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3rd EDITION - Malnutrition

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 3 Malnutrition Overview4- Size of the Problem 4- Clinical Consequences 4- Cost Implications 4- Groups at Risk4 Identification of Malnutrition Nutrition Screening 5 Management of Malnutrition5- Goal Setting 5- Monitoring the Intervention 5 Optimising Nutritional Intake6- NICE Guidance 6- Dietary Advice 6- Oral Nutritional Supplements (ONS) 6-7- Commencing ONS 7- Prescribable Indications 7- Discontinuing ONS 7 Managing Malnutrition According to Risk Category 8 Pathway for using Oral Nutritional Supplements in the Management of Malnutrition 9 Useful Resources and Websites10 References 11 Pull-out Pathway Posters12-13 ConsensusPanelAnne Holdoway(Panel Chair) Consultant Dietitian, Specialist in Gastroenterology and Palliative care Liz AndersonNutrition N

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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