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Poster Session: Food/Nutrition Science; Education; Management; Food Services/Culinary; Research

Nutrition Guidelines in Bariatric Surgery: Recent Advancements Pulse Consumption in Relation to Race and Reason among Louisiana Residents
Author: J. Parrott; Formulas for Fitness, Private Practice Centrastate Medical Author(s): W. McCarty1, K. Anguah2, D. Erickson2, J. Pope2; 1
Center, Health Awareness Center and Population Health Healthcare, 2Louisiana Tech University

Learning Outcome: Dietitians practicing in bariatric surgery need to be aware Learning Outcome: Learn about pulses, their benets, and their part in the
of the latest research. Dietitians will be able to better care for patients pre and diets of Louisiana residents.
post bariatric surgery. This information will improve patient care by helping
to prevent micronutrient deciencies in bariatric surgery. RDN will be more Pulses are any leguminous crop that are harvested solely for their dried grain
likely to be consulted for their knowledge and expertise regarding nutrition or seeds that are recommended as a healthy source of protein and dietary
in bariatric surgery. ber. This study analyzed pulse intake (quantity and frequency) and reason
for consumption among Louisiana residents. The data were collected through
Background: Three sets of guidelines are currently used in the care of patients Market Research (a data collection rm) from Louisiana residents (n206).
with bariatric surgery: 2013 AACE/TOS/ASMBS Bariatric Surgery Clinical The data were categorical in nature and were analyzed using IBM SPSS to
Practice Guidelines, 2013 A.S.P.E.N. Clinical Guidelines: Nutrition Support of analyze quantity of pulses consumed weekly, frequency of pulse consump-
Hospitalized Adult Patients With Obesity and 2008 ASMBS Allied Health tion, and reasons for pulse consumption. The mean age of subjects was 37.9
Nutritional Guidelines for the Surgical Weight Loss Patient. Inconsistencies 10.2 years; 73 (35.4%) were male and 132 (64%) were female. The respondents
between recommendations will be discussed and claried. were 70% White, 22% African Americans, and 8% other races. There were no
signicant differences in weekly pulse consumption based on race nor in
Method: The guideline updates are based on the systematic review and pulse consumption frequency among races. There was a signicant difference
recommendation process described in the 2013 joint ASMBS/Obesity Society/ in pulse consumption amount based on pulse consumption reason. More
American Association of Clinical Endocrinologists guidelines. participants (57%) chose to eat pulses because they were a healthy choice
than any other reason. Despite this choice, 85% of respondents consumed the
Results: The 2016 update focuses on screening, supplementation and reple-
recommended amount of pulses from the USDA Dietary Guidelines for
tion of vitamins B1, B12, folate, iron, vitamins A, D, E, K, calcium, copper, and
Americans. The results suggest that the participants reason for eating pulses
zinc. Comparisons between guideline recommendations are discussed.
impacts the amount of pulses they eat on a weekly basis. Limitations of the
Conclusions: The 2016 update of the ASMBS micronutrient guidelines for study include the categorical nature of the data. Further study in this area
bariatric surgery patients includes many new and updated recommendations. should explore the reasons why Louisiana residents consume pulses and
Additionally, the updated guidelines represent a marked methodological identify strategies to implement more pulses into their diets.
improvement over the previous guidelines.
Funding Disclosure: None
Funding Disclosure: None

Patient and Public Involvement in Evidence-based Nutrition Practice Resource Development RDN Productivity Benchmarks for Long Term Care Facilities
Author(s): L. Moloney, D. Handu, T. Acosta, F. Cheng, M. Rozga; Academy of Nutrition and Author(s): W. Phillips1, M. Janowski2; 1
Morrison Healthcare, 2
Dietetics Compass
Learning Outcome: Practitioners will understand the importance of patient and public Learning Outcome: Participants will understand how to establish a produc-
involvement in the development of evidence-based resources that can help improve pa- tivity monitoring system for long term care facilities.
tient centered care. Members will be able to describe how the Academys EAL is improving
the quality of evidence-based resources through patient and public involvement. Background: Due to pressure in long term care (LTC) facilities to manage and
evaluate resources effectively, nutrition managers need benchmarks against
Background: Per the IOM, patient-centered care is dened as providing care that is which to compare dietitian stafng. Regulatory agencies do not require
respectful of and responsive to individual patient preferences, needs, and values and certain stafng ratios for RDNs, but they must now report RDN hours cen-
ensuring the patient values guide all clinical decisions. Healthcare has shifted to patient- trally along with the other facility staff. This data will be publicly available in
centered care and resources must follow suit. Patient and public involvement (PPI) is a the future.
standard of quality in the development of evidence-based systematic reviews (SR),
guidelines, editorials and research articles. Previously, the Evidence Analysis Library (EAL) Objective: Establish productivity benchmarks for RDN stafng in LTC facilities.
incorporated stakeholder involvement through member participation on workgroups, and
member and non-member feedback during external review. To improve the quality of EAL
Design: Dietitians tracked daily activities on a standardized productivity log
SRs and guidelines, the EAL is working to further incorporate PPI. over a 6 month period. Participants/setting: LTC facilities with similar policies
and expectations for RDN stafng were included. Census ranged from 10 to
Objectives: Identify efcient and effective methods to incorporate PPI throughout the 749 residents. Hours worked in rehab or sub-acute units were excluded.
EALs guideline and SR development.
Results: RDNs completed 3.41 interventions/hour spent in direct patient care,
Methods: Draw upon participant and consultant experiences from the patient advocate with 1.73 residents seen/hour spent (more than one intervention was
EAL PPI pilot, search and identify resources for PPI, and provide examples of how PPI is completed per resident). Since not all RDN time was spent in direct care
utilized in external organizations. activities, the number of interventions/total hour worked was 1.89 and res-
idents seen/total hour worked was 1.01. RDNs spent an average of 24% of time
Results: Experiences drawn from the patient advocate pilot project highlighted facilitators in indirect care activities, 17% in Direct Care Meetings/Rounds, and 59% of
and barriers to PPI. Several resources for PPI were identied, specically the Guideline time in direct resident care.
International Network PPI Toolkit, and publications from the IOM. The need for procedures
in the following areas have been identied: patient advocate recruitment, selection, and Conclusions/Discussion: A standardized productivity system should track RDN
nomination; level and degree of PPI on each step of systematic review and guideline activities to establish benchmarks for internal and external comparison,
development, solicitation of patients and the public to serve as external reviewers. especially as RDN stafng in LTC facilities will become more visible through
public reporting. This report contributes to the sparse literature about RDNs
Conclusions: PPI can be efcient and effective in improving the quality of EAL guidelines activities in LTC facilities, which can guide decisions for resource allocations.
and supporting systematic reviews, and patient centered care. Future research should determine optimal RDN stafng for improving patient
Funding Disclosure: None
Funding Disclosure: None

September 2017 Suppl 1Abstracts Volume 117 Number 9 JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS A-47