scholarly journals A UK survey of nutritional care pathways for patients with Covid‐19 prior to and post hospital stay

Author(s):  
Victoria Lawrence ◽  
Mary Hickson ◽  
C. Elizabeth Weekes ◽  
Anna Julian ◽  
Gary Frost ◽  
...  
2019 ◽  
Vol 8 (9) ◽  
pp. 1281 ◽  
Author(s):  
Reber ◽  
Strahm ◽  
Bally ◽  
Schuetz ◽  
Stanga

Malnutrition is frequent in patients during a hospital admission and may further worsen during the hospital stay without appropriate nutritional support. Malnutrition causes greater complication rates, morbidity, and mortality rates, which increases the length of hospital stay and prolongs rehabilitation. Early recognition of individual nutritional risk and timely initiation of a tailored nutritional therapy are crucial. Recent evidence from large-scale trials suggests that efficient nutritional management not only improves the nutritional status, but also prevents negative clinical outcomes and increases patients’ quality of life. Multifaceted clinical knowledge is required to ensure optimal nutritional support, according to a patient’s individual situation and to avoid potential complications. Furthermore, clear definition of responsibilities and structuring of patient, and work processes are indispensable. Interdisciplinary and multiprofessional nutritional support teams have been built up to ensure and improve the quality and safety of nutritional treatments. These teams continuously check and optimize the quality of procedures in the core areas of nutritional management by implementing nutritional screening processes using a validated tool, nutritional status assessment, an adequate nutritional care plan development, prompt and targeted nutritional treatment delivery, and provision of accurate monitoring to oversee all aspects of care, from catering to artificial nutrition. The foundation of any nutritional care plan is the identification of patients at risk. The aim of this narrative review is to provide an overview about composition, tasks, and challenges of nutritional support teams, and to discuss the current evidence regarding their efficiency and efficacy in terms of clinical outcome and cost effectiveness.


2020 ◽  
pp. 1-16
Author(s):  
Pinal S Patel ◽  
Konstantinos C. Fragkos ◽  
Niamh Keane ◽  
Katrine Cauldwell ◽  
Francis O’Hanlon ◽  
...  

2019 ◽  
Vol 38 ◽  
pp. S206
Author(s):  
P.S. Patel ◽  
K. Fragkos ◽  
N. Keane ◽  
C. Mountford ◽  
D. Wilkinson ◽  
...  

2021 ◽  
Vol 4 (35) ◽  
pp. 329-339
Author(s):  
Rodrigo Costa Gonçalves ◽  
Maria Carolina Gonçalves Dias ◽  
Nara Lucia Andrade Lopes Segadilha ◽  
Ana Cristina Schmidt de Oliveira-Netto ◽  
Maria do Socorro Lira Paes Batista ◽  
...  

Introduction: Due to its frequency and potential consequences, malnutrition is a worrisome condition in the hospital environment, especially in the case of adults admitted to intensive care units and others at high risk; malnutrition is associated with a higher risk of morbidity and mortality, prolonged hospital stay, higher frequency of readmissions, and increased costs. Although the absence of a planning for hospital discharge can aggravate these consequences, there are no guidelines for nutritional planning for hospital discharge that can be widely adopted in Brazil. Methods: A panel of experts was convened to assess the most relevant topics in the literature related to hospital discharge planning, discuss their experience in this regard, and propose an instrument that could guide and justify the importance of planned and safe nutrition discharge. Results: An organized and explicit discharge plan brings clinical and nutritional benefits to the patient, as well as advantages for family members and the health-care service. Nutritional care and better communication and guidance from the multiprofessional team prepare the patient and family members to reduce length of hospital stay and may avoid readmissions. Discharge planning requires the development of an individualized plan, as well as the education of the patient, family and caregivers; the nutritional care plan is inserted in the discharge plan. Based on these considerations, we propose an instrument that aims to systematize the nutritional discharge through the collection of the most relevant information related to the nutritional risk and the therapeutic approach to this risk, standardizing the communication with the patient, their caregivers, and the health-care team. Conclusions: The instrument presented here should be tested in clinical practice, and it is hoped that it can allow a better follow-up of the patient’s journey, leading to a more successful hospital discharge.


2019 ◽  
Vol 156 (6) ◽  
pp. S-692-S-693
Author(s):  
Pinal S. Patel ◽  
Kostantinos C. Fragkos ◽  
Niamh Keane ◽  
Katrine Cauldwell ◽  
Francis O’Hanlon ◽  
...  

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