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Research identified variation in nutrition practice by community prescribing dietitians with regards to the identification and management of malnutrition amongst community dwelling adults

Research identified variation in nutrition practice by community prescribing dietitians with regards to the identification and management of malnutrition amongst community dwelling adults
Research identified variation in nutrition practice by community prescribing dietitians with regards to the identification and management of malnutrition amongst community dwelling adults
To improve nutritional outcomes of community dwelling adults with malnutrition we identified three related hypotheses to be tested: i) Southampton Community Prescribing Support Service dietitians achieve 100% compliance with selected standards of the National Institute for Health and Clinical Excellence Clinical Guideline (CG) 32, ii) patient service satisfaction amongst community dwelling adults accessing the prescribing support service is high (90%), and iii) nationally, dietitians use weight gain goal >10% and BMI >18.5 kg/m2 as outcome measures from the service phases of prescribing support. A retrospective audit of records of 100 community-dwelling adults accessing local services considered CG32 “Indications for nutrition support in hospital and community standard 1.3.1” and CG32 “Monitoring of nutrition support in hospital and community standard 1.5.6”. A questionnaire was distributed to community-dwelling adults (n = 52) accessing the service, in addition to a national survey of dietetic practice. Compliance with standard 1.3.1 was 46% and with standard 1.5.6 it was 82%. The majority of patients (86%; n = 13) reported satisfaction with the support service. Nationally, 89% (n = 51) of dietitians use weight and 87% (n = 50) use BMI as an outcome measure for success of nutritional intervention. All research hypotheses were rejected. These results suggest there is considerable variation in the identification and management of malnutrition amongst community dwelling adults, which may impact on clinical and nutritional outcomes. Future work should consider quality improvement projects to address potential barriers to achieving best practice by community prescribing dietitians through the use of nutrition pathways to support older adults with malnutrition.
Community dwelling adults, Dietitian, Malnutrition, Oral nutrition support, Prescribing support
0271-5317
94-105
Allmark, Grace
976c59ac-2e51-4423-bae1-d590c4f16df8
Calder, Philip C.
1797e54f-378e-4dcb-80a4-3e30018f07a6
Marino, Luise V.
c479400f-9424-4879-9ca6-d81e6351de26
Allmark, Grace
976c59ac-2e51-4423-bae1-d590c4f16df8
Calder, Philip C.
1797e54f-378e-4dcb-80a4-3e30018f07a6
Marino, Luise V.
c479400f-9424-4879-9ca6-d81e6351de26

Allmark, Grace, Calder, Philip C. and Marino, Luise V. (2020) Research identified variation in nutrition practice by community prescribing dietitians with regards to the identification and management of malnutrition amongst community dwelling adults. Nutrition Research, 76, 94-105. (doi:10.1016/j.nutres.2019.10.005).

Record type: Article

Abstract

To improve nutritional outcomes of community dwelling adults with malnutrition we identified three related hypotheses to be tested: i) Southampton Community Prescribing Support Service dietitians achieve 100% compliance with selected standards of the National Institute for Health and Clinical Excellence Clinical Guideline (CG) 32, ii) patient service satisfaction amongst community dwelling adults accessing the prescribing support service is high (90%), and iii) nationally, dietitians use weight gain goal >10% and BMI >18.5 kg/m2 as outcome measures from the service phases of prescribing support. A retrospective audit of records of 100 community-dwelling adults accessing local services considered CG32 “Indications for nutrition support in hospital and community standard 1.3.1” and CG32 “Monitoring of nutrition support in hospital and community standard 1.5.6”. A questionnaire was distributed to community-dwelling adults (n = 52) accessing the service, in addition to a national survey of dietetic practice. Compliance with standard 1.3.1 was 46% and with standard 1.5.6 it was 82%. The majority of patients (86%; n = 13) reported satisfaction with the support service. Nationally, 89% (n = 51) of dietitians use weight and 87% (n = 50) use BMI as an outcome measure for success of nutritional intervention. All research hypotheses were rejected. These results suggest there is considerable variation in the identification and management of malnutrition amongst community dwelling adults, which may impact on clinical and nutritional outcomes. Future work should consider quality improvement projects to address potential barriers to achieving best practice by community prescribing dietitians through the use of nutrition pathways to support older adults with malnutrition.

Text
Allmark et al manuscript revised 29.9.19 Final - Accepted Manuscript
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More information

Accepted/In Press date: 15 October 2019
e-pub ahead of print date: 28 October 2019
Published date: April 2020
Additional Information: Copyright © 2019 Elsevier Inc. All rights reserved.
Keywords: Community dwelling adults, Dietitian, Malnutrition, Oral nutrition support, Prescribing support

Identifiers

Local EPrints ID: 435234
URI: http://eprints.soton.ac.uk/id/eprint/435234
ISSN: 0271-5317
PURE UUID: e279fde7-ec72-4c7c-9e89-068a8af2b2f7
ORCID for Philip C. Calder: ORCID iD orcid.org/0000-0002-6038-710X

Catalogue record

Date deposited: 28 Oct 2019 17:30
Last modified: 26 Nov 2021 07:13

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Contributors

Author: Grace Allmark
Author: Luise V. Marino

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