A5012606349- Nutrition and Health in Aging
- Dietetics, Nutrition, and Education
- Child Nutrition and Feeding Issues
- Obesity and Health Practices
- Frailty in Older Adults
- Nutritional Studies and Diet
- Pharmaceutical Practices and Patient Outcomes
- Clinical Nutrition and Gastroenterology
- Childhood Cancer Survivors' Quality of Life
- Dysphagia Assessment and Management
- Cerebral Palsy and Movement Disorders
- Consumer Attitudes and Food Labeling
- Stoma care and complications
- Obesity, Physical Activity, Diet
- Geriatric Care and Nursing Homes
- Nutrition, Health, and Society Studies
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- COVID-19 and healthcare impacts
- Health and Well-being Studies
- Diet and metabolism studies
- Health Sciences Research and Education
- Nutrition, Genetics, and Disease
- Gut microbiota and health
- Child and Adolescent Psychosocial and Emotional Development
- Balance, Gait, and Falls Prevention
Health Service Executive
2008-2023
Trinity College Dublin
2012-2023
Improvement Service
2022
Tallaght University Hospital
2012
Malnutrition or undernutrition, arising from a deficiency of energy and protein intake, occurs commonly among community-dwelling individuals in developed countries. Once identified, malnutrition can be effectively treated the majority cases with dietary advice prescription oral nutritional supplements (ONS) for patients who eat drink orally. However, previous research has reported inadequate screening treatment community. The aim this qualitative study was to explore general practitioners'...
Abstract Background: Healthcare professionals working in the community setting have limited knowledge of evidence‐based management malnutrition. The present study aimed to evaluate a dietetics intervention, which included an education programme for healthcare conjunction with introduction service patients ‘at risk’ Changes nutritional and reported malnourished were investigated acceptability intervention was explored. Methods: An programme, incorporating ‘Malnutrition Universal Screening...
Background & aimProtein-energy malnutrition is under-recognised in the community despite being common older adults due to physiological and social changes which are often compounded by chronic disease. This qualitative study aimed explore opinions of healthcare professionals (HCPs) working primary care settings about management prescription oral nutritional supplements (ONS), included treatment malnutrition.MethodsTwelve professional (HCP) focus groups with 75 participants were conducted:...
The involvement of healthcare professionals (HCPs) as research participants is essential to generate high quality evidence for enhancing health services and practice. Research teams face many challenges in recruiting HCPs research, barriers enablers interdisciplinary are not well described the literature. Oral Nutritional Supplement Prescribing Malnutrition Study (ONSPres Study) examined malnutrition identification, management, appropriate oral nutritional supplement prescribing primary care...
Abstract Background: The frequency of oral nutritional supplement (ONS) prescribing has been increasing steadily in the Republic Ireland (ROI). Available evidence indicates that health professionals community setting ROI have a poor level knowledge about ONS. objectives present study were to investigate ONS practices and identify types patient who prescribed these products. Methods: Ten 17 eligible general practitioners recruited asked refer all patients (aged > 16 years) during 3‐month...
Abstract Background: Healthcare professionals working in the community do not always prescribe oral nutritional supplements (ONS) according to best practice guidelines for management of malnutrition. The present study aimed determine impact a dietetics intervention on ONS prescribing practices and expenditure 1 year later. Methods: involved general practitioners (GPs), nurses, nurses local nursing homes nurses. It comprised an education programme together with provision new service. Changes...
Objectives Strategies to improve the gut microbiome through consuming an improved diet, including adopting Mediterranean Diet (MD), may promote healthy aging. We explored older adults’ and healthcare professionals’ (HCPs) perspectives of MD, health, for their role in Design Phenomenological qualitative. Setting Community-dwelling adults HCPs primary secondary care Ireland. Participants Older (aged 55 + years), recruited social, retirement disease-support groups. researcher networks...
Providing Mediterranean Diet (MD) nutrients in a minimally-processed functional food product may support healthy ageing, mediating favourable gut microbiota profiles when MD adherence is challenging. We thematically analysed stakeholders' perspectives of products targeting through semi-structured individual and group interviews Ireland, with 47 older-adults (recruited social, retirement disease-support groups); 26 HCPs across range disciplines. Functional could provide "boost" hard-to-reach...
This study aimed to explore older adults' and healthcare professionals' (HCPs) perceptions of dietary influences food preferences in age.The research design was phenomenological qualitative description. Semistructured one-to-one interviews focus groups were held separately with community-dwelling adults HCPs involved care the person Ireland. Data analysed using inductive thematic analysis.A total 47 aged 55+ years recruited (50% male; 49% 60-69 years; 28% above 70 years), 26 involved,...
Background Oral nutritional supplements (ONS) are recommended for patients who malnourished or at risk of malnutrition. Appropriate ONS prescribing requires regular monitoring to assess its continued requirement. Previous research identified long-term prescriptions (>6 months) without review, with 70% these influenced by social factors. Aim To investigate the characteristics users in Ireland and determinants larger volumes dispensing. Design & setting Secondary analysis anonymous...
When treating malnutrition, oral nutritional supplements (ONSs) are advised when optimising the diet is insufficient; however, ONS usage and user characteristics have not been previously analysed. A retrospective secondary analysis was performed on dispensed pharmacy claim data for 14,282 anonymised adult patients in primary care Ireland 2018. Patient sex, age, residential status, volume (units) cost (EUR) were The categories of ‘Moderate’ (<75th centile), ‘High’ (75th–89th centile) ‘Very...
Abstract Protein-energy malnutrition, or undernutrition, arising from a deficiency of energy and protein intake, can occur in developed countries both hospitalised patients the primary care/community setting. Oral nutritional supplements (ONS) are an effective method managing malnutrition if prescribed for who malnourished at risk malnutrition. Pooled data older adults indicate that ONS combined with dietary counselling is most intervention. Previous Irish research has demonstrated...
Background Malnutrition is underdiagnosed in primary care. GPs are key healthcare contacts for older adults at risk of protein-energy malnutrition; however, lack knowledge and confidence its diagnosis treatment often reported. Aim To evaluate the impact a bespoke online education module on GP malnutrition management. Design & setting A prospective pre—post pilot study with 23 eight trainees Republic Ireland. Method The included units following: ‘malnutrition definition, prevalence,...
Background & aim: Protein-energy malnutrition is under-recognised in the community despite being common older adults due to physiological and social changes which are often compounded by chronic disease.This qualitative study aimed explore opinions of healthcare professionals (HCPs) working primary care settings about management prescription oral nutritional supplements (ONS), included treatment malnutrition.Methods: Twelve professional (HCP) focus groups with 75 participants were conducted:...
<h3>Introduction</h3> Early identification of patients at risk malnutrition and onward referral to dietetic service is advocated in best practice guidelines.<sup>1</sup>Patients who are housebound not able attend dietitian clinic appointments require a domiciliary community (CNDS). Data lacking relation the patients’ experience this type Irish setting. <h3>Aim</h3> To investigate patient satisfaction with CNDS for 4 midlands counties Republic Ireland (ROI). <h3>Method</h3> A random sample...
<h3>Introduction</h3> The Community Dietetic Service (CNDS) in the Midlands (ROI) provides a domiciliary service for homebound patients at risk of malnutrition. Education about Malnutrition Universal Screening Tool (MUST)<sup>1</sup>is provided all community nurses, as well number General Practitioners (GPs) and Practice Nurses. <h3>Aim</h3> To measure outcomes up to one year post referral CNDS. <h3>Method</h3> This study involved retrospective review CNDS record cards. All (n = 82) referred...
Abstract Background Research to date on appropriate prescribing in older adults has focused characterising inappropriate using explicit indicator tools. Less is known about other causes of problematic polypharmacy such as cascades. Prescribing cascades occur when a medication prescribed treat or prevent the symptoms an adverse drug reaction and may be characterised intentional unintentional, well inappropriate. cascades, therefore, represent important under-researched area polypharmacy. The...
Evaluation of a community dietetics intervention to improve oral nutritional supplement prescribing practices in the community. Background: Healthcare professionals working do not always prescribe supplements (ONS) according best practice guidelines and expenditure on ONS has increased. The aim this study was investigate determine impact these one year later. Methods: At baseline were investigated by patient interview with dietitian. involved an education programme for general medical...
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