Malnutrition Solution Center

Did You Know Solution Center For more than 40 years, ASPEN has focused strategic efforts on reducing the incidence of malnutrition. We tackle this effort on two fronts—through educational support and resources to healthcare professionals, patients and caregivers, and through our advocacy work for malnutrition prevention and treatment.  


RESOURCES FOR HEALTHCARE PROFESSIONALS

ASPEN works tirelessly to support clinicians, managers, and administrators in the detection, diagnosis, prevention, and treatment of disease-related malnutrition. Below is a compilation of resources from ASPEN and other organizations to help you deliver the most optimal nutrition care to your patients. 

On-Demand Educational Videos on Malnutrition
Busy professionals in any time zone and in any country will benefit these new, on-demand, educational short videos.

AHRQ Publishes New Report on Malnutrition 
The Agency for Healthcare Research and Quality (AHRQ) published on August 30th, a new report on malnutrition in hospitalized patients and those readmitted. This 2016 data from the NIS database indicates a higher rate of malnutrition than the previously published 2013 statistical brief. This report also includes readmission data which demonstrates a continued higher readmission rate in patients with coded malnutrition in their index stay.

Malnutrition Matters EducationProgram for Providers
The Malnutrition Matters Education Program, developedby the ASPEN Malnutrition Committee, addresses the importance of diagnosing anddocumenting malnutrition in hospital patients. These ready-to-use presentations can be used by nutrition clinicians in trainingphysicians, nurse practitioners, and physician assistants on adult andpediatric malnutrition. ASPEN members have free access to the presentations. Non-memberscan purchase them for $20 each. Learn more .

Preterm and Neonatal Malnutrition Indicator Card 
This card provides the recommended malnutrition indicators in preterm and neonatal populations, as well as recommended parenteral and enteral energy and protein intakes for neonates. These recommendations are from the Journal of the Academy of Nutrition and Dietetics. The card is supported by Mead Johnson Nutrition.  View card.

Improve Patient Outcomes: ASPEN’s Step-by-StepGuide to Addressing Malnutrition
This detailed and easy to follow guideprovides the tools and resources to help you identifydocument code, and treat malnutrition in adult and pediatricpatients. With step-by-step guidance on care pathways and processes, youwill be able to better implement optimal nutrition care plans, measure the qualityof your team’s efforts in identifying and treating malnutrition, and improve patientoutcomes. Purchase guide.

Nutrition Care Pathways 
The Nutrition Care Pathways indicate best practices and guide clinicians—stepby step—through the nutrition care process, from admission to discharge. Eachstep in the pathway is supplemented with resources to use in developing nutritioncare plans for patients.

Adult Care Pathway
Nutrition Care Pathway Pediatric


MAW Logo with Right White SpaceMalnutrition Awareness Week™
, September 23-27, 2019

An important step toward effectively treating malnutrition is to educate healthcare professionals and consumers on the condition—from the detection and diagnosis of malnutrition to treatment. Malnutrition Awareness Week was established by ASPEN to do just that, through educational programming and resource dissemination, to help everyone understand this often poorly diagnosed condition.

Malnutrition Toolkit
The ASPEN Malnutrition Toolkit gives healthcareprofessionals quick access to the latest resources and tools for screening,assessing, and diagnosing malnutrition in both pediatric and adult patients. Thetoolkit includes information for clinicians on how to improve patient outcomesand assists administrators in nutrition coding and reimbursement processes, thusdecreasing costs and readmissions. Access toolkit.  

Malnutrition Quality Improvement Initiative (MQII) Toolkit
ASPEN has partnered with Defeat Malnutrition Today and the MalnutritionQuality Improvement Initiative (MQII) to aid in the efforts to detect and treatmalnutrition, particularly among older adults. Access MQII Toolkit.   

Additional Resources

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RESOURCES FOR PATIENTS AND CAREGIVERS

ASPEN has resources for consumers, patients, and caregivers on identifyingand understanding malnutrition. The information from these tools can be shared duringa patient’s visit with their healthcare provider.

Ask About Your Nutrition Posters

It is important for patients, as well as caregivers and families, to beproactive and ask about their nutrition status. ASPEN has created twoeducational posters to help you recognize the signs of malnutrition, so you cantalk to your healthcare provider about treatment. The posters are available inEnglish, Spanish, and Chinese.

FOR ADULTS 
ASPEN Nutrition Poster-ADULT ENGLISH  
English
Spanish
Traditional Chinese
Simplified Chinese
FOR CHILDREN
ASPEN Nutrition Poster-CHILD-ENGLISH(1)
English 
Spanish 
Traditional Chinese
Simplified Chinese


How Do I Talk with My Healthcare Provider about Malnutrition?
Along with the “Ask About Your Nutrition” posters, this short, on-demand video will help patients and caregivers have productive conversations with their healthcare providers around their nutrition status. View the video.

Patient Stories

Whatdoes malnutrition look like? In some cases, it’s obvious. In others, it’sharder to detect. But with greater awareness, patients will be treated earlierand recover faster.

Hereare some patient stories on nutrition.

Patient Story_Jeannie Gaffigan
Tube Feeding Helped Me Recover from Brain Surgery
Jeannie Gaffigan, Writer and Producer of The Jim Gaffigan Show
Claudia Martinez_Patient Stories Thumbnail
Tube Feeding and IV Fluids are Keeping Me Alive and Helping Me Become A Doctor
Claudia, medical student
Patient Story_Christine
IV Feeding Saved Me and My Babies
Christine, mother of two
Patient Story_Dr Salob
Spotting Malnutrition in Seniors
Dr. Salob, father of former ASPEN CEO Debra BenAvram
Patient Story_Piper
IV and Tube Feeding is Helping Baby Piper Grow
Piper, Spunky Preemie
Patient Story-Corey
Tube Feeding Is Helping Me Tackle My Physical Challenges
Corey, 14, and Mom, Jamie

 

Malnutrition Infographs

Each day, approximately 15,000 hospital patients with malnutrition go undiagnosed.Patients with malnutrition have higher hospital costs, longer stays, andincreased mortality. Get the facts on malnutrition and help us bring down thesenumbers.

  Malnutrition Awareness Week Shareable

ASPEN Malnutrition Awareness: The Clock Is Still Ticking Infographic

Malnutrition: An Older Adult Crisis

Malnutrition: An Older Adult Crisis


Resources For Older Adults

The causes of malnutrition in older adults are a complex blend of physical, social, and psychological issues — from the loss of appetite due to depression to the inability to get to the store for groceries. Here are some resources to help seniors:

 


Resources For Children

  • ASPEN Special Report: Defining Pediatric Malnutrition.  Read report
  • Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Indicators Recommendedfor the Identification and Documentation of Pediatric Malnutrition (Undernutrition).  Read abstract.
  • American Academy of Pediatrics: Recognitionand Management of Malnutrition. See overview. Download in English or Spanish.
  • Children’s Hospital of Philadelphia: Pathway for Identification and Diagnosis of Inpatient PediatricMalnutrition (Undernutrition). Read.

 

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ASPEN ADVOCACY FOR MALNUTRITION PREVENTION AND TREATMENT

ASPEN is continuously workingto address malnutrition as a public health issue through governmental andregulatory engagement. Below are just some of the projects ASPEN is working onin this area. 

HCUP Data Project —Using National Inpatient Data to look at Malnutrition and Patient Outcomes

Characteristics of HospitalStays Involving Malnutrition, 2013 ( PDF , HTML

All-Cause ReadmissionsFollowing Hospital Stays for Patients With Malnutrition, 2013 ( PDF , HTML)

The Joint CommissionThe Joint Commission was asked by ASPEN to considermalnutrition prevention a national patient safety goal. To that end, this article,Addressing Disease-Related Malnutrition in HospitalizedPatients: A Call for a National Goal , waspublished in The Joint CommissionJournal on Quality and Patient Safety.

State Initiatives—ASPEN leaders are participating in State Resolutions and Commissions on malnutrition including efforts in Ohio, Massachusetts, Virginia, and Texas.  

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  1. Tappenden K, Quatrara B, Parkhurst, ML, Malone AM, Fanjiang G, Ziegler TR. Critical role of nutrition in improving quality of care: An interdisciplinary call to action to address adult hospital malnutrition. JPEN J Parenter Enteral Nutr. 2013;37:482-497. 
  2. Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011;8:514-527. 
  3. Fry DE, Pine M, Jones BL, Meimban RJ. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-151.