Controlling in Pflegeeinrichtungen: operatives Controlling für Pflegeleistungen in stationären Pflegeeinrichtungen

Wolke R. Controlling in Pflegeeinrichtungen: operatives Controlling für Pflegeleistungen in stationären Pflegeeinrichtungen. Schriftenreihe Gesundheit - Pflege - soziale Arbeit ; 15. Lage: Jacobs; 2001

Mangelernährung bei geriatrischen Patient*innen: Risikofaktor stationäre Langzeitpflege?

Background!#!Malnutrition remains a challenging problem in hospitals, especially among geriatric patients. The background and causes are actually well known but still underestimated in clinical practice.!##!Aim and methods!#!This study evaluated possible differences in rates of malnutrition risk and malnutrition in geriatric patients living at home and geriatric patients living in residential nursing homes. For this purpose, data from a total of 4 surveys (3 times nutritionDay plus 1 additional survey) were combined and evaluated. In this secondary analysis, 258 patients 65 years and older are included. Malnutrition risk is determined by the malnutrition universal screening tool (MUST) and malnutrition by the ESPEN criteria.!##!Results!#!Of the patients 86.0% (!##!Conclusion!#!Geriatric patients living at home and in residential nursing homes show high rates of malnutrition. A malnutrition screening at the beginning and during hospital stay is urgently required in every case as this is the only way to identify those affected. In addition, regular screening in outpatient departments as well as in nursing homes is also necessary

Malnutrition and Inadequate Eating Behaviour during Hospital Stay in Geriatrics—An Explorative Analyses of NutritionDay Data in Two Hospitals

(1) Background: Malnutrition in hospitalized patients is prevalent worldwide, but the severity of the issue is often underestimated by practitioners. The purpose of this study is to investigate the prevalence of malnutrition and inadequate eating behaviour in a geriatric sample. (2) Methods: Two hospitals participated with six wards on nutritionDay in 2017, 2018 and 2019. Nutritional status, food intake, and nutritional interventions were analyzed for all patients ≥ 65 years (n = 156), using the official nutritionDay questionnaires. Malnutrition risk is identified by Malnutrition Universal Screening Tool (MUST), malnutrition by the ESPEN criteria (European Society of Clinical Nutrition and Metabolism). (3) Results: According to MUST (n = 136) 16.9% (n = 23) were at medium risk of malnutrition, 33.8% (n = 46) at high risk of malnutrition, 28.1% (n = 38) were malnourished. Overall, 62.8% (n = 98) showed an inadequate eating behaviour during hospital stay. Moreover, patients with inadequate nutrition had significantly worse self-reported health statuses (p = 0.001; r = −0.276), were less able to walk on nutritionDay (p = 0.002; r = −0.255), had eaten little in the week before admission to hospital (p < 0.001; r = −0.313), and had an increased length of stay (p = 0.036; r = −0.174). (4) Conclusion: To identify malnourished patients is a significant barrier for practitioners seeking to administer specific, tailored interventions. Malnutrition screening protocols must be improved, just as nutrition monitoring in general

Gewichtsverluste und Mangelernährungsrisiko bei geriatrischen PatientInnen

Background!#!Malnutrition is a major challenge in routine clinical practice and is associated with increased mortality.!##!Objectives!#!In the research project Prevention and treatment of malnutrition in geriatric patients in hospital funded by the Federal Ministry of Education and Research (BMBF), routine data were analyzed. The aim was to uncover the causes of malnutrition risks acquired in hospital.!##!Material and methods!#!Anonymized data from nursing home residents with at least a 3-day hospital stay were analyzed. The study included a total of 2058 residents from 19 nursing homes. The malnutrition risk was assessed by the combined MUST/PEMU (Malnutrition Universal Screening Tool/Nursing Measurement of Malnutrition and its Causes) screening and malnutrition by ESPEN (European Society for Clinical Nutrition and Metabolism) criteria.!##!Results!#!Of the residents 36.2% (n = 744) had an initial risk of malnutrition and 12.7% (n = 262) were already malnourished. The proportions increased to 48.6% (n = 881) and 14.3% (n = 259) at discharge, respectively. The logistic regression analysis showed a significantly increasing probability of developing a malnutrition risk during the hospital stay with the diagnoses diseases of the respiratory system (OR 2.686; CI 95 1.111-4.575), chondropathy and osteopathy (OR 1.892; CI 95 1.149-3.115) and a higher BMI (OR 0.108; CI 95 1.038-1.181), more positive weight changes 6 months before hospital (OR 1.055; CI 95 1.017-1.094) and an increasing hospital stay (OR 1.048; CI 95 1.029-1.067).!##!Conclusion!#!The identification of an initial malnutrition and the prevention of developing a malnutrition risk represent major challenges in clinical practise. Both are equally necessary

Aktuelle pflegewissenschaftliche Entwicklungen im Gesundheitswesen

Der vorliegende Sammelband hochschulischer Abschlussarbeiten, d. h. wissenschaftlich besonders ansprechende Bachelor- und Masterarbeiten und aktuelle Beiträge von ProjektmitarbeiterInnen, hat sich die Aufgabe gestellt, Beiträge des wissenschaftlichen Nachwuchses der Pflege- und Gesundheitswissenschaften aus den drei beteiligten Hochschulen Hannover, Esslingen und Bielefeld zur Diskussion zu stellen. Dabei haben die drei Herausgebenden dieser Hochschulen für angewandte Wissenschaften, die einschlägige Studiengänge für Gesundheits- und Pflegeberufe anbieten, die hier veröffentlichten Beiträge jeweils an den entsprechenden Hochschulstandorten begleitet. Zusätzlich wurden alle Beiträge auch einem wechselseitigen Review durch die drei Herausgebenden unterzogen, um abschließend eine einheitliche Formatierung von hochschulisch zwar durchaus ähnlichen ggfs. aber in den Details etwas unterschiedlichen Standards wissenschaftlichen Arbeitens in den Beiträgen umzusetzen. Im Ergebnis sind so im Zeitraum von Dezember 2017 bis Mai 2019 insgesamt 13 pflege- und gesundheitswissenschaftliche Beiträge, d. h. 14 Bachelor- und Masterarbeiten (hier drei kooperative Arbeiten von jeweils zwei AutorInnen) und zwei Drittmittelprojekte unter Beteiligung von NachwuchswissenschaftlerInnen sehr verbindlich und konzentriert bearbeitet worden, die nun hier unter einer jeweils gemeinsamen Kapitelüberschrift nach den drei Standorten kurz vorgestellt und gewürdigt werden sollen

Hierarchically nanostructured hollow carbon nanospheres for ultra-fast and long-life energy storage

We report on the successful application of porous hollow carbon nanospheres consisting of graphitic shells with a hierarchical porosity that were obtained by carbonizing an iron-containing commercially available metal-organic framework, as active material for supercapacitors. The influence of basic key parameters, such as the degree of graphitization and the accessible surface area of the carbons obtained at different temperatures, on the electrochemical performance is discussed in-depth. A high specific capacitance of 91 F g-1 in an aqueous electrolyte and 156 F g-1 using an ionic liquid is achieved. Furthermore a very steady specific capacitance over the course of 10,000 charge-discharge cycles is demonstrated. In addition, electrochemical impedance spectroscopy studies revealed that these carbons can feature a stable performance over several orders of magnitude of frequency, which render them interesting candidates for future electrochemical energy storage systems.Fil: Markus Klose. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Reinhold, Romy. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Pinkert, Katja. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Uhlemann, Martin. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Wolke, Florian. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Balach, Juan Manuel. Leibniz Institute for Solid State and Materials Research; Alemania. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Jaumann, Tony. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Stoeck, Ulrich. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Eckert, Jürgen. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Giebeler, Lars. Leibniz Institute for Solid State and Materials Research; Alemani

Softwood Lignin as a Sustainable Feedstock for Porous Carbons as Active Material for Supercapacitors Using an Ionic Liquid Electrolyte

We report on the facile synthesis of porous carbons based on a biopolymer lignin employing a two-step process which includes the activation by KOH in various amounts under an inert gas atmosphere. The resulting carbons are characterized with regard to their structural properties and their electrochemical performance as an active material in double-layer capacitors using for the first time an ionic liquid (EMIBF4) as the electrolyte for this type of carbon material to enhance storage ability. A capacitance of more than 200 F g-1 at 10 A g-1 is achieved for a carbon with a specific surface area of more than 1800 m2 g-1. One of the most crucial factors determining the electrochemical response of the active materials was found to be the strong surface functionalization by oxygen-containing groups. Furthermore, the sulfur content of the carbon precursor lignin does not result in a significant amount of sulfur-containing surface functionalities which might interact with the electrolyte.Fil: Klose, Markus. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Reinhold, Romy. Leibniz Institute for Solid State and Materials Research; Alemania. Technische Universität Dresden; AlemaniaFil: Logsch, Florian. Brandenburgische Technische Universität Cottbus Senftenberg; AlemaniaFil: Wolke, Florian. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Linnemann, Julia. Leibniz Institute for Solid State and Materials Research; Alemania. Technische Universität Dresden; AlemaniaFil: Stoeck, Ulrich. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Oswald, Steffen. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Uhlemann, Martin. Leibniz Institute for Solid State and Materials Research; AlemaniaFil: Balach, Juan Manuel. Leibniz Institute for Solid State and Materials Research; Alemania. Universidad Nacional de Rio Cuarto. Facultad de Ciencias Exactas Fisicoquímicas y Naturales. Departamento de Química y Física; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Markowski, Jens. Brandenburgische Technische Universität Cottbus Senftenberg; AlemaniaFil: Ay, Peter. Technische Universitat Cottbus-Senftenberg; AlemaniaFil: Giebeler, Lars. Leibniz Institute for Solid State and Materials Research; Alemani