The World Health Organisation (W.H.O.) defines MALNUTRITION as “the cellular imbalance between the supply of nutrients and energy and the body’s demand for them to ensure growth, maintenance and specific functions.
It Can Be Recommended That Greater Efforts Should Be Taken to Increase the Use of Protein Energy Food and Oral Supplements for Patients With Eating Problems in Order to Prevent or Treat Under Nutrition .
P.E.M. in hospitalised patients is usually due to:
Inflammatory Disease and
switch on inflammatory mediators whose job is to mobilise muscle tissue to provide amino acids for an effective acute-phase response.
The Vicious Circle of Malnutrition in Hospital Nutritional status that gets more precarious Increased morbidity and increased major complications Increased mortality Increase in care prolongation Return to compromised home food supply Prolongation / aggravation of malnutrition Unplanned readmission Increased length of stay and decreased access to services
The Spiral of Events in Malnutrition Weakness & misery Normally Nourished Depression Depressed organ function Infection Decompensated organ failure DEATH MALNUTRITION ANOREX I A Precipitating Cause of Malnutrition Reduced food intake Apathy