Publicação
Clinical nutrition internship report: nutritional assessment and intervention research - Nutritional status and quality of life in HIV-infected patients
| Resumo: | Introduction: The internship took place at Santa Maria Hospital and lasted thirteen weeks. It allowed for the performance of activities and hence the development of skills in two different services: Medicine Service, and Infectious Diseases (ID) service. The infectious diseases service is composed of an inpatient unit, infectious diseases intensive care unit, and infectious diseases outpatient clinic. The internship was focussed on the medicine service in Month 1, and in the infectious diseases service in Months 2 and 3. Objectives: The general objectives of the internship involved learning and developing skills that meet the expectations of a Clinical Nutritionist in the hospital setting, understand the structure, organization of the hospital and be able to adapt to it, establish contact with other health professionals and integrate into multidisciplinary teams, improve communication skills and confidence when interacting with patients. One of the main objectives was to also develop scientific skills associated with a clinical investigation by participating in an investigation study. Specific goals involved collaborating in the nutrition screening process, nutritional assessment, and implementation of individual nutrition intervention plans of patients on admission, adapted to clinical situations. To collaborate in the nutritional status assessment of HIV-infected outpatients, and in the assessment of their Quality of Life (QoL), was another goal, previously established. This allowed for the necessary data collection to develop a scientific article, which was the final goal (Appendix 13). Study Population: Concerning the internship, the study population included patients admitted to the Medicine and Infectious Diseases Service, and patients followed for an appointment in three different areas; HIV, obesity, nonalcoholic fatty liver disease. For the investigation, only patients visiting the hospital for their HIV infection appointment were included. Methods Nutritional status was assessed using anthropometry, body composition analysis, assessment of dietary intake, laboratory data evaluation, and clinical signs. The validated screening tools used to detect the risk of developing malnutrition in a hospital setting were the Nutritional Risk Screening (2002), and the Mini Nutritional Assessment (MNA), for adults and elderly, respectively. The Subjective Global Assessment, for adults and the Full-Mini Nutritional Assessment, for the elderly were used to assess nutritional status. Organization: The internship, the report, and the study were part of the MSc program in Clinical Nutrition from the Lisbon Faculty of Medicine and Lisbon School of Health Technology, Lisbon, Portugal. The Infectious Diseases and Medicine 1D service, belonging to Hospital Santa Maria, were the sites where the internship and data collection for the study took place. Professora Doutora Ana Catarina Moreira, supervisor, and Dra. Sara Policarpo, co-supervisor, both supervised the development of the internship report and the study investigation. Professora Doutora Ana Catarina Moreira supervised the elaboration of the scientific article. Dra. Sara Policarpo was the Dietician responsible for supervising the activities during the course of the internship. The University, the Nutrition and Dietetics service of Santa Maria Hospital, and the Head of the Infectious Diseases service approved the internship, and the latter also authorized the data collection process. No funding was involved in this work. |
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| Autores principais: | Carvalho, Bárbara Rodrigues Fernandes de |
| Assunto: | Clinical nutrition Nutritional status HIV Quality of life Nutrição clínica Estado nutricional VIH Qualidade de vida |
| Ano: | 2016 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Científico do Instituto Politécnico de Lisboa |
| Resumo: | Introduction: The internship took place at Santa Maria Hospital and lasted thirteen weeks. It allowed for the performance of activities and hence the development of skills in two different services: Medicine Service, and Infectious Diseases (ID) service. The infectious diseases service is composed of an inpatient unit, infectious diseases intensive care unit, and infectious diseases outpatient clinic. The internship was focussed on the medicine service in Month 1, and in the infectious diseases service in Months 2 and 3. Objectives: The general objectives of the internship involved learning and developing skills that meet the expectations of a Clinical Nutritionist in the hospital setting, understand the structure, organization of the hospital and be able to adapt to it, establish contact with other health professionals and integrate into multidisciplinary teams, improve communication skills and confidence when interacting with patients. One of the main objectives was to also develop scientific skills associated with a clinical investigation by participating in an investigation study. Specific goals involved collaborating in the nutrition screening process, nutritional assessment, and implementation of individual nutrition intervention plans of patients on admission, adapted to clinical situations. To collaborate in the nutritional status assessment of HIV-infected outpatients, and in the assessment of their Quality of Life (QoL), was another goal, previously established. This allowed for the necessary data collection to develop a scientific article, which was the final goal (Appendix 13). Study Population: Concerning the internship, the study population included patients admitted to the Medicine and Infectious Diseases Service, and patients followed for an appointment in three different areas; HIV, obesity, nonalcoholic fatty liver disease. For the investigation, only patients visiting the hospital for their HIV infection appointment were included. Methods Nutritional status was assessed using anthropometry, body composition analysis, assessment of dietary intake, laboratory data evaluation, and clinical signs. The validated screening tools used to detect the risk of developing malnutrition in a hospital setting were the Nutritional Risk Screening (2002), and the Mini Nutritional Assessment (MNA), for adults and elderly, respectively. The Subjective Global Assessment, for adults and the Full-Mini Nutritional Assessment, for the elderly were used to assess nutritional status. Organization: The internship, the report, and the study were part of the MSc program in Clinical Nutrition from the Lisbon Faculty of Medicine and Lisbon School of Health Technology, Lisbon, Portugal. The Infectious Diseases and Medicine 1D service, belonging to Hospital Santa Maria, were the sites where the internship and data collection for the study took place. Professora Doutora Ana Catarina Moreira, supervisor, and Dra. Sara Policarpo, co-supervisor, both supervised the development of the internship report and the study investigation. Professora Doutora Ana Catarina Moreira supervised the elaboration of the scientific article. Dra. Sara Policarpo was the Dietician responsible for supervising the activities during the course of the internship. The University, the Nutrition and Dietetics service of Santa Maria Hospital, and the Head of the Infectious Diseases service approved the internship, and the latter also authorized the data collection process. No funding was involved in this work. |
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