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Title: Individualised Nutritional Care for Disease-Related Malnutrition: Improving Outcomes by Focusing on What Matters to Patients
Authors: Holdoway, Anne
Page, Fionna
Bauer, Judy
Dervan, Nicola
Maier, Andrea B 
Keywords: Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
nutritional support
patient preferences
Issue Date: 1-Sep-2022
Publisher: MDPI
Citation: Holdoway, Anne, Page, Fionna, Bauer, Judy, Dervan, Nicola, Maier, Andrea B (2022-09-01). Individualised Nutritional Care for Disease-Related Malnutrition: Improving Outcomes by Focusing on What Matters to Patients. NUTRIENTS 14 (17). ScholarBank@NUS Repository.
Abstract: Delivering care that meets patients’ preferences, needs and values, and that is safe and effective is key to good-quality healthcare. Disease-related malnutrition (DRM) has profound effects on patients and families, but often what matters to patients is not captured in the research, where the focus is often on measuring the adverse clinical and economic consequences of DRM. Differences in the terminology used to describe care that meets patients’ preferences, needs and values confounds the problem. Individualised nutritional care (INC) is nutritional care that is tailored to a patient’s specific needs, preferences, values and goals. Four key pillars underpin INC: what matters to patients, shared decision making, evidence informed multi-modal nutritional care and effective monitoring of outcomes. Although INC is incorporated in nutrition guidelines and studies of oral nutritional intervention for DRM in adults, the descriptions and the degree to which it is included varies. Studies in specific patient groups show that INC improves health outcomes. The nutrition care process (NCP) offers a practical model to help healthcare professionals individualise nutritional care. The model can be used by all healthcare disciplines across all healthcare settings. Interdisciplinary team approaches provide nutritional care that delivers on what matters to patients, without increased resources and can be adapted to include INC. This review is of relevance to all involved in the design, delivery and evaluation of nutritional care for all patients, regardless of whether they need first-line nutritional care or complex, highly specialised nutritional care.
Source Title: NUTRIENTS
ISSN: 2072-6643
DOI: 10.3390/nu14173534
Appears in Collections:Staff Publications

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