improving nutritional care in bristol
DESCRIPTION
Improving Nutritional Care in Bristol. Sharon Sexton Medicines Management Dietitian NHS Bristol. Current Situation. Unidentified malnutrition Low use of MUST/screening in community Variable understanding of risks associated with malnutrition Limited dietary advice available/offered - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/1.jpg)
Improving Nutritional Care in Bristol
Sharon Sexton
Medicines Management Dietitian
NHS Bristol
![Page 2: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/2.jpg)
Current Situation
• Unidentified malnutrition• Low use of MUST/screening in community• Variable understanding of risks associated with
malnutrition• Limited dietary advice available/offered• Limited dietetic services across Bristol• Increasing spend on oral nutritional supplements
![Page 3: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/3.jpg)
Initial Findings from training in Bristol Care Homes(delivered by Rachel Cooke)
• In one care home, just 3.5% of those screened were screened correctly
• In the home where screening was most accurate, 75% of those screened were screened correctly
![Page 4: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/4.jpg)
Initial Findings from Training in Bristol Care Homes(delivered by Rachel Cooke)
• Average incidence of malnutrition: 45%
(17% medium risk, 28% high risk)
• ‘National average’ taken from results of the BAPEN Nutrition Screening Week survey 2010 (37% of residents at risk of malnutrition)
![Page 5: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/5.jpg)
Objectives of Role
• Promote validated guidance
• Increased identification of malnutrition
• Increased screening for risk of malnutrition
• Pathway for treating malnutrition
• Appropriate prescribing
• Support for health professionals
• Training
![Page 6: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/6.jpg)
Key Professionals
• GPs• Community nursing• Practice pharmacists• Dietetic teams• Intermediate Care• Care Homes
– Nursing staff– Catering staff
• Public Health
![Page 7: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/7.jpg)
Developing Guidance on screening
• Primary Care Nutrition Working Group– Range of stakeholders
• NHS Islington guidance adapted with permission– Succinct– draft
![Page 8: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/8.jpg)
The Guidance
• MUST (Malnutrition Universal Screening Tool)
• Care Pathway
• Guide to best practice in prescribing oral nutritional supplements– Range of information on starter packs/feeds
![Page 9: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/9.jpg)
Distribution of guidance
• Meetings at all Bristol GP practices
• Distributed to community nursing teams
• Care settings
• Links with practice pharmacists
• Promoted through training
![Page 10: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/10.jpg)
Conference Update
• Conference held 7th November 2012
• Care homes, community nurses, stakeholders
• Raise awareness of incidence of malnutrition
![Page 11: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/11.jpg)
Key Themes
• Training provision should be ongoing and available for all teams
• Housebound without nursing input hard to reach and may be most vulnerable
![Page 12: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/12.jpg)
![Page 13: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/13.jpg)
![Page 14: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/14.jpg)
![Page 15: Improving Nutritional Care in Bristol](https://reader035.vdocument.in/reader035/viewer/2022062422/56813aea550346895da3512b/html5/thumbnails/15.jpg)
Next Steps
• Adapt guidance based on feedback
• Offer further training to: – care homes– community nursing– Intermediate care– Reablement teams– Rapid response teams