Managing Adult Malnutrition

Including a pathway for the appropriate use of
oral nutritional supplements (ONS)


Podcasts
Nutritional Support in Care Homes

Adeline Suek Teng Low, PCN Clinical Care Home Pharmacist, and Charlene Giovanelli-Nicolson, PCN Dietitian, from OneNorwich Practices are joined by Primary Care Pharmacists Association President Dr Graham Stretch.

Discussion on the nutritional issues experienced by residents in care homes with long term conditions and illness. The podcast focuses on how to integrate nutrition conversations into assessments and how nutritional care can aid recovery from infections and improve quality of life and outcomes.


Identifying and Managing Patients with Malnutrition

Sam Cudby, Practice Pharmacist and Anne Holdoway, Consultant Dietitian are joined by Primary Care Pharmacists Association President Dr Graham Stretch to discuss the nutritional issues experienced by frail and older people with long term conditions and illness and how nutritional care can aid recovery from infections and improve outcomes. This podcast includes particular reference to management of patients during the COVID-19 pandemic.


Cases in Malnutrition Podcast

Dr Graham Stretch, President of the Primary Care Pharmacists Association, Sam Cudby, Practice Pharmacist, and Anne Holdoway, Consultant Dietitian use case based discussions to show how nutrition can be integrated into the practice pharmacist assessment, including in remote consultations, and how multi-disciplinary working in this field can impact patient centred outcomes.


Videos
  • AN MDT APPROACH TO MANAGING THE NUTRITIONAL NEEDS OF FRAIL OLDER PEOPLE IN PRIMARY CARE AND THE COMMUNITY

    In this webinar Sam Cudby, Practice Pharmacist talks to Lelly Oboh, Consultant Pharmacist, Care of Older People, Guy's and St Thomas' NHS Foundation Trust, and Louise Nash, Frailty and Home Enteral Feeding Dietitian, Airedale NHS Foundation Trust about the role the Primary Care Pharmacists can play, as part of the MDT, in the nutritional management of frail elderly patients. The webinar looks at how malnutrition and frailty interlink and the benefits of screening and nutrition support and includes case based discussions to outline how the collaborative role of Dietitians and Primary Care Pharmacists can improve outcomes in frail elderly patients.

  • NUTRITIONAL CHALLENGES IN COPD

    In this webinar Professor Tom Wilkinson, Professor of Respiratory Medicine and Dr Anne Holdoway, Consultant Dietitian:

  • • provide insights into the pathophysiology of COPD and how the disease and exacerbations impact nutritional status
  • • highlight the nutritional issues and challenges faced by patients with COPD
  • • explore management strategies to optimise nutrition via two case histories
  • COUNTING THE COST OF MALNUTRITION & ITS MANAGEMENT

    Dr Anita Nathan, GP and Malnutrition Lead for the RCGP GPs Interested in Nutrition Group, presents the ‘Counting the Cost of Malnutrition and It’s Management’ Powerpoint presentation (original presentation can be found HERE). She gives an overview of the costs of malnutrition to UK health and social care and focuses on the costly adverse consequences of malnutrition to patients and the health care system and discusses potential solutions to cut the cost of malnutrition through screening and appropriate management.

  • MALNUTRITION: WHAT MORE CAN I DO AS A GP?

    Dr Anita Nathan, GP and Malnutrition Lead for the RCGP GPs Interested in Nutrition Group, looks at areas she feels as a GP she can potentially implement to assist in identifying and treating patients with malnutrition risk

  • CASE STUDIES IN MALNUTRITION

    CASES IN MALNUTRITION - WHO IS RESPONSIBLE IN PRACTICE? Using case based discussions, experts explore common dilemmas in general practice regarding the identification and successful management of malnutrition. As a growing issue, affecting around 11% of people attending GP practices, it highlights the need to integrate nutrition into holistic care and why malnutrition can be both a cause and a consequence of chronic disease and frailty.

    • Anne Holdoway Consultant Dietitian and Chair of the ‘Managing Adult Malnutrition in the Community‘ expert panel.
    • Dr Anita Nathan GP, member of the GPs interested in Nutrition Group and of ‘Managing Adult Malnutrition in the Community’ expert panel.
  • WHAT THE EXPERTS SAY ABOUT MALNUTRITION IN THE COMMUNITY

    Experts outline the challenges of identifying malnutrition in the community, the cost pressures malnutrition is placing on the NHS and suggest what healthcare professionals could be considering to improve identification and management of malnutrition in the community.

    • Anne Holdoway Chair of the National Advisory Panel on Managing Adult Malnutrition in the Community
    • Dr Anita Nathan GP and Member of the GPs Interested in Nutrition Group
    • Dr Phil Hammond Doctor, Journalist, Broadcaster, Campaigner and Comedian
  • MALNUTRITION IN THE UK

    Experts discuss the size of the problem of malnutrition in the UK. Featuring:

    • Dr Mike Stroud Clinical Lead for Gastroenterology at University Hospital Southampton NHS Foundation and Chair of the NICE Nutrition Support in Adults Panel
    • Anne Holdoway Specialist Dietitian and Chair of the Parenteral and Enteral Nutrition (PEN) Group of the British Dietetic Association (BDA), 
    • Dr Rachel Pryke GP and Royal College of General Practitioners (RCGP) Clinical Champion for Nutrition for Health,
    • Barbara Parsons Head of Pharmacy Practice, Pharmaceutical Services Negotiating Committee (PSNC),
    • Dr Ailsa Brotherton Honorary Secretary for the British Association for Parenteral and Enteral Nutrition (BAPEN)
  • IMPLEMENTING MANAGING ADULT MALNUTRITION IN THE COMMUNITY

    Experts outline how they feel healthcare professionals should be implementing the guidance and pathways, the effect such implementations should have on overall quality of patient care and how the document supports the NICE Guidance for Nutrition Support in Adults.

    • Dr Mike Stroud Clinical Lead for Gastroenterology at University Hospital Southampton NHS Foundation and Chair of the NICE Nutrition Support in Adults Panel
    • Anne Holdoway Specialist Dietitian and Chair of the Parenteral and Enteral Nutrition (PEN) Group of the British Dietetic Association (BDA), 
    • Dr Rachel Pryke GP and Royal College of General Practitioners (RCGP) Clinical Champion for Nutrition for Health,
    • Iain McGregor Vice Chair of the Royal College of Nursing (RCN) Older People’s Forum and Teaching, Learning and Quality Assurance Manager at e-GNCS Ltd,
    • Barbara Parsons Head of Pharmacy Practice, Pharmaceutical Services Negotiating Committee (PSNC),
    • Dr Ailsa Brotherton Honorary Secretary for the British Association for Parenteral and Enteral Nutrition (BAPEN)
  • THE DEVELOPMENT OF MANAGING ADULT MALNUTRITION IN THE COMMUNITY

    Experts discuss why they personally became involved in the development of the Managing Adult Malnutrition in the Community document with give details of the professions and associations which have endorsed/supported the document.

    • Anne Holdoway Specialist Dietitian and Chair of the Parenteral and Enteral Nutrition (PEN) Group of the British Dietetic Association (BDA), 
    • Dr Rachel Pryke GP and Royal College of General Practitioners (RCGP) Clinical Champion for Nutrition for Health,
    • Iain McGregor Vice Chair of the Royal College of Nursing (RCN) Older People’s Forum and Teaching, Learning and Quality Assurance Manager at e-GNCS Ltd,
    • Barbara Parsons Head of Pharmacy Practice, Pharmaceutical Services Negotiating Committee (PSNC),
    • Dr Ailsa Brotherton Honorary Secretary for the British Association for Parenteral and Enteral Nutrition (BAPEN)
Supporting Documents

There is a selection of supporting publications available in another section of this site.

RESOURCES AREA

Support for Patients & Carers

A number of resources are available that have been developed to support patients and carers.

PATIENTS & CARERS

Specific support for common conditions

A number of resources are available that have been developed to assist healthcare professionals supporting patients at risk of malnutrition as a result of a specific condition. These include:

COPD

Further Information

We can be contacted regarding the malnutrition pathway materials and website

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