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Tackling undernutrition through appropriate supplement prescribing.

Jacklyn Jones1

  • 1Queen Margaret University College, Edinburgh, Scotland, UK. jacklyn.jones@hotmail.com

British Journal of Community Nursing
|August 26, 2003
PubMed
Summary

An audit revealed that 30% of sip feed prescriptions for undernutrition were unnecessary, highlighting the need for better prescribing practices. A new nutritional care pathway was introduced to ensure evidence-based treatment for undernutrition.

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Area of Science:

  • Clinical Nutrition
  • Healthcare Management
  • Public Health

Background:

  • Undernutrition significantly impacts patient health and incurs substantial costs for the National Health Service (NHS).
  • The rising expense of specialized nutritional supplements (sip feeds) presents a financial challenge for managing undernutrition.
  • Previous prescribing practices for sip feeds lacked sufficient scrutiny, leading to potential inefficiencies.

Purpose of the Study:

  • To audit the appropriateness of sip feed prescriptions in Lothian.
  • To identify areas of potential cost savings and improve patient care related to undernutrition.
  • To develop a systematic, evidence-based approach for managing undernutrition.

Main Methods:

  • An audit project was conducted in Lothian to review sip feed prescriptions.

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  • Prescriptions were assessed for necessity and appropriateness.
  • Data on prescription patterns and patient outcomes were analyzed.

    • Main Results:

    • A significant proportion of sip feed prescriptions (30%) were found to be inappropriate and subsequently stopped.
    • This audit identified considerable scope for optimizing the use of nutritional supplements.
    • The findings underscored the need for a more structured approach to nutritional support.

    Conclusions:

    • The inappropriate prescribing of sip feeds contributes to increased healthcare costs.
    • Implementing a nutritional care pathway can lead to more appropriate and cost-effective management of undernutrition.
    • A systematic, evidence-based pathway is crucial for the effective identification and treatment of undernutrition in clinical practice.