GP, Community Nurse and Specialist Nurse Oral Nutritional Supplement (ONS) Formulary for Adults

Size: px
Start display at page:

Download "GP, Community Nurse and Specialist Nurse Oral Nutritional Supplement (ONS) Formulary for Adults"

Transcription

1 GP, Community Nurse and Specialist Nurse Oral Nutritional Supplement (ONS) Formulary for Adults ALWAYS use the Food First approach before considering prescribing ONS (This includes over the counter ONS such as Complan, Aymes and Meritene Energis milkshakes or soups) Short term acute illness ONS prescription of Aymes Shake or Complan Shake, 57g sachet up to twice daily for up to 1 month. Long term chronic conditions refer to dietitian and commence Aymes Shake or Complan Shake, 57g sachet, up to twice daily for 2 months. Advise patient to consume ONS between meals to prevent spoiling appetite. Standard ACBS indications for the prescription of oral nutritional supplements: Disease-related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short-bowel syndrome, bowel fistula. For patients who do not meet ACBS criteria they can purchase over the counter ONS from community pharmacies or supermarkets. An Over the Counter Supplements leaflet is available along with other Food First supporting resources for clinicians, patients and carers at the Tayside Nutrition MCN website Dietitians may suggest different ONS as they use a formulary with more specialised products. Please note that not all supplements are nutritionally complete. Patients requiring complete nutrition should be referred to a dietitian without delay. The content of vitamin K is variable in ONS therefore increased monitoring is required for patients on warfarin. ONS guidance for palliative care and substance misuse (alcohol and drugs) is provided in Appendices 1 and 2 to aid prescribing practice for these patients. Version No 9 Date of Issue March 2017

2 Powdered ONS should be encouraged as FIRST LINE choice. Does the patient have the cognitive and functional ability to make up a shake, OR has access to a carer to mix a shake? Yes Aymes Shake Powder up to 2/day or Complan Shake Powder up to 2 /day (Always provide 1 x Sample/Starter pack initially to ensure patient receives the necessary Shaker) Aymes Complete Liquid up to 2/day or Ensure Plus milkshake style liquid up to 2/day No If patient is unable to tolerate twice daily ONS because the volume is too large, Aymes Shake can be mixed with 100ml full fat milk if a low volume compact style ONS is required. If the patient dislikes milk, encourage them to try mixing Aymes Shake powder or Complan Shake with 200ml fruit juice and look at Company Recipes. Powdered ONS - Vitamins K & A and Phosphate may exceed Dietary Reference Values, use with caution in pregnancy and patients with CKD 4. FIRST LINE Powdered Flavours PIP Codes Presentation Nutritionally kcal / Sachet Protein / Sachet ONS Complete Aymes Banana x 57g sachets No 389 Chocolate full Aymes Shake powder (flavour not specified) (Instructions advise to make up with milk or water but it is preferable if patients use full Strawberry Vanilla Neutral Chicken Sample pack x 57g sachets & shaker (Therefore not to be used as a sole source of nutrition) 250 water) 15g full fat milk) 9g water) Nutricia Complan Shake oral powder (flavour not specified) (Instructions advise to make up with milk or water but it is preferable if patients use full Banana x 57g sachets No Chocolate Original Strawberry Vanilla Starter Pack x 57g sachets & shaker (Therefore not to be used as a sole source of nutrition) 380 (with 200ml full fat milk) 253 water) 15.5g (with 200ml full 9g water)

3 Second Line Ready Made ONS 1.5 kcal/ml Aymes Aymes Complete Flavours PIP Codes Presentation Nutritionally kcal / Bottle Protein / Bottle Complete Banana ml bottle Yes g Chocolate Strawberry Vanilla Sample pack x 200ml bottles Abbott Ensure Plus milkshake style Banana ml bottle Yes g Peach Raspberry Strawberry Vanilla Neutral Chocolate Coffee Fruits of the forest Orange Ensure Plus Commence: Starter Pack x 220ml bottles Abbott Ensure style Plus yoghurt Orchard Peach Strawberry Swirl ml bottle Yes g

4 Appendix 1 :Substance Misuse (drugs and alcohol) ONS Guidance Substance misuse is NOT a specified ACBS indication for ONS prescription If ONS are initiated, the patient should be assessed and monitored by a dietitian. ONS should NOT be prescribed in those who misuse substances unless they meet ALL of the following criteria or on dietetic advice: Co existing medical condition which affects food and drink intake and meets ACBS criteria BMI 18.5kg/m 2 Significant weight loss ( >10%) in the past 3 to 6 months Patient is in rehabilitation / treatment programme e.g. methadone or alcohol programme or is on the waiting list to enter a programme. Have tried Food First dietary advice ONS prescribing in substances misuse (alcohol and drug misuse) is an area of increasing concern, not only because of cost but also the question of appropriateness Those who misuse substances may have a range of nutrition related problems such as: Poor appetite and weight loss Nutritionally inadequate diet Constipation (drug misuse in particular) Dental decay Possible aetiologies of nutrition related problems: Drugs themselves can cause poor appetite, reduce ph of saliva leading to dental problems, constipation, craving sweet foods (drug misuse in particular) Chaotic lifestyles Lack of interest in food and eating Poor dental hygiene (drug misuse in particular) Irregular eating habits Poor nutrition knowledge and skills Low income and poor access to foods, intensified by increased spending on drugs or alcohol Homelessness / poor living conditions Infection with HIV or hepatitis B and C Potential problems created by prescribing ONS in misuse of substances: Once started it is difficult to persuade the individual to stop taking ONS ONS are free and may be used to replace food. Money which should be used for food may be diverted to fund addiction They may be given to other members of the family / friends They may be sold and used as a source of income Those who misuse drugs in particular are often poor clinic attendees, making it difficult to reassess clinical need for ONS If ONS are to be initiated, as a short time measure whilst waiting for dietetic input, consider prescribing a maximum prescription of up to 2/day (Aymes Shake or Complan Shake) for 2 months (issued on a weekly basis). NOT on repeat prescription. Points to Consider When discussing diet and nutrition with those who misuse substances it should be explained that weight loss is caused by inadequate food intake, and that the only long term solution to this is to improve eating habits and food intake, which may take a considerable time. It should also be stressed that improving food intake doesn t have to be costly or time consuming. Why is their appetite poor? Are they still using any illicit drugs or alcohol to excess? How much do they smoke? Are they filling up on empty calories such as fizzy drinks, tea or coffee? What is their usual weight? Is there any evidence of weight loss or malnutrition? Foods to replace nutritional supplements which contain approximately the same calories as a standard, 1.5 kcal/ml supplement Sausage or bacon on a roll Slice of cheese on toast Packet of crisps and a carton of squash (not diet or sugar free unless patient has diabetes) Readymade milk shake and a biscuit Hot chocolate made with full fat milk and 2 biscuits Reproduced and adapted for NHS Tayside by kind permission of NHS Fife Scone with jam and butter or margarine Milky coffee and a piece of cake Glass of full fat milk and 2 biscuits Bar of chocolate with a milky coffee Individual dessert or custard and sponge

5 Appendix 2: Palliative Care ONS Guidance Consideration should be given to the patient s prognosis and their quality of life. Use of ONS in palliative care should be assessed on an individual basis. Appropriateness of ONS will be dependent upon the patient s health and their treatment plan. Emphasis should always be on the enjoyment of nourishing food and drinks and maximising quality of life. Nutritional management in early palliative care In early palliative care, patients may have months or years to live and may be undergoing palliative treatment to improve quality of life. Nutrition screening and assessment in this patient group is a priority and appropriate early intervention could improve the patient s response to treatment and potentially reduce complications. As the patient progresses into the late palliative care stage, consider reducing the prescribing quantity. Nutritional management in late palliative care The nutritional content of the meal is no longer of prime importance and patients should be encouraged to eat and drink foods they enjoy. The main aim is to maximise quality of life including comfort, symptom relief and enjoyment of food. Aggressive feeding is unlikely to be appropriate especially if this can cause discomfort, as well as distress and anxiety to the patient, family and carers. The goal of nutritional management should NOT be weight gain or reversal of malnutrition, but quality of life. Nutrition screening and weighing at this stage is likely not appropriate and should be on an individual basis (see Tayside Food Fluid and Nutritional Care Policy). ONS may in fact reduce any remaining enjoyment for food, increase pressure and give false hope to carers. Avoid prescribing ONS for the sake of doing something when other dietary advice has failed. Nutritional management in the last days of life In the last days of life, the patient is likely to be bed-bound, very weak and drowsy with little desire for food or fluid The aim should be to provide comfort for the patient and offer mouth care and sips of fluid or mouthfuls of food as desired Please see Management Guidelines for Nutritional problems in Palliative Care for more detailed guidance via the Palliative Care website:

Prescribing Guidelines for Oral Nutritional Supplements (ONS) for adults

Prescribing Guidelines for Oral Nutritional Supplements (ONS) for adults Worcestershire Area Prescribing Committee Prescribing Guidelines for Oral Nutritional Supplements (ONS) for adults September 2017 Review Date September 2020 Version 3.0 1 Version Control: Version Type

More information

Six steps to appropriate prescribing of oral nutritional supplements (ONS) in adults in Primary Care Adapted from NHS Presqipp- B68 ONS guidelines 2.

Six steps to appropriate prescribing of oral nutritional supplements (ONS) in adults in Primary Care Adapted from NHS Presqipp- B68 ONS guidelines 2. Six steps to appropriate prescribing of oral nutritional supplements (ONS) in adults in Primary Care STEP 1: Identification of nutritional risk STEP 2: Assessment of causes affecting ability to eat and

More information

Appropriate Use of Prescribed Oral Nutritional Supplement (ONS) in the Community

Appropriate Use of Prescribed Oral Nutritional Supplement (ONS) in the Community Appropriate Use of Prescribed Oral Nutritional Supplement (ONS) in the Community Aim This guideline sets out a recommended procedure for the identification and treatment of malnutrition to ensure Oral

More information

Quick reference guide to prescribing adults oral nutritional supplements (ONS)

Quick reference guide to prescribing adults oral nutritional supplements (ONS) Quick reference guide to prescribing adults oral nutritional supplements (ONS) Produced by the Medicines Management Team, West Suffolk Clinical Commissioning Group in conjunction with the Dietitians, West

More information

This letter authorises the extended use of the following guidance until 1st June 2019:

This letter authorises the extended use of the following guidance until 1st June 2019: NHS Grampian Westholme Woodend Hospital Queens Road ABERDEEN AB15 6LS NHS Grampian Date: 13Th November 2018 Our Ref: FA_ONS_Guide/MGPG/Nov18 Enquiries to: Frances Adamson Extension: 56689 Direct Line:

More information

Guidance for Oral Nutritional Support in patients with disease related malnutrition

Guidance for Oral Nutritional Support in patients with disease related malnutrition Guidance for Oral Nutritional Support in patients with disease related malnutrition NICE (CG3, 6) define oral nutrition support (ONS) as the modification of food and fluid by: fortifying food with protein,

More information

West Suffolk oral nutritional supplement (ONS) prescribing guidelines for adults Version 4.0 August 2017

West Suffolk oral nutritional supplement (ONS) prescribing guidelines for adults Version 4.0 August 2017 West Suffolk oral nutritional supplement (ONS) prescribing guidelines for adults Version 4.0 August 2017 Produced by the Medicines Management Team, West Suffolk Clinical Commissioning Group in conjunction

More information

Malnutrition Universal Screening Tool (MUST) Step 2 + Weight Loss score. Step 4 Overall risk of malnutrition / undernutrition

Malnutrition Universal Screening Tool (MUST) Step 2 + Weight Loss score. Step 4 Overall risk of malnutrition / undernutrition Step 1 BMI score Malnutrition Universal Screening Tool (MUST) Step 2 + Weight Loss score + Step 3 Acute disease effect score BMI kg/m2 Score >20(>30 Obese) =0 18.5-20 =1

More information

Oral Nutritional Supplement Formulary. January 2016

Oral Nutritional Supplement Formulary. January 2016 Oral Nutritional Supplement Formulary January 2016 Contents Page Number Introduction and Dietetic Support 2 How to make a Dietetic Referral 2 Effective Prescribing Tips 3 Powdered Supplements 4 Milk Style

More information

Mid Essex Locality Guidelines For The Use Of Oral Nutritional Supplements For Adults In The Community. Purpose of Guideline 2.

Mid Essex Locality Guidelines For The Use Of Oral Nutritional Supplements For Adults In The Community. Purpose of Guideline 2. Guidelines For The Use Of Oral Nutritional Supplements For Adults In The Community CONTENTS PAGE Purpose of Guideline 2 6 step summary 3 Nutrition Screening For Residents In Care Homes 4 Nutrition Screening

More information

Guideline for the Prescribing of Oral Nutritional Supplements in Adults (NUT2)

Guideline for the Prescribing of Oral Nutritional Supplements in Adults (NUT2) Guideline for the Prescribing of Oral Nutritional Supplements in Adults (NUT2) Author Medicines Optimisation Team, Sunderland CCG Approved by Sunderland Medicines Optimisation and Guideline Group Current

More information

Ipswich and East Suffolk Adult sip feed prescribing guidelines

Ipswich and East Suffolk Adult sip feed prescribing guidelines Ipswich and East Suffolk Adult sip feed prescribing guidelines Version 4.1 May 2017 Produced by the Medicines Management Team, Ipswich and East Suffolk Clinical Commissioning Group in conjunction with

More information

Guidelines for Prescribing Oral Nutritional Supplements in Adults

Guidelines for Prescribing Oral Nutritional Supplements in Adults Guidelines for Prescribing Oral Nutritional Supplements in Adults Further copies can be obtained from: Helen Sanderson Medicines Optimisation Team Pemberton House Colima Way Sunderland SR5 3XB Tel 0191

More information

First line nutrition support dietary advice

First line nutrition support dietary advice First line nutrition support dietary advice For patients referred to the Dietetic Telephone Clinic 1 You have been given this leaflet because it was highlighted during your outpatient attendance that

More information

Nutrition and Dietetics Patient Information Leaflet

Nutrition and Dietetics Patient Information Leaflet Dietary advice for people with diabetes Underweight/weight loss Nutrition and Dietetics Patient Information Leaflet How can I make the most of my food? If you want to gain weight, prevent weight loss or

More information

Eating Well for Wound Healing

Eating Well for Wound Healing Eating Well for Wound Healing 2 Introduction The aim of this leaflet is to help you to have the correct diet to enable your wound to heal. What you eat plays an important role in: Looking after your skin

More information

Use of Oral Nutritional Supplements in Primary Care Version 1 September 2017

Use of Oral Nutritional Supplements in Primary Care Version 1 September 2017 Use of Oral Nutritional Supplements in Primary Care Version 1 September 2017 VERSION CONTROL Version Date Amendments made Version 1 Sept 2017 New document. AG. Contents Page 2. Introduction 2. Malnutrition

More information

This ranking should be used in conjunction with the guidelines for the appropriate use of ONS for adults in the community

This ranking should be used in conjunction with the guidelines for the appropriate use of ONS for adults in the community Medal Ranking Adult Oral Nutrition Medal rankings provide prescribers with a quick overview on cost-effective prescribing in areas where the formulary product choices have little therapeutic difference.

More information

Guidelines for the Appropriate Use of Oral Nutritional Supplements (ONS) for Adults in Primary Care

Guidelines for the Appropriate Use of Oral Nutritional Supplements (ONS) for Adults in Primary Care Guidelines for the Appropriate Use of Oral Nutritional Supplements (ONS) for Adults in Primary Care CONTENTS Page Aim, Introduction, Scope and Purpose of Guidelines 2 MUST Malnutrition Universal Assessment

More information

Gateshead guidelines for prescribing oral nutritional supplements in adults

Gateshead guidelines for prescribing oral nutritional supplements in adults Gateshead guidelines for prescribing oral nutritional supplements in adults Implementation date: August 2013 Review date: August 2015 Updated: May 2015 This guideline has been prepared and approved for

More information

Guidelines for the Appropriate Use of Oral Nutritional Supplements (ONS) for Adults in Primary Care

Guidelines for the Appropriate Use of Oral Nutritional Supplements (ONS) for Adults in Primary Care Guidelines for the Appropriate Use of Oral Nutritional Supplements (ONS) for Adults in Primary Care These guidelines are not applicable for patients who are under the care of the Nutrition and Dietetic

More information

Consultation Group: Lead Community Dietitians Aberdeen, Aberdeenshire and Moray CHP. Review Date: October Uncontrolled when printed.

Consultation Group: Lead Community Dietitians Aberdeen, Aberdeenshire and Moray CHP. Review Date: October Uncontrolled when printed. Policy For The Prescribing and Administration Of Oral Nutritional Supplements In Adults By General Practitioners And Primary Care Staff Working Within NHS Grampian Co-ordinators: Dietetic Prescribing Advisor,

More information

Adult Prescribing Guidelines

Adult Prescribing Guidelines Prescribing Guidelines for the appropriate use of Oral Nutritional Supplements (ONS) in the Community (Adults) In recent years there has been a significant increase in the prescribing of ONS to treat malnutrition.

More information

Adult Prescribing Guidelines

Adult Prescribing Guidelines Appendix 9A -Prescribing Guidelines for the appropriate use of Oral Nutritional Supplements (ONS) in the Community (Adults) In recent years there has been a significant increase in the prescribing of ONS

More information

Guidelines for Food Fortification and. Use of Oral Nutritional Supplements. in Adults

Guidelines for Food Fortification and. Use of Oral Nutritional Supplements. in Adults Guidelines for Food Fortification and Use of Oral Nutritional Supplements in Adults Produced by: TAG Nutrition Sub Committee with special thanks to the dietitian members of this committee from all local

More information

NHSG/Pol/OralNut/MGPG639

NHSG/Pol/OralNut/MGPG639 Title: Identifier: Policy And Procedure For General Practitioners And Primary Care Staff For Managing Malnutrition And Prescribing Oral Nutritional Supplements In Adults NHSG/Pol/OralNut/MGPG639 Replaces:

More information

Nutritional Screening Assessment in Palliative Care Standard Operating Procedure

Nutritional Screening Assessment in Palliative Care Standard Operating Procedure Nutritional Screening Assessment in Palliative Care Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date ratified: 5 January 2016 Name of originator/author:

More information

Medicines Optimisation Team Standard Operating Procedure Audit: Oral Nutritional Supplements for Adults

Medicines Optimisation Team Standard Operating Procedure Audit: Oral Nutritional Supplements for Adults Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group East Staffordshire Clinical Commissioning

More information

Oral Nutrition Support Guidelines

Oral Nutrition Support Guidelines Brighton and Hove Clinical Commissioning Group High Weald Lewes Havens Clinical Commissioning Group Oral Nutrition Support Guidelines Introduction The purpose of this document is to provide guidance on

More information

Staffordshire Nutrition Support Guidelines

Staffordshire Nutrition Support Guidelines Staffordshire Nutrition Support Guidelines 6 Steps to Appropriate Nutritional Care for Adults And Make every Mouthful Matter food first tool Guidelines for early identification of malnutrition, first line

More information

Advice on taking enzyme replacement capsules

Advice on taking enzyme replacement capsules Advice on taking enzyme replacement capsules Leicestershire Nutrition and Dietetic Services Hepatobiliary Services i Information for patients Introduction What is the pancreas? The pancreas is part of

More information

Appropriate First Line Prescribing of Oral Nutritional Supplements in the Treatment of Adult Malnutrition in Primary Care

Appropriate First Line Prescribing of Oral Nutritional Supplements in the Treatment of Adult Malnutrition in Primary Care Cannock Chase Clinical Commissioning Group East Staffordshire Clinical Commissioning Group South East Staffordshire and Seisdon Clinical Commissioning Group Staffordshire and Stoke on Trent NHS Partnership

More information

GUIDANCE ON THE PRESCRIBING OF ORAL NUTRITIONAL SUPPLEMENTS (SECOND EDITION)

GUIDANCE ON THE PRESCRIBING OF ORAL NUTRITIONAL SUPPLEMENTS (SECOND EDITION) Greater East Midlands Commissioning Support Unit in association with Lincolnshire Clinical Commissioning Groups, Lincolnshire Community Health Services, United Lincolnshire Hospitals Trust and Lincolnshire

More information

How to improve your food and drink intake if you have a poor appetite

How to improve your food and drink intake if you have a poor appetite 5800 - How to increase your food and drink intake Leaflet June 2018.qxp_Layout 1 07/06/2018 11:07 Page 2 How to improve your food and drink intake if you have a poor appetite BREAD - RICE - POTATOES -

More information

Nutrition & Dietetics Service

Nutrition & Dietetics Service Nutrition & Dietetics Service Dietitian: 0151 430 1201 This information has been produced by Registered Dietitians for the majority of the population taking into account ethnicity and religious beliefs.

More information

Is your resident losing weight despite taking nutritional supplements? TROUBLESHOOTING

Is your resident losing weight despite taking nutritional supplements? TROUBLESHOOTING Is your resident losing weight despite taking nutritional supplements? TROUBLESHOOTING QUESTIONS TO CONSIDER Does your resident often refuse the meals? POSSIBLE CAUSES SOLUTIONS SUPPORTING LINKS / DOCUMENTS

More information

Advice on taking enzyme replacement capsules

Advice on taking enzyme replacement capsules Advice on taking enzyme replacement capsules Hepatobiliary Services Information for Patients i University Hospitals of Leicester NHS Trust Introduction What is the pancreas? The pancreas is part of your

More information

Raising Awareness of Undernutrition. Annemarie Aburrow, Dietitian Reducing Undernutrition Conference 17 th November 2016

Raising Awareness of Undernutrition. Annemarie Aburrow, Dietitian Reducing Undernutrition Conference 17 th November 2016 Raising Awareness of Undernutrition Annemarie Aburrow, Dietitian Reducing Undernutrition Conference 17 th November 2016 Session Aim: To provide an awareness of the issue of malnutrition, and provide staff

More information

GUIDELINES FOR THE TREATMENT OF UNDER NUTRITION IN THE COMMUNITY

GUIDELINES FOR THE TREATMENT OF UNDER NUTRITION IN THE COMMUNITY Volume 2; Number 5 April 2008 NUTRITION SPECIAL Welcome to this special edition of the PACE Bulletin which focuses entirely on issues relating to the treatment of under-nutrition in primary care. This

More information

Palliative Care Course: Nutrition

Palliative Care Course: Nutrition Palliative Care Course: Nutrition Anna Chalaczkiewicz Macmillan/Home Enteral Feed Dietitian April 2018 Aims & Objectives Healthy Eating Malnutrition Oral Nutritional Supplements Feeding Tubes Nutritional

More information

Pre-op diets before gallbladder surgery

Pre-op diets before gallbladder surgery Pre-op diets before gallbladder surgery Patient information Part of: South Tyneside and Sunderland Healthcare Group Introduction: You are on the waiting list for gallbladder surgery. Prior to your operation

More information

Scottish Oral Nutritional Supplements Short Life Working Group (ONS SLWG) Best Practice Guidance for Adult ONS Formulary Development

Scottish Oral Nutritional Supplements Short Life Working Group (ONS SLWG) Best Practice Guidance for Adult ONS Formulary Development Scottish Oral Nutritional Supplements Short Life Working Group (ONS SLWG) Best Practice Guidance for Adult ONS Formulary Development Produced by the Formulary Sub-Group of the ONS SLWG, September 2017

More information

What Should I Eat to Help my Pressure Sore or Wound Heal?

What Should I Eat to Help my Pressure Sore or Wound Heal? What Should I Eat to Help my Pressure Sore or Wound Heal? Information for Patients i UHL Nutrition and Dietetic Service UHL Tissue Viability Team Introduction If you have a pressure sore or a large wound

More information

Dietary information for people with polycystic kidney disease. Information for patients Sheffield Dietetics

Dietary information for people with polycystic kidney disease. Information for patients Sheffield Dietetics Dietary information for people with polycystic kidney disease Information for patients Sheffield Dietetics Introduction What is Polycystic Kidney Disease (PKD)? PKD is a genetic disorder where your body

More information

Eating and drinking in dementia

Eating and drinking in dementia Eating and drinking in dementia Patient infomation Nutrition and dietetics Clinical and diagnostic services centre This leaflet offers practical advice on how you can help someone with early stage dementia

More information

GUIDELINE FOR NUTRITIONAL SUPPORT FOR ADULTS IN PRIMARY CARE

GUIDELINE FOR NUTRITIONAL SUPPORT FOR ADULTS IN PRIMARY CARE GUIDELINE FOR NUTRITIONAL SUPPORT FOR ADULTS IN PRIMARY CARE Applicable to People resides in Greenwich who requires nutritional support Clinicians managing people who requires nutritional support Date

More information

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE CONTENTS PAGE Introduction: purpose of the guidelines, 6 steps to appropriate prescribing of ONS, 2 SystmOne

More information

Review of Oral Nutritional Supplement (ONS) prescribing

Review of Oral Nutritional Supplement (ONS) prescribing Applies to Review of Oral Nutritional Supplement (ONS) prescribing HaRD CCG employed Pharmacists and Medicines Optimisation Technicians. These protocols are produced by the NY&AWC MM team hosted by HaRD

More information

Weight loss guide. Dietetics Service

Weight loss guide. Dietetics Service Weight loss guide Dietetics Service Contents Section 1 - thinking about losing weight? Section 2 - Carbohydrate Section 3 - Fruit and vegetables Section 4 - Protein & Dairy Section 5 - Fatty foods Section

More information

A Guide to Prescribing Adult Oral Nutritional Supplements in West Kent CCG

A Guide to Prescribing Adult Oral Nutritional Supplements in West Kent CCG A Guide to Prescribing Adult Oral Nutritional Supplements in West Kent CCG Aim This guideline has been designed to support primary care prescribers initiating nutrition support for adults in West Kent.

More information

EATING WELL AND CANCER

EATING WELL AND CANCER EATING WELL AND CANCER 2 Why is it important for people with cancer to eat well? If the person you care for has cancer, it is more important than ever that they eat well. Unfortunately, it is often at

More information

Guidelines for the identification and management of undernutrition in adults in the community

Guidelines for the identification and management of undernutrition in adults in the community Guidelines for the identification and management of undernutrition in adults in the community Contents 1 Aims of the guidelines 2 Introduction and rationale 3 Nutrition screening 3.1 Notes and guidance

More information

Malnutrition Information for Carers (Guidelines for use in North Norfolk, Norwich and South Norfolk)

Malnutrition Information for Carers (Guidelines for use in North Norfolk, Norwich and South Norfolk) Malnutrition Information for Carers (Guidelines for use in North Norfolk, Norwich and South Norfolk) Produced in partnership with the NNUH Dietetics Services What is malnutrition? Malnutrition is a condition

More information

Nutrition and the Teeth for Patients receiving Radiotherapy to the Head and Neck

Nutrition and the Teeth for Patients receiving Radiotherapy to the Head and Neck Nutrition and the Teeth for Patients receiving Radiotherapy to the Head and Neck Name: Date: Provided by: Contact: Introduction The aim of this booklet is to ensure your dental and general health is as

More information

PRE OP DIETS BEFORE BARIATRIC SURGERY

PRE OP DIETS BEFORE BARIATRIC SURGERY PRE OP DIETS BEFORE BARIATRIC SURGERY PATIENT INFORMATION LEAFLET Department of Nutrition and Dietetics Sunderland Royal Hospital Introduction: You are on the waiting list for bariatric surgery. Please

More information

Nutrition versus Malnutrition

Nutrition versus Malnutrition Nutrition versus Malnutrition SSOTP Dietitians https://www.staffordshireandstokeontrent.nhs.uk/services/malnutrition-make-everymouthful-matter.htm Aim of the Session Improve knowledge - causes and consequences

More information

The importance of eating and drinking for people living in care homes

The importance of eating and drinking for people living in care homes The importance of eating and drinking for people living in care homes Aims of the training What is malnutrition Reasons for malnutrition Consequences of malnutrition and dehydration Food First and food

More information

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE CONTENTS PAGE Introduction 2 MUST 2 6 steps to appropriate prescribing of ONS in adults 3 STEP 1- Identification

More information

Oral Health Advice. Recovery Focussed Pharmaceutical Care for Patients Prescribed Substitute Opiate Therapy. Fluoride toothpaste approx 1450ppmF

Oral Health Advice. Recovery Focussed Pharmaceutical Care for Patients Prescribed Substitute Opiate Therapy. Fluoride toothpaste approx 1450ppmF Recovery Focussed Pharmaceutical Care for Patients Prescribed Substitute Opiate Therapy Oral Health Advice Fluoride toothpaste approx 1450ppmF Choosing the right toothbrush Brief Intervention Oral Health

More information

PRE OP DIETS BEFORE BARIATRIC SURGERY

PRE OP DIETS BEFORE BARIATRIC SURGERY PRE OP DIETS BEFORE BARIATRIC SURGERY PATIENT INFORMATION LEAFLET Department of Nutrition and Dietetics Sunderland Royal Hospital Introduction: You are on the waiting list for bariatric surgery. Please

More information

How to Lose a. Have you tried losing weight the easy way? Take a look inside to find out how.

How to Lose a. Have you tried losing weight the easy way? Take a look inside to find out how. How to Lose a Pound-a-week Have you tried losing weight the easy way? Take a look inside to find out how. Our aim is to help you reach a healthy weight, through healthy eating and increased physical activity.

More information

National Hospital for Neurology and Neurosurgery. Healthy eating after a spinal cord injury Department of Nutrition and Dietetics

National Hospital for Neurology and Neurosurgery. Healthy eating after a spinal cord injury Department of Nutrition and Dietetics National Hospital for Neurology and Neurosurgery Healthy eating after a spinal cord injury Department of Nutrition and Dietetics If you would like this document in another language or format, or require

More information

Child Oral Health. Patient Information Leaflet

Child Oral Health. Patient Information Leaflet Child Oral Health Patient Information Leaflet This leaflet explains more about Child Oral Health and aims to help you look after your child s mouth and teeth. If you have any further questions, please

More information

Short-Term Potassium Lowering Advice For In-patients

Short-Term Potassium Lowering Advice For In-patients University Teaching Trust Short-Term Potassium Lowering Advice For In-patients Ladywell Building Dietetic Department 0161 206 1994 All Rights Reserved 2017. Document for issue as handout. Name: Why have

More information

ROLE OF A DIETITIAN & KEEPING HYDRATED. Emily Capener Haematology Dietitian UHW

ROLE OF A DIETITIAN & KEEPING HYDRATED. Emily Capener Haematology Dietitian UHW ROLE OF A DIETITIAN & KEEPING HYDRATED Emily Capener Haematology Dietitian UHW We will cover: PART 1 What is a dietitian Where do dietitans work About an acute dietitians role - Screening - Food charts

More information

Puree Diet. Patient Information Leaflet.

Puree Diet. Patient Information Leaflet. Information Prescriptions Information Prescriptions are a quick and easy way to provide information about your condition and local services. www.nhs.uk/ips How can I help reduce healthcare associated infections?

More information

Nutrition. A Guide. A guide to the nutrition of babies and children with liver disease

Nutrition. A Guide. A guide to the nutrition of babies and children with liver disease A Guide A guide to the nutrition of babies and children with liver disease Why is nutrition so important?... 4 What is a nutritional assessment?... 5 Why do some children with liver disease have poor nutrition?...

More information

How many Enzymes Do I Need?

How many Enzymes Do I Need? How many Enzymes Do I Need? 1, 2,3,4 enzymes? This education pack is not intended to replace any advice given from a specialist CF team How many enzymes do you need with your food? The number of enzyme

More information

Oral Nutritional Supplements (ONS)

Oral Nutritional Supplements (ONS) Feidhmeannacht na Seirbhíse Sláinte, Seirbhís Aisíocaíochta Cúraim Phríomhúil Bealach amach 5 an M50, An Bóthar Thuaidh, Fionnghlas Baile Átha Cliath 11, D11 XKF3 Guthán: (01) 864 7100 Facs: (01) 834 3589

More information

Your food and drinks in hospital

Your food and drinks in hospital Your food and drinks in hospital Information for patients, relatives and carers Mealtimes on this ward are: (To be completed by ward staff) Breakfast Ward Lunch Evening Meal Page 1 of 12 Contents Page

More information

Shop smart. A new way of spending your money on food to balance your diet and your food budget.

Shop smart. A new way of spending your money on food to balance your diet and your food budget. Shop smart. A new way of spending your money on food to balance your diet and your food budget. What is FOODcents? FOODcents uses the 10-Plan to help you balance your diet and a KILOcents Counter to help

More information

WHOLE: Wellbeing and Healthy Choices for Older Adults and their Carers

WHOLE: Wellbeing and Healthy Choices for Older Adults and their Carers WHOLE: Wellbeing and Healthy Choices for Older Adults and their Carers Malnutrition in Older Age This dietary information fact sheet is intended for informational purposes only. It is not a substitute

More information

WEIGHT GAIN. This module provides information about weight gain for people with schizophrenia. SERIES: HEALTH MATTERS

WEIGHT GAIN. This module provides information about weight gain for people with schizophrenia. SERIES: HEALTH MATTERS SERIES: HEALTH MATTERS WEIGHT GAIN This module provides information about weight gain for people with schizophrenia. IT IS VERY EASY TO GAIN WEIGHT if you eat more than your body needs, if you have a medical

More information

Birmingham Community Nutrition MUST * screening & the next steps

Birmingham Community Nutrition MUST * screening & the next steps Birmingham Community Nutrition MUST * screening & the next steps The identification of undernutrition and the management of oral nutrition support for adults in the community Date of Production: December

More information

Mouth care for people with dementia. Eating and Drinking. Staying well with dementia

Mouth care for people with dementia. Eating and Drinking. Staying well with dementia Mouth care for people with dementia Eating and Drinking Staying well with dementia 2 Dementia UK Eating and Drinking 3 Eating and drinking for a person with dementia People with dementia may experience

More information

1 City Place, Gatwick RH6 0PA Careline: or Website:

1 City Place, Gatwick RH6 0PA Careline: or Website: 1 City Place, Gatwick RH6 0PA Careline: 00800 68874846 or 0800 000030 Email: nestlehealthscience@uk.nestle.com Website: www.nestlehealthscience.co.uk Reg. Trademark of Société des Produits Nestlé S.A.

More information

Eating Well After Gastro-intestinal Surgery

Eating Well After Gastro-intestinal Surgery Lady Sobell Gastrointestinal Unit Wexham Park Hospital Introduction Eating Well After Gastro-intestinal Surgery This leaflet contains general information to help you with eating after surgery. If you need

More information

Mouth care for people with dementia. Eating and Drinking. Staying well with dementia

Mouth care for people with dementia. Eating and Drinking. Staying well with dementia Mouth care for people with dementia Eating and Drinking Staying well with dementia 2 Dementia UK Eating and drinking for a person with dementia People with dementia may experience problems with eating

More information

Guidelines for the Management of Malnutrition in Adults

Guidelines for the Management of Malnutrition in Adults Guidelines for the Management of Malnutrition in Adults Reference No: G_CS_26 Version: 2 Ratified by: LCHS Trust Board Date ratified: 14 th June 2016 Name of originator/author: Name of responsible committee:

More information

Guide to eating well during radiotherapy to the head and neck area

Guide to eating well during radiotherapy to the head and neck area Guide to eating well during radiotherapy to the head and neck area Information for patients Sheffield Dietetics PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST This leaflet

More information

Dietary advice when you have an Ileostomy

Dietary advice when you have an Ileostomy Dietary advice when you have an Ileostomy Information for patients Name Your Dietitian Dietitian contact number: 0118 322 7116 What is an Ileostomy? An Ileostomy is a surgical procedure that brings out

More information

HomeCareNutrition.com

HomeCareNutrition.com HomeCareNutrition.com DELIVERED DIRECT TO YOUR HOME! Our approach is simple! The better the food tastes, the better you eat. Hormel Health Labs brings you more opportunities flavorful, nutritious foods

More information

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE CONTENTS PAGE Introduction 2 MUST 2 6 steps to appropriate prescribing of ONS in adults 3 STEP 1- Identification

More information

NHSGGC Paediatric Nutrition Formulary

NHSGGC Paediatric Nutrition Formulary NHSGGC Paediatric Nutrition Formulary Oral Nutritional Supplements (Pages 4) First line Ensure Shake 57g Sachet PaediaSure Plus 200ml Bottle Ensure Plus (Milkshake Style) 220ml Bottle PaediaSure Plus Juce

More information

Heart health and diet. Our Bupa nurses have put together these simple tips to help you eat well and look after your heart.

Heart health and diet. Our Bupa nurses have put together these simple tips to help you eat well and look after your heart. Heart health and diet Our Bupa nurses have put together these simple tips to help you eat well and look after your heart. What you eat can have an impact on the health of your heart. Eating a healthy diet

More information

Managing dietary problems in pancreatic cancer Contents

Managing dietary problems in pancreatic cancer Contents 13 11 20 Information and support Managing dietary problems in pancreatic cancer Contents Eating after a Whipple procedure Vomiting Diabetes Pancreatic enzyme replacement supplements Nutritional supplements

More information

Nutrition and Dietetics Patient Information Leaflet

Nutrition and Dietetics Patient Information Leaflet Dietary advice for patients following fundoplication surgery Nutrition and Dietetics Patient Information Leaflet Introduction The operation you have undergone has made the food pipe (oesophagus) less flexible

More information

NUTRITION RESOURCE PACK

NUTRITION RESOURCE PACK NUTRITION RESOURCE PACK Information on the following pages may be useful when working with those requiring nutrition support. These leaflets are available electonically from the Medicines Management Team

More information

Dignity and Nutrition for Older People

Dignity and Nutrition for Older People South Gloucestershire Community Health Services Dignity and Nutrition for Older People Lorraine Norris Nutrition and Dietetic Professional Lead South Gloucestershire Community Health November 9th 2011

More information

Policy for Packed Lunches

Policy for Packed Lunches Last Reviewed: December 2018 Reviewed Annually A member of the Griffin Schools Trust This policy guidance has been developed with the aim of reducing childhood obesity, promoting the health and well-being

More information

DIET, NUTRITION AND HEAD AND NECK CANCER TREATMENT

DIET, NUTRITION AND HEAD AND NECK CANCER TREATMENT DIET, NUTRITION AND HEAD AND NECK CANCER TREATMENT DIET, NUTRITION AND HEAD AND NECK CANCER TREATMENT HOW HEAD AND NECK CANCER MAY AFFECT NUTRITION Head and neck cancer may make it hard to eat and drink.

More information

Helpful tips for people with. Nausea and Vomiting

Helpful tips for people with. Nausea and Vomiting Helpful tips for people with Nausea and Vomiting Nausea and vomiting are common side effects of certain cancer treatments. They may also be due to the illness itself. Poor health, admission to hospital

More information

Nutrition in Children Undergoing Treatment for Malignancy: Information and Advice for Shared Care Centres

Nutrition in Children Undergoing Treatment for Malignancy: Information and Advice for Shared Care Centres Reference: Written by: Karen Whitehouse Peer reviewer Dr Jeanette Payne Approved: May 2015 Approved by D&TC: 13 th March 2015 Review Due: May 2018 Intended Audience This document contains information and

More information

*subject to VAT **NDR Prescribe available following ongoing review. Nutrition and Diet Resources Printed Resources and NDR Prescribe 03/04/2019

*subject to VAT **NDR Prescribe available following ongoing review. Nutrition and Diet Resources Printed Resources and NDR Prescribe 03/04/2019 NDR Prescribe Credits NDRCR Bundle of 500 NDR Prescribe Credits 25.00* n/a Patient Information Leaflets (No consultation required) 1000 Iron Deficiency Anaemia - Your Diet Can Help Patient Pick Up 6.50

More information

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE

GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE GUIDELINES FOR THE APPROPRIATE USE OF ORAL NUTRITIONAL SUPPLEMENTS (ONS) FOR ADULTS IN PRIMARY CARE CONTENTS PAGE Introduction 2 MUST 2 6 steps to appropriate prescribing of ONS in adults 3 STEP 1- Identification

More information

Ulster Council GAA. Health Booklet. Name: Class: School: supported by

Ulster Council GAA. Health Booklet. Name: Class: School: supported by Ulster Council GAA Health Booklet Name: Class: School: supported by The Food Pyramid 5 a Day Fruit & Vegetables Drink Plenty of Water HEALTH PROMOTION UNIT DEPARTMENT OF HEALTH AND CHILDREN What counts

More information

Rachel Nandy Clinical Specialist Renal Dietitian. Royal Free London NHS Foundation Trust

Rachel Nandy Clinical Specialist Renal Dietitian. Royal Free London NHS Foundation Trust Rachel Nandy Clinical Specialist Renal Dietitian Royal Free London NHS Foundation Trust Acknowledgments Thank you to James Whale Fund Healthy eating Healthy weight Salt Food labelling Dietary supplements

More information

PRO800 WEIGHT LOSS PLAN

PRO800 WEIGHT LOSS PLAN PRO800 WEIGHT LOSS PLAN A Structured Plan Involving Four Stages Offering Weight Loss Of > 2 Stone / 15kg SCREENING STEP 1 Total Diet Replacement - Taking a complete break from food STEP 2 Food Reintroduction

More information

Eating after a Gastrectomy

Eating after a Gastrectomy Eating after a Gastrectomy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm There

More information

AGING GRACEFULLY WITH THE RIGHT NUTRITION

AGING GRACEFULLY WITH THE RIGHT NUTRITION AGING GRACEFULLY WITH THE RIGHT NUTRITION Pamela Er Dietitian Department of Dietetics National University Hospital Introduction Elderly people above the age of 65 years old, with good nutritional status

More information