Malnutrition affects one in four acute hospital admissions and one in three admitted to care homes. While many clinical staff may fail to recognise the signs of malnutrition, the use of screening tools such as ‘MUST’ are used in both hospital and community settings. With greater identification of those at risk of malnutrition comes the responsibility of managing these individuals. This article presents the launch of the BAPEN decision trees that are designed to help healthcare professionals manage malnutrition.
Acknowledgements:
The authors wish to thank the members of the Education and Training committee of BAPEN for their creation of the structure and format of the decision trees, and for initial reviews. The core and associate groups of BAPEN have provided great input to the committee and decision tree creation. Finally Mr Pete Turner, Senior Dietitian, Royal Liverpool University Hospital, for reviewing the re-feeding decision tree.
Re-feeding decision tree kindly reproduced with permission from BAPEN.
Dr Sheldon Cooper MSc MD MRCP RNutr, BAPEN Executive officer and Chair of Education and Training Committee, Consultant Gastroenterologist and Nutrition Lead, Dudley Group NHS Foundation Trust
Anne Holdoway BSc RD MBDA, Specialist Dietitian and Chair of the Parenteral and Enteral Nutrition Group of the British Dietetic Association.
Article accepted for publication: January 2013
Sylvie Hampton, Andy Kerr & Cathie Bree-Aslan discuss the use of oxygen on intractable wounds and describe three case studies using OxyzymeTM
Sylvie Hampton MA, BSc (Hons), Dp SN, RGN is a Tissue Viability Consultant
Andy Kerr RN, Dip HE is a Tissue Viability Consultant
Cathie Bree-Aslan RGN, Dip N., RS Hom, Dip HERB is a Tissue Viability Consultant, Eastbourne Wound Healing Centre
Article accepted for publication: May 2008
Close attention is being paid to the role the clinical nurse specialist (CNS) plays in facilitating patient adjustment and adaptation to life in the weeks, months and years after treatment for a colorectal cancer and stoma formation. Much of the CNS work is performed in the outpatient setting, in the community or on the telephone, placing the colorectal CNS in a prime position to co-ordinate the complex care needs of individuals who have undergone surgery and formation of a faecal stoma. In this article, the author examines the combined role of the colorectal/stoma CNS in co-ordinating the complex care needs of the ostomy patient with a colorectal cancer diagnosis by exploring the repertoire of skills and expertise that comes into play in the follow up care of ostomy cancer patients.
Kathryn Foskett RN BSc (Hons) GI Nursing. Senior Colorectal Clinical Nurse Specialist. The Hillingdon Hospital NHS Foundation Trust.
Article accepted for publication: August 2012
