Nutritional Screening And Assessment Tools

Malnutrition is a serious problem amongst many sections of the population. Many screening tools have been developed for the purpose of identifying subjects who are at risk of malnutrition. However, selection of the appropriate instrument for use in a particular population is hampered by the sheer number of tools.

This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.

Designed to save time and assist busy practitioners, this book guides standardized assessment and documentation of a patient's condition by providing ready-to-use forms that represent the 'gold standard' of current practice.

Finding all the information necessary to treat or meet the nutritional requirements of patients who are severely ill or establish new protocols has historically been problematic. This is addressed in Diet and Nutrition in Critical Care. This major reference work encapsulates the latest treatments and procedures to meet the dietary and nutritional needs of the critically ill. Where evidence is available this is presented. However, where evidence is absent, the authors highlight this and provide guidance based on their analysis of other available data and their clinical experience. Diet and Nutrition in Critical Care is a three volume set which addresses the needs of all those concerned with diet and nutrition in the critically ill and covers General Aspects, Enteral Aspects, and Parenteral Aspects. Each volume is stand alone and is further divided into separate sections. The Sections in the General Aspects are: General conditions in the severely ill General metabolic effects and treatments Assessment protocols General nutritional aspects Specific nutrients Adverse aspects The next two volumes Enteral Aspects and Parenteral Aspects contain the following sections: General aspects and methods Specific nutrients Specific conditions Adverse aspects and outcomes Comparisons or dual parenteral and enteral support or transitions Preclinical studies The authors recognise the limitations in simplistic divisions and there is always difficulty in categorising treatment regimens. For example, some regimens involve transitions from one feeding protocol to another or the development of co-morbid conditions and in some cases enteral support may be supplemented with parenteral support. This complexity however, is addressed by the excellent indexing system. Contributors are authors of international and national standing, leaders in the field and trendsetters. Emerging fields of science and important discoveries relating to artificial support will also be incorporated into Diet and Nutrition in Critical Care. This volume represents a one stop shop of material related to enteral and parenteral support and is essential reading for those specialising in intensive and critical care, dietitians, nutritionists, gastroenterologists, cardiologists, pharmacologists, health care professionals, research scientists, molecular or cellular biochemists, general practitioners as well as those interested in diet and nutrition in general.

Nutrition plays a crucial role in supporting patients receiving treatment for cancer. Carefully considered nutritional options can help to manage patients with weight loss and cachexia, support the patient’s ability to recover from surgery and cope with treatments such as chemotherapy and radiotherapy. Patients living with and beyond cancer can also benefit from advice on optimal nutrition and lifestyle changes. Edited by Dr Clare Shaw, Consultant Dietitian at The Royal Marsden NHS Foundation Trust, Nutrition and Cancer takes an unrivalled look at this prevalent disease, offering the reader: An insight into the nutritional challenges faced for patients with cancer A practical guide to nutrition and dietetic practice in cancer care A detailed look at nutritional options for different diagnostic groups Contributions from a wide range of cancer specialists An excellent resource for dietitians, clinical nutritionists, doctors, nurses and other health professionals working with cancer patients, this book is also a fascinating reference for students and researchers with an interest in the area.