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SUNDAY, NOVEMBER 7

POSTER SESSION: PROFESSIONAL SKILLS; NUTRITION ASSESSMENT; MEDICAL NUTRITION THERAPY

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he Effect of Visibility and Quantity of Raisins on Dietaryntake, a Pilot Study

uthor(s): B. Gaydosh, J. Painter; Eastern Illinois University,harleston, IL

earning Outcome: Determine if subjects consume moreaisins if they are visible and if available in larger quantities.

ost American’s consume less than the recommended servings ofruit per day. Having fruit visible can help to increase fruitonsumption. The purpose of this study was to determine theffect of visibility and quantity of raisins on dietary intake ofaisins. The participants (N�21) were staff members of a mid-estern University. Raisins were offered to the subjects in 3

onditions. In condition 1, five boxes of raisins were placed in theesk drawer (not visible small quantity), condition 2 five boxes ofaisins were placed on the desk top (visible small quantity), andondition 3 10 boxes of raisins were placed on the desk topvisible large quantity). The raisins were placed in each conditionor 2-days and were provided in 0.5oz boxes. In condition 1, anverage of 2 boxes were consumed, in condition 2, 2.5 boxes, andn condition 3, 3.3 boxes were consumed. Visibility was assessedomparing condition 1 with condition 2 there was a non-ignificant increase (p�.05) of 20.8%. Quantity was assessedomparing condition 2 to condition 3, there was a non-significantncrease (p�.05) of 23.4%. When assessing visibility and quantityomparing condition 1 with condition 3, there was a significantncrease (p�.05) of 39.7%. In conclusion, the consumption ofaisins increases with visibility and as quantity of raisinsncrease. Therefore to increase the consumption of fruit in theiet, make fruit more visible and available in larger quantities.

unding Disclosure: Sun-Maid Growers of California

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utrition Focused Physical Assessment: Preceptors’ Education,pplication and Perceived Barriers

uthor(s): D. Halasa Esper, R. J. Pohle-Krauza, S. M. Leson; Departmentf Human Ecology, Youngstown State University, Youngstown, OH

earning Outcome: The learner will be able to describe the importancef incorporating nutrition focused physical assessment into dieteticducation and training.

t is essential that dietetics students learn how to competently performhe Nutrition Care Process (NCP). This process is a universal problem-olving method used by Registered Dietitians to think critically and makeecisions regarding nutrition-related problems. Nutrition Assessment ishe initial element in the process and consists of several components,ncluding nutrition-focused physical examination findings. Regrettably, thekills necessary to complete a nutrition focused physical assessmentNFPA) are not uniformly taught in dietetics education. In order tonhance students’ abilities to perform an accurate nutrition assessmentwith concomitant designation of an appropriate nutrition diagnosis), welan to incorporate the NFPA into the Coordinated Program in Dieteticsurriculum at Youngstown State University, by first conducting a needsssessment on behalf of our program’s clinical and community preceptorDs. Here, we present results from a preliminary survey which wasdministered to preceptors in order to evaluate their current utilization ofFPA in practice. Specifically, we assessed their prior education and

raining (defined as previous completion of coursework, computer teachingodules, and/or continuing education seminars, workshops, and work-

elated training classes) with regard to NFPA, as well as perceivedarriers to its use. Results from this survey will foreshadow the degree tohich our students will be encouraged to employ NFPA while engaging in

upervised clinical practice. Furthermore, they will provide insight torogram faculty to assist in development of methods to provide ancillaryFPA education to clinical preceptors as part of the ongoing effort to

ncrease its emphasis in the current curriculum.

unding Disclosure: ADAF Julie O’Sullivan Maillet Research Grant andhio Dietetic Association Grant

-32 / September 2010 Suppl 2—Abstracts Volume 110 Number 9

ffectiveness of a Hospital Nutrition Screening Process

uthor(s): H. Locke,1 H. Kiehl,2 K. Sucher1; 1Nutrition and Foodcience, San Jose State University, San Jose, CA, 2Nutritionervices, Valley Care Medical Center, Pleasanton, CA

earning Outcome: Be able to describe how secondary nutritioncreening in an acute care facility correlates to the complexity of carend nutrition diagnosis.

ccredited acute care hospitals are required to perform preliminaryutrition screening on patients, usually completed by nursing. Manyiet offices find it necessary to complete a secondary nutritioncreening. Currently there is no published validated comprehensiveecondary screening tool. The purpose of this study was to evaluatehe correlation of primary nursing and secondary diet office nutritioncreening prioritization outcomes with level of medical nutritionherapy (MNT) recommended. This study was conducted at an acuteare hospital located in Northern California. In 150 patients seen byDs, the MNT outcomes and MNT primary interventions were

ategorized into three groups based on assessed level of nutrition risks determined by the preliminary nursing screening or the secondaryiet office screen. Nutrition diagnoses and complexity of the nutritionnterventions were compared to the level of nutrition risk designatedy the screening process (Pearson’s �2). Results found no significantelationships between the nutrition risk categorization and nutritioniagnosis or complexity of the nutrition intervention. This lack ofignificance shows the low sensitivity of both nursing andomprehensive diet office screening programs. In addition, highercentage of patients who were screened as high risk required noutrition diagnosis and/or intervention. Outcomes of this study implyhat this hospital’s nutrition screening process should be modified sohat it may more accurately predict which patients are at high risk ofutrition related problems. With increased effectiveness of theutrition screening process, the registered dietitians and otherutritional services would be more efficiently utilized.

unding Disclosure: None

mproved Patient Care through Nutritional Screeningalidation

uthor(s): M. Martinson, The University of Memphis, Memphis, TN

earning Outcome: The participant will be able to state themportance of nutritional screening upon admission. The participantill also be able to state the importance of validating screenings for

ndividual intended populations.

he purpose of this study was to determine the validity of a newlyesigned nutritional screening used upon admission at an adultospital in Memphis, Tennessee. Upon admission to the studiedospital, all patients have a nutritional screening performed to

dentify nutritional risk. During the study, every fifth patientdmitted to the general medical and surgical floors had a nutritionalcreening completed as well as an assessment completed byegistered dietitians to provide a reference from a nutrition expert tohich the results of the nutritional screening were then compared.here were 50 participants originally included in the study. Of these0 participants, 37 had complete nutrition screenings and completenformation necessary to be included in the validation study. Forty-hree percent of the patient sample not originally found at risk by thecreening was found at risk by the dietitians. Overall, a 75.7 percentgreement was discovered between the registered dietitians and theutrition screening. Cohen’s kappa test was performed to determinehe level of agreement between the nutritional screening and thessessment done by the registered dietitians. When analyzed throughohen’s kappa, results on the percent of agreement reflected aoderately significant level of agreement between the nutrition

creening and the registered dietitians (k�.536). The majority of thegreement was found when both the screening and the dietitiansound the patients at risk. The rate of agreement found in theurrent study was slightly higher than rates that would be thoughto be by chance alone.

unding Disclosure: None