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Nutrition takes many guises from the diets we choose to eat for pleasure, to the dietary choices we make to support our health, assist recovery or manage diet-related disease. In modern healthcare, the recovery of patients and return to optimum function and well-being to support everyday living, continues to be hampered by poor nutritional care with breakpoints in care arising as patients transition from one setting to another, including the return to home. Evidence repeatedly demonstrates the deterioration in nutritional status and physical deconditioning that arises during a hospital stay. In addition, with many admitted to hospital in a poor state of nutrition, it is evident that malnutrition continues to develop insidiously in the community, potentially unnoticed by those caring for the individuals affected. With malnutrition, sarcopenia and frailty prevalent in many conditions including cancer, renal or liver disease, respiratory diseases such as COPD, gastrointestinal conditions including inflammatory bowel disease, and neurological conditions such as MND, strategies to drive greater integration of nutrition as an essential component of care is a necessity if we wish to deliver holistic care, patient-centered outcomes, improve the patient experience and manage health and social care costs. National and international campaigns and local actions to tackle malnutrition have been undertaken for many years and yet individuals continue to share and speak of their experiences regarding the lack of access to good quality information and acknowledgement that nutrition matters. In this session Anne will explore the barriers to integrating nutritional care across the patient journey whilst also focusing attention on overcoming the barriers, potential solutions, examples of what has worked and why and who we might seek to influence, and work with, to improve the provision of nutritional care that is tailored to the individuals we care for.
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