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två kvinnliga studenter klädda i båa vårdkläder i en sjuhuskorridor
Totalt 38 dietiststudenter kartlade undernäring bland patienter på fyra sjukhus, i samarbete med legitimerade dietister.
Photo: Dietistprogrammet
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Dietician students investigated malnutrition in hospitals

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Recently, malnutrition in healthcare was highlighted during the International Malnutrition Awareness Week. Students from the dietician program visited hospital patients to map their nutritional status and requirements.

Wilma Ebenholm Pettersson, who is in the penultimate semester of the dietician program in Gothenburg, was one of 38 students who completed the mapping. She visited patients in the surgery department of Kungälv Hospital. For her it was a very positive and educational experience:

“There can be many different reasons to malnutrition. It became clear to me during the day at the hospital that you really have to work in a person-centered way, because not everyone has the same requirements. Some need specific advice, others need more general tips and tricks,” says Wilma.

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stainless steel cart with several trays with food focus on the top with glasses, box and cutlery.
Tray with lunch in a food cart on a hospital ward.
Photo: Dietistprogrammet

One in two patients affected

A person who suffers from malnutrition loses weight, is deficient in nutrients and has problems with muscle breakdown. They may also become more susceptible to infection and will require more care, which can lead to longer hospital stays and higher mortality rates.

Malnutrition in healthcare is very common. According to a recent review article in the New England Journal of Medicine, up to half of all patients admitted to hospitals and other healthcare facilities are malnourished.

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two students in blue nursing clothes in the kitchen of the nursing department
Wilma Ebenholm Pettersson with her fellow student Ann-Sofie Larsson in the ward’s kitchen.
Photo: Dietistprogrammet
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happy girl in her 20s photographed by a blooming lilac bush
Wilma Ebenholm Pettersson graduates as a dietitian this summer.
Photo: privat bild.

“Malnutrition is a complex issue, which can have many causes and different solutions. In healthcare it can also be difficult to make the right risk assessment. It felt good to contribute with a baseline that gives the department the opportunity to evaluate its work with malnutrition,” says Wilma Ebenholm Pettersson.

Contributing to better care

After a preparatory workshop, the students were asked to interview patients in a healthcare department, asking questions about e.g., weight loss, appetite, how much food the patient had eaten for lunch that day, and whether they had been served a snack. The departments had prepared and selected patients who were able to be visited by the students.

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Students with forms in front of them enter Forms on their phones.
Students input responses from the structured interviews.
Photo: Dietistprogrammet

“In addition to giving students practice in their encounters with patients, the course provides lessons for healthcare,” says Senior Lecturer Jenny van Odijk:

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Jenny van Odijk, Senior Lecturer at the Institute of Medicine at Sahlgrenska Academy, University of Gothenburg.
Photo: Josefin Bergenholtz

“The responses collected by the students will now be compiled anonymously and the departments can then use the results to suggest improvements to reduce the problem in the departments concerned. So the collaboration gives students an insight into clinical practice and dietitians and health departments a tool to evaluate and potentially improve malnutrition in healthcare.”

This interactive element is planned to be a recurring collaboration between the dietitian program and the healthcare services.  This year, dietitians from Kungälv Hospital, Alingsås Hospital and Sahlgrenska University Hospital (Östra Hospital and Sahlgrenska) participated.