Abstract：
UNASSIGNED: Nutrition is a fundamental aspect of nursing care, however older people cared for in hospital, in a care home or in their own home do not always receive adequate support with their nutritional needs, which can leave them at risk of malnutrition. Using a holistic, biopsychosocial framework to support a comprehensive nutritional assessment that includes malnutrition screening can support the nurse to identify the older person\'s nutritional status and nutrition needs. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. • Malnutrition in older people can lead to a decline in functional ability, reduced muscle strength, fatigue, impaired immunity, suboptimal wound healing, increased risk of infection and increased risk of falls. • Screening for, and assessing the risk of, malnutrition is an important part of nursing assessments in any healthcare setting. • A holistic nutritional assessment should incorporate physiological, psychological, emotional, spiritual, social and cultural elements. REFLECTIVE ACTIVITY: \' How to\' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when undertaking a holistic nutritional assessment with an older person. • How you could use this information to educate nursing students or your colleagues on the appropriate techniques and evidence base for undertaking a holistic nutritional assessment with an older person.
摘要：
■营养是护理的一个基本方面，然而，老年人在医院照顾，在养老院或在自己的家中，他们的营养需求并不总是得到足够的支持，这可能会使他们面临营养不良的风险。使用整体，支持包括营养不良筛查在内的全面营养评估的生物心理社会框架可以支持护士确定老年人的营养状况和营养需求。进行此程序的护士必须确保他们具有这样做的知识和技能，并在其能力范围内工作。•老年人营养不良会导致功能能力下降，肌肉力量降低,疲劳,免疫力受损，伤口愈合欠佳，感染风险增加和跌倒风险增加。•筛查，并评估风险，营养不良是任何医疗保健环境中护理评估的重要组成部分。•全面的营养评估应纳入生理，心理,情感,精神,社会和文化因素。反思活动：“如何\”文章可以帮助更新您的实践，并确保它仍然是基于证据。将本文应用于您的实践。反思并撰写简短的说明：•当与老年人进行全面的营养评估时，本文如何改善您的实践。•您如何使用这些信息来教育护理学生或您的同事，了解与老年人进行全面营养评估的适当技术和证据基础。
