Relação da estruturação de um serviço de nutrição e o risco de desnutrição hospitalar em um aparelho hospitalar da rede estadual de saúde do Estado da Bahia

Abstract

Hospitals are health units dedicated to the diagnosis, treatment and recovery of diseases under the hospitalization regime. Hospital activities range from screening, first anamnesis, diagnosis to nursing care and treatment support services, in which nutritional therapy is inserted, under the responsibility of the Hospital Nutrition and Nutrition Unit (UAN). The reference legislation that regulates the numerical parameters for the nutritionist, CFN Resolutions No. 380/2005 and 600/2018, considers the weekly workload of 30 hours to size the minimum number of nutritionists necessary for adequate coverage of the nutrition service . Undoubtedly, the internship experience is of fundamental relevance for the student, since it has the possibility to proactively understand the theoretical information obtained through the classes and the opportunity to prepare to face the usual challenges of working life. At the end of my whole career in study and dedication to graduation, from the difficulties in the theoretical field and his anxieties, I was put to the test at the stage to apply all theory in clinical practice, I came across an absence or not simple implementation of some of the basic components of nutritional assistance, evidencing a gap in the process of caring for patients, especially those at nutritional risk. Among these, the non-classification of patients according to the nutritional evaluation carried out, together with the prioritization of the individualized and specialized care of those who are in a condition or situation of greater risk.