- Nutrition and Health in Aging
- Clinical Nutrition and Gastroenterology
- Child Nutrition and Feeding Issues
- Dysphagia Assessment and Management
- Diet and metabolism studies
- Frailty in Older Adults
- Dietetics, Nutrition, and Education
- Obesity and Health Practices
- Child Nutrition and Water Access
- Hip and Femur Fractures
- Long-Term Effects of COVID-19
- Palliative Care and End-of-Life Issues
- Esophageal and GI Pathology
- Celiac Disease Research and Management
- Intensive Care Unit Cognitive Disorders
- Grief, Bereavement, and Mental Health
- Medication Adherence and Compliance
- Pharmaceutical Practices and Patient Outcomes
- Pharmaceutical Economics and Policy
- Pressure Ulcer Prevention and Management
- Art Therapy and Mental Health
- Mental Health and Patient Involvement
- Body Composition Measurement Techniques
- Nutritional Studies and Diet
- Eosinophilic Esophagitis
Bath Clinic
2021-2024
Bath Institute for Rheumatic Diseases
2022-2023
American Society for Parenteral and Enteral Nutrition
2019-2022
British Dietetic Association
2012-2022
Royal United Hospital Bath NHS Trust
2021
Dorothy Pattison Hospital
2016-2019
Great Western Hospital
2011-2012
Great Western Hospitals NHS Foundation Trust
2011-2012
Royal United Hospital
2009-2010
Wiltshire College
2009
A multidisciplinary panel of 18 physicians and 3 non-physicians from eight countries (Sweden, UK, Argentina, Australia, Italy, Finland, Norway the USA) reviewed literature on diagnosis management adult coeliac disease (CD). This paper presents recommendations British Society Gastroenterology. Areas controversies were explored through phone meetings web surveys. Nine working groups examined following areas CD management: classification CD; genetics immunology; diagnostics; serology endoscopy;...
The impact of nutrition on recovery from various illnesses is well recognised. Malnutrition can affect duration hospitalisation and impede recovery, therefore it important to monitor this condition, especially in at-risk groups, such as older adults those with chronic disease. Underlying malnutrition impairs the immune system, potentially making people more vulnerable infections COVID-19 impacting recovery. Patients recovering severe illness are likely have muscle wasting or feel weak may...
<h3>ABSTRACT</h3> Eating and drinking are essential for maintenance of nutrition hydration, but also important pleasure social interactions. The ability to eat drink hinges on a complex coordinated system, resulting in significant potential things go wrong. Royal College Physicians (RCP) has published updated guidance how support people who have eating difficulties, particularly towards the end life. Decisions about hydration when start, continue or stop treatment some most challenging make...
Dietary advice, the provision of timely nutritional support and alleviation diet-related issues, should be an essential component a holistic approach to palliative end-of-life care, adjusted account for stage in patient's journey, including prognosis. With ageing population increasing numbers people living with not just one life-limiting disease but several, dietary management these patients is becoming more complex. This article considers issues families experience, how nurses can play key...
Background: Disease‐related malnutrition is common in the elderly and if left untreated may have severe consequences (Stratton & Elia, 2003). One of strategies used to combat use high‐energy, low‐volume [18.8 kJ mL −1 (4.5 kcal ml )] nutritional supplements. This study aimed investigate effects an energy dense supplement on intake, appetite blood lipids patients at risk malnutrition. Methods: In this randomised, controlled, parallel study, 42 community‐based (mean (SD) age: 84 (7.0)...
This article gives an outline of the key groups at risk malnutrition in community and effects clinical consequences not identifying managing these groups. It outlines potential health social costs treating advises how arises ‘at-risk’ As 93% those affected by are living our communities, advice is given on nurses can play a pivotal role initiating conversations about dietary intake with patients integrating screening nutritional care into pathways care.
Community nurses and colleagues have an important role to play in the identification of nutritionally vulnerable individuals, screening for risk malnutrition ensuring that timely interventions take into account individual's nutritional, psychological, physical emotional needs. They must also be aware oral nutrition strategies available, including practical guidance information on nutritional supplements (ONS) as adjunct treatment. This article provides overview managing adult community...
Malnutrition – specifically undernutrition is a state in which deficiency of energy, protein and other nutrients causes adverse effects on the body, its function clinical outcomes. can be disease-related or caused by social factors; two are often inter-related. More than 3 million people UK malnourished ‘at risk’ malnutrition, 93% whom reside community. It commonly affects older those with certain medical conditions. With pivotal role providing care secondary community settings, prescribers...
Background: Gluten containing staple foods including bread are an important source of B vitamins, folate, iron and calcium. In coeliac disease (CD), is commonly substituted with specialist gluten-free (SGF) bread, most obtained on prescription (Kinsey, 2008). the UK, mandatory fortification bread-flour four nutrients; iron, thiamin, niacin calcium, does not apply to GF flour. Several studies highlight low intakes micronutrients in CD (Wild et al., 2010); it unclear whether this a result lack...
Introduction: Self‐expanding metal stents are becoming an increasingly popular method of palliation dysphagia in advanced oesophageal carcinoma. Approximately 10% require intervention post‐placement because blockage ( Angorn, 1981 ). This could be prevented by effective dietary advice. We set out to write evidence‐based guidelines for patients undergoing stent insertion. A comprehensive literature search failed identify evidence support the present used manufacturers and dietitians on foods...
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Background: Gastrostomy placement is often required to help maintain and/or improve nutritional status in head and neck cancer patients. In this hospital trust, radiologically inserted gastrostomies (RIGs) have been the preferred route for patients as a result of physical problems associated with percutaneous endoscopic gastrostomy (PEG) procedure patient group. Previous studies revealed higher complication rates RIGs compared PEGs (Rustom et al., 2006, Bailey 2007). This audit aimed...