Sue Hawkins Care Catering Services Manager Malnutrition Task Force Update Prevention and early...
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Transcript of Sue Hawkins Care Catering Services Manager Malnutrition Task Force Update Prevention and early...
Sue Hawkins
Care Catering Services Manager
Malnutrition Task Force Update
Prevention and early intervention of
malnutrition in later life
So who is the Malnutrition Task Force?
The Malnutrition Task Force
Independent group of experts across health, social care and local government united to address the problem of preventable malnutrition in older people
It’s mission
To ensure the prevention and treatment of
malnutrition is embedded in all care and community support services and awareness is raised amongst
older people and their families
What it means
Malnutrition
• Undernutrition: low body weight with(out) weight loss• NICE definition
– a body mass index (BMI) of less than 18.5 kg/m2
– unintentional weight loss greater than 10% within
the last 3–6 months
– a BMI of less than 20 kg/m2 and unintentional
weight loss greater than 5% within the last 3–6
months
Malnutrition
• Over a million older people (1:10)• Devastating• Declining mobility - due to muscle
wasting• Decreased resistance to
infection/delayed healing• Dizziness, leading to falls• Depression• Deteriorating quality of life• Death!
Contributing factors
Costs of Malnutrition
• Severely malnourished people
– see their GP twice as often
– have 3 x the number of hospital admissions
– stay in hospital more than 3 days longer
– incur £1,440 pp in the year following diagnosis
• Increases dependency on family, carers and support
services.
Our ageing population
Invest to save
• Screening, early intervention and treatment as per NICE guideline could save £71,800 per 100,000 population (Approx. £300.000 for Dorset)• Use of Oral Nutrition Supplements associated with 30% reduction in hospital re-admissions• The cost of treating care homes residents diagnosed with malnutrition is twice that of screening all care home residents
Released
1st principle: Raising awareness
Public and professionalsshould understand theimportance of good nutritionand hydration• the dangers of malnutrition• what to look out for• where to get help/to signpost people for support
Dorset CC/Dairy Council
• Raise awareness of public and health professionals• ‘Bring it back’ campaign to launch soon• Free materials: poster, leaflet, postcards, flowchart
for professionals• Visit www.milk.co.uk• Visit http://www.dorsetforyou.com/adult-nutrition
Raising Awareness: Dairy Council Campaign
2nd principle: Working together
Organisations and individuals working together willprovide a more complete service.A combined approach across the community andwithin health care, social care, the third sector andthe commercial sector is essential• Local Health and Wellbeing Boards, Adult Social Care, Care homes, Hospitals, Pharmacists, therapists• Include the older person and relatives• Clinicians and caterers and food providers must work together
3rd principle: Identifying malnutrition
Organisations and individuals must be well equipped to identify malnutrition in older people• Assess the prevalence of malnutrition in the local
population• BAPEN tool(s) even an app! www.bapen.org.uk• Screen people across all care settings• Identify the cause of malnutrition and remedy the
situation
4th principle: Managing malnutrition
Forming and implementing a personalised plan for and
with each older person is crucial• Use NICE guidance or care pathway• Managing Adult Malnutrition in the community
(BAPEN) www.malnutritionpathway.co.uk• Start support for ‘non’ clinical management
5th principle: Monitoring and evaluating
Monitoring and reviewing the older person’s progress
and outcome is critical.
Monitoring the structures and processes to ensure
good nutrition and hydration care is continually
implemented
• Service user feedback Annual Adult Social Care
Survey
Activities
• ‘Best Practice’ principles and implementation
guides for hospitals, local communities, care
homes and food and beverage providers• Mini-guide for commissioners
Now available from www.malnutritiontaskforce.org.uk• Current phase ends May 2013• Implementation phase being planned