Article: TESTING THE EFFECT OF SPECIFIC ORDERS TO PROVIDE ORAL LIQUID NUTRITIONAL SUPPLEMENTS TO NURSING HOME RESIDENTS: A QUALITY IMPROVEMENT PROJECT

Abstract: Objectives: To improve nursing home (NH) staff delivery of oral liquid nutritional supplements between meals to residents with a history of weight loss. Design: Pre-Post intervention study. Setting: Two skilled nursing homes. Participants: Eighteen long term care residents. Intervention: At baseline all participants had a non-specific physician's order to receive a nutritional supplement. The intervention consisted of specifying the physician's order as follows: "Give 4 oz high protein supplement at 10am, 2pm, and 7pm". Measurements: Research staff conducted direct observations for two days during and between meals for a total of 4 days, or 12 possible observation periods per ...

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