Malnutrition
Has anyone worked on any projects with the dieticians in their facilities to make sure their documentation was assisting providers to make diagnosis that accurately reflect the patients nutritional status AND in a way that is recognized by code sets.
Have many hospitals moved to ASPEN criteria?
Many of our providers copy the words of dieticians. Dieticians frequently feel their hands are tied in being able to diagnose Severe malnutrition because the don't have an albumin- but the have a bmi 15, cancer, pressure ulcers and are started on TF or TPN.
It can be frustrating because they also say albumin is not a reliable indicator to assess nutritional status (yet it's what is missing to diagnose at times).
Has anyone had similar situations? and more importantly solutions?
Thanks for any input!
Ann Donnelly,RN,BSN,CCDS
ann.donnelly@sclhs.net
Have many hospitals moved to ASPEN criteria?
Many of our providers copy the words of dieticians. Dieticians frequently feel their hands are tied in being able to diagnose Severe malnutrition because the don't have an albumin- but the have a bmi 15, cancer, pressure ulcers and are started on TF or TPN.
It can be frustrating because they also say albumin is not a reliable indicator to assess nutritional status (yet it's what is missing to diagnose at times).
Has anyone had similar situations? and more importantly solutions?
Thanks for any input!
Ann Donnelly,RN,BSN,CCDS
ann.donnelly@sclhs.net
Comments
Thanks to all in advance.
Tracy
tpeyton@brmc.com