal or esophageal level. Oropharyngeal dysphagia can cause malnutrition even in 1/3 of patients as a result of alterations in the efficiency of swallowing and cause changes in the security of swallowing (penetration and aspiration) in up to 2/3 of the patients who present it, with high risk of aspiration pneumonia and respiratory infections. In neurological, elderly or institutionalized patients its prevalence may range from 30 to 60%, with different degrees of severity that may become necessary artificial nutrition. It is also related to greater disability, prolonged hospital stays and increased mortality. Therefore, early diagnosis is critical and the establishment of an effective treatment that includes postural exercises, nutritional support and rehabilitation. All this wouldn't be possible without a nutritional team that takes part of the multidisciplinary team patients with dysphagia required. It is the only way to ensure a long-term care to these patients in order to decrease the morbidity and mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2014
10. Implementation of a parenteral nutrition home care programme in a tertiary hospital.
- Author
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Arhip L, Camblor M, Bretón I, Motilla de la Cámara M, Serrano-Moreno C, Romero Jiménez RM, Lobato Matilla E, Frías Soriano L, Velasco Gimeno C, Carrascal Fabián ML, and Cuerda C
- Subjects
- Humans, Female, Male, Retrospective Studies, Tertiary Care Centers, Catheters, Home Care Services, Parenteral Nutrition, Home methods
- Abstract
Introduction: Aim: the objective of this study was to describe the results of the implementation of a home parenteral nutrition (HPN) care programme (Nutrihome©) in a cohort of patients treated at a tertiary hospital. Methods: retrospective study of the patients included in Nutrihome© at Hospital General Universitario Gregorio Marañón, Madrid, Spain. Nutrihome consists of different modules including pre-discharge nursing hospital visits and nursing home visits, deliveries of the infusion pump, consumables and parenteral nutrition bags, patient training, weekly scheduled nursing home visits, scheduled nursing phone calls, stock control phone calls and 24-hour on-call line manned by the nurses. Results: the study included 8 (75 % women) and 10 (70 % women) patients in the Nutrihome© pilot and Nutrihome© programme, respectively. A total 37 adverse events were reported during Nutrihome© pilot, 26 of which were technical, 9 clinical, 1 was catheter-related and 1 other event. Nutrihome© programme registered a total of 107 adverse events reported, 57 of which were technical, 21 clinical, 16 were catheter-related and 13 were other events. A total of 99 % of these events were solved by Nutrihome© via phone calls or home visits. Conclusions: Nutrihome© programme has been extremely useful during this pandemic, facilitaing both the start of HPN and training at the patient home without the need for hospitalisation. Additionally, the adverse events reported and solved by Nutrihome© not only reduced the physicians' burden during those tough times and the patients´ stress of being hospitalised during a pandemic, but supported the entire healthcare system.
- Published
- 2023
- Full Text
- View/download PDF
11. [IMPLEMENTATION OF A QUALITY MANAGEMENT SYSTEM IN A NUTRITION UNIT ACCORDING TO ISO 9001:2008].
- Author
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Velasco Gimeno C, Cuerda Compés C, Alonso Puerta A, Frías Soriano L, Camblor Álvarez M, Bretón Lesmes I, Plá Mestre R, Izquierdo Membrilla I, and García-Peris P
- Subjects
- Hospital Departments, Humans, Nutrition Therapy standards, Quality Assurance, Health Care methods, Quality Assurance, Health Care organization & administration
- Abstract
Introduction: the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients., Aim: to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit., Methods: the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation., Results: a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013., Conclusion: the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
12. [Home parenteral nutrition; satisfaction of patients and their caregivers with nutrition unit and pharmacy service].
- Author
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Arrabal Durán P, Romero Jiménez RM, Cuerda Compes C, Camblor Álvarez M, Bretón Lesmes I, De Lorenzo Pinto A, Buendía Bravo S, Frías Soriano L, García Peris P, and Sanjurjo Sáez M
- Subjects
- Adult, Aged, Caregivers psychology, Female, Health Care Surveys, Humans, Male, Middle Aged, Nurses, Parenteral Nutrition, Home psychology, Pharmacists, Physicians, Surveys and Questionnaires, Caregivers statistics & numerical data, Parenteral Nutrition, Home statistics & numerical data, Patient Satisfaction, Pharmacy Service, Hospital organization & administration
- Abstract
Introduction: Home Parenteral Nutrition (HPN) is a practice in continually growing by the significant advantages involved for the patient and the healthcare system. Today, in the investigation of health outcomes is essential to assess the patient s opinion. Among the measures focused on patients with HPN, several studies about quality of life have been done, but the degree of satisfaction with this treatment modality has not been evaluated., Objective: To evaluate the degree of satisfacion of patients and their caregivers receiving HPN with doctors, pharmacists and nurses in a hospital., Material and Methods: An anonymous survey was distributed, which consisted of 48 closed questions to patients and their caregivers receiving HPN who voluntarily answered. With survey responses a database in SPSS with the following variables was created: personal, sociocultural, clinical and related to HPN data and valoration of health personnel involved (nutrition area of the Pharmacy Service and Nursing and Medical Nutrition Units) and hospital facilities related to HPN. Also a section of open response suggestions was included., Results: 24 surveys were distributed, 12 to patients and 12 to caregivers. Response rate was 91.7% in the case of patients and 58.3% in the caregivers. 63.6% of patients and 42.9% of caregivers were women. Mean age was, respectively, 46.1 years (SD: 13.7) and 47.0 years (SD: 3.6). Most of patients (55.6%) and caregivers (60.0%) had secondary studies and were pensoniers (72.7% and 71.4%, respectively). Underlying diseases of patients were: radiation enteritis (27.3%), intestinal obstruction (18.2%), intestinal carcinomatosis (45.5%) and Chron s disease (9.1%). With respect to items assessing satisfaction with physicians, nurses and pharmacists, in general both patients and caregivers were satisfied. Suggestions made were: greater amplitude of delivery schedule of HPN and inclusion of audiovisual information., Conclusions: The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
13. [Role of the nutritional support team in the management of dysphagia].
- Author
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García-Peris P, Velasco C, and Frías Soriano L
- Subjects
- Deglutition Disorders diagnosis, Humans, Patient Care Team, Deglutition Disorders therapy, Nutritional Support methods
- Abstract
Dysphagia is a highly prevalent symptom, which may be due to multiple disease processes, both structural and functional, and located at the oropharyngeal or esophageal level. Oropharyngeal dysphagia can cause malnutrition even in 1/3 of patients as a result of alterations in the efficiency of swallowing and cause changes in the security of swallowing (penetration and aspiration) in up to 2/3 of the patients who present it, with high risk of aspiration pneumonia and respiratory infections. In neurological, elderly or institutionalized patients its prevalence may range from 30 to 60%, with different degrees of severity that may become necessary artificial nutrition. It is also related to greater disability, prolonged hospital stays and increased mortality. Therefore, early diagnosis is critical and the establishment of an effective treatment that includes postural exercises, nutritional support and rehabilitation. All this wouldn't be possible without a nutritional team that takes part of the multidisciplinary team patients with dysphagia required. It is the only way to ensure a longterm care to these patients in order to decrease the morbidity and mortality.
- Published
- 2014
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