Questionnaires

There are 4 questionnaires to complete on nutritionDay. The unit staff completes 2 questionnaires about nutritional care and the patients’ illnesses. Patients have to complete 2 pages about their food intake history, appetite and any weight change.


ICU questionnaires

ICU Questionnaires

1. Unit Sheet: asks for nutrition related organisational and structural information on the ward. This questionnaire has to be completed once per ward by the unit staff. (1 page per unit - Duration 1x10min)


2. Patient Medical Information Admission Day: asks for patients status (gender/age/weight/height etc.), date of ICU admission and laboratory parameters on admission day. This questionnaire has to be completed by unit staff. (Duration 15min/patient)


3. Patient Medical Information Actual Day: includes questions about treatment (insulin therapy/antibiotic treatment, etc.) and laboratory parameters on actual day. This questionnaire has to be completed by unit staff. (One page - Duration 15min)


4. Patient Nutrition: comprises questions about enteral and parenteral nutrition. Number of days of parenteral/enteral feeding, planned amount of calories per day and the patients well being. This questionnaire has to be completed by unit staff. (One page - Duration 15-20min)

ICU productlist: http://149.148.226.52/nDaylist/17_tab.htm


Outcome Evaluation: re-assesses the patient's outcome 60 days after nutritionDay (discharged, still in hospital, transferred, death...). This questionnaire has to be completed 60 days after nutritionDay by the unit staff. (Duration 10min per patient)

WHO ICD 10 COdes: www.who.int/classifications/apps/icd/icd10online/


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