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Managing Adult Malnutrition in the Community Document

Managing Adult Malnutrition in the Community. Including a pathway for the appropriate use of oral nutritional supplements

A practical guide and pathway to assist community healthcare professionals in identifying and managing the 3 million people in the UK at risk of disease-related malnutrition. It has been developed by a multi-professional team and is supported/endorsed by ten key organisations.

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Managing Malnutrition with Oral Nutritional Supplements

Managing Malnutrition with Oral Nutritional Supplements (ONS) – advice for healthcare professionals

An A4 two sided printable leaflet which gives healthcare professionals an overview of malnutrition and includes information on the types of ONS available and patient suitability. It details the different styles, flavours and products available as a quick guide.

Download Leaflet
Poster for use in GP Surgeries

Managing Malnutrition According To Risk Category Using ‘MUST’ Care Pathway – General Practice

An A4 printable poster, for display in the GP surgery, outlining the care pathway that should be followed for individuals at risk of malnutrition in the community.

Download Care Pathway Poster – General Practice
Care Plans

Care Plans for use with patients in residential and care home settngs

The ‘Managing Adult Malnutrition in the Community’ guide has joined forces with the National Nurses Nutrition Group (NNNG) to develop three malnutrition care plans for use with patients in residential and nursing home settings who are either at low, medium or high risk of malnutrition according to the 'Malnutrition Universal Screening Tool' ('MUST').

The care plans have been designed to complement the ‘Managing Adult Malnutrition in the Community’ guide and pathway for using oral nutritional supplements, and aims to assist nurses and care staff in their day to day care of patients at risk of malnutrition.

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App

An app which incorporates the 'Malnutrition Universal Screening Tool' ('MUST') tool developed by the British Association for Parenteral and Enteral Nutrition (BAPEN)

It enables professionals to work out whether patients are at low, medium or high malnutrition risk and gives advice on management according to risk based evidence and shared best practice as defined in the 'Managing Adult Malnutrition in the Community' guide.

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Videos

A selection of 3 short videos including experts in malnutrition focusing on:

  • Malnutrition in the UK
  • Implementing ‘Managing Adult Malnutrition in the Community’
  • Giving information on who has been involved in the development of ‘Managing Adult Malnutrition in the Community
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Resources for use with Patients and Carers

Resources for use with patients and carers

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Discharge Resources

To ensure high quality and continuity of nutritional care of patients from the hospital to community setting the need for consistent and comprehensive communication in the discharge process is widely recognised.

Patients with altered nutritional needs wil need nutritional planning and the provision of continued care once back at home.  This discharge process requires co-ordination and the participation of all relevant healthcare staff.

The Dietetic team at Guy's and St Thomas' NHS Foundation Trust (GSTT) has developed a standarised discharge communication letter to be used by all dietetic teams across their trust. The main objectives of developing this letter were to:

  • provide a concise dietetic report/summary including all relevant and appropriate information for a prescription request
  • ensure patients meet ACBS criteria for an ONS prescription
  • avoid errors in prescribing through providing sufficient information for GPs to electronically prescribe nutritional products e.g. ONS volume, product, duration of prescription
  • provide clear information regarding actions required by clinicians, as well as dietetic outcomes of the intervention and comprehensive follow up advice

The team worked with local GPs and other stakeholders throughout the development process.

Alongside the letter a Standard Operating Procedure (SOP) has been created to promote ease of use by Dietitians; this provides guidance on how to complete and adapt the letter - ensuring relevant boxes are included or deleted as appropriate.

If you are interested in using the letter in your trust/department please contact natasha.mir@gstt.nhs.uk and michelle.duffy@gstt.nhs.uk

Thank you to the team for sharing their resources on the malnutrition pathway website.

Discharge letter and SOP

Specific Support for Common Conditions

COPD

COPD

A practical guide to 'Managing Malnutrition in COPD' to assist healthcare professionals in identifying and managing people with COPD who are malnourished or at risk of disease-related malnutrition.

'Managing Malnutrition in COPD' includes a pathway for the appropriate use of Oral Nutritional Supplements (ONS) to support community healthcare professionals.

Three colour-coded leaflets for patients and carers are also available to download which contain dietary advice, advice on eating and physical activity and tips on coping with common symptoms of COPD including dry mouth, taste changes and shortness of breath.  In addition the red (high risk) leaflet includes advice on incorporating oral nutritional supplements into the diet:

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Lung Cancer

Patients and Carers

Your Guide to Making the Most of Your Food

Your Guide to Making the Most of Your Food

An A4 printable leaflet which gives simple ideas as to how patients can get the most nutrition from the food they are eating.

Download Leaflet

Nutrition Drinks (Oral Nutritional Supplements)

Nutrition Drinks (Oral Nutritional Supplements)

An A4 two sided printable leaflet which outlines to patients why they have been prescribed oral nutritional supplements and offers them general advice on getting the most from their supplements, for example advice on cooking with supplements and storage.

Download Leaflet

Leaflets for patients with COPD

Leaflets for patients with COPD

  • Green Leaflet - 'Eating Well for Your Lungs' - for those at low risk of malnutrition
  • Yellow Leaflet - 'Improving Your Nutrition in COPD' - for those at medium risk of malnutrition
  • Red Leaflet - 'Nutrition Support in COPD' - for those at high risk of malnutrition
  • Three colour-coded leaflets for patients and carers are also available to download which contain dietary advice, advice on eating and physical activity and tips on coping with common symptoms of COPD including dry mouth, taste changes and shortness of breath. In addition the red (high risk) leaflet includes advice on incorporating oral nutritional supplements into the diet.

    Newsletters

    The Pathway - Spring 2016

    The Pathway - Spring 2016

    Download The Pathway Spring 2016 Newsletter

    Download The Pathway - Spring 2016
    The Pathway - Summer 2016

    The Pathway - Summer 2016

    Download The Pathway Summer 2016 newsletter

    Download The Pathway - Summer 2016
    The Pathway - Winter 2016/17

    The Pathway - Winter 2016/17

    Download The Pathway 2016/17 Newsletter

    Download The Pathway - Winter 2016/17

    Resources Category

    What the experts say
    BAPEN 'MUST' Calculator BAPEN 'MUST' App

    BMI calculator




    Weight loss calculator




    Contact us

    If you would like to contact us regarding the malnutrition pathway materials and website please email: hilary@franklincoms.co.uk

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