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Nutrition in acute care

Nutrition in acute care
Nutrition in acute care
Malnutrition is common in hospitalised patients but is underrecognised and undertreated. It increases mortality and complications, and delays recovery from illness during and after hospital stay. The doctor therefore has the responsibility of ensuring that malnutrition is recognised and treated appropriately. Since hospital stays are often short, there is a need to ensure continuity of care so that treatment that begins in hospital is continued in the community. Hospital physicians have the opportunity to diagnose obesity related problems, which may go unrecognised. The most obvious example is type 2 diabetes but sleep apnoea,1 which is linked to loud snoring and disrupted sleep, can present as tiredness, headaches, depression, loss of energy and even loss of memory. It commonly occurs in overweight individuals, especially those with large neck size (neck adipose tissue deposition) and responds to weight loss, although in severe cases continuous positive airway pressure may be needed. The management of obesity takes place predominantly in the community; hence the discussion that follows focuses mainly on the problem of malnutrition.
malnutrition, ‘MUST’, nutritional support, refeeding syndrome, screening
1470-2118
405-407
Elia, Marinos
964bf436-e623-46d6-bc3f-5dd04c9ef4c1
Stroud, Mike
1665ae65-0898-4848-bf0d-baec8f2bb078
Elia, Marinos
964bf436-e623-46d6-bc3f-5dd04c9ef4c1
Stroud, Mike
1665ae65-0898-4848-bf0d-baec8f2bb078

Elia, Marinos and Stroud, Mike (2004) Nutrition in acute care. Clinical Medicine, 4 (5), 405-407.

Record type: Article

Abstract

Malnutrition is common in hospitalised patients but is underrecognised and undertreated. It increases mortality and complications, and delays recovery from illness during and after hospital stay. The doctor therefore has the responsibility of ensuring that malnutrition is recognised and treated appropriately. Since hospital stays are often short, there is a need to ensure continuity of care so that treatment that begins in hospital is continued in the community. Hospital physicians have the opportunity to diagnose obesity related problems, which may go unrecognised. The most obvious example is type 2 diabetes but sleep apnoea,1 which is linked to loud snoring and disrupted sleep, can present as tiredness, headaches, depression, loss of energy and even loss of memory. It commonly occurs in overweight individuals, especially those with large neck size (neck adipose tissue deposition) and responds to weight loss, although in severe cases continuous positive airway pressure may be needed. The management of obesity takes place predominantly in the community; hence the discussion that follows focuses mainly on the problem of malnutrition.

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More information

Published date: 2004
Keywords: malnutrition, ‘MUST’, nutritional support, refeeding syndrome, screening

Identifiers

Local EPrints ID: 25451
URI: http://eprints.soton.ac.uk/id/eprint/25451
ISSN: 1470-2118
PURE UUID: cf681585-a695-4678-ac74-efba0056a5f7

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Date deposited: 07 Apr 2006
Last modified: 22 Jul 2022 20:31

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Contributors

Author: Marinos Elia
Author: Mike Stroud

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