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3rd EDITION - Malnutrition

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Including a pathway for the appropriate use of Oral Nutritional Supplements (ONS) by a multi-professional consensus panel2nd EDITION : 20171st EDITION produced May 2012(Document to be reviewed November 2020)A Guide to Managing Adult Malnutrition in the CommunityContentsIntroduction 3Malnutrition Overview4- Size of the Problem 4- Clinical Consequences 4- Cost Implications 4- Groups at Risk4Identification of Malnutrition Nutrition Screening 5Management of Malnutrition5- Goal Setting 5- Monitoring the Intervention 5Optimising Nutritional Intake6- NICE Guidance 6- Dietary Advice 6- Oral Nutritional Supplements (ONS) 6-7- Commencing ONS 7- Prescribable Indications 7- Discontinuing ONS 7Managing Malnutrition According to Risk Category 8Pathway for using Oral Nutritional Supplements in the Management of Malnutrition 9Useful Resources and Websites10References 11Pull-out Pathway Posters12-13ConsensusPanelAnne Holdoway(Panel Chair) Consultant Dietitian, Specialist in Gastroenterology and Palliative care Liz AndersonNutrition Nurse Speci

both health and social care 1. It is estimated that the cost of health and social care for a malnourished individual is three times greater than for a non-malnourished individual13: More hospital admissions/ readmissions Longer length of stay in hospital Greater healthcare needs in the community (more GP visits, care at home, antibiotics)

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