title: [The actual status of patients receiving home health care from registered dietitians and the way nutrition care management should be].
abstract: This report clarifies the nutrition status of patients at home. The patients (subjects) received a home health care from registered dietitians. Forty-four percent (44%) of all the subjects are under 3.5 albumins (alb). Regarding a nutrition status, 26 out of 117 patients were regarded as dysphagia by doctor's SGA. Generally, patients who received medical care at acute stage hospital, or rehabilitation hospital, or general hospital, can go back their own home. At acute stage hospital, registered dietician implements a nutrition care management, which accrues nutrition management addition. Nutrition screening at nursing home and hospital show that about 30% of patients are in malnutrition status. Forty-one percent (41.1%) of inpatients, 33% of patients at home and 8.6% of outpatients are assessed at malnutrition. The patients at home need Nutrition Care Management as much as the patients at hospital, because the state of their health has been deteriorated. However, registered dietitians do not fully grasp their living environment well and cannot implement Nutrition Management. This is the actual situation of Nutrition Management for patients receiving domiciliary service.
authors.affiliation: Kajiwara Clinic, Tokyo Fureai Medical Cooperation.
authors.forename: Mariko
authors.initials: M
authors.lastname: Okumura
mesh_terms: D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000453:epidemiology; D004046:Dietetics / Q000706:statistics & numerical data*; D006699:Home Care Services; D006801:Humans; D044342:Malnutrition / Q000097:blood / Q000453:epidemiology*; D018529:Nutritional Support; D012709:Serum Albumin / Q000378:metabolism
chemical_list: D012709:Serum Albumin