58 result(s) for the key topic Nutrition were found:
- Practical weight management in primary care
- Statistics suggest that one-in-four adults are obese, and up to 33% of school-aged children are overweight or obese (National Obesity Forum, 2015). Thus, on a daily basis, it is likely that general practice nurses (GPNs) will engage in consultations with patients who are overweight or obese, quite often while presenting for advice for another condition. This article explores how to broach this sensitive issue and the nurse’s role to reduce weight stigma in line with the new Nursing and Midwifery Council Code (NMC, 2015). Practical advice to support patients in managing their weight, and identifying appropriate onward referrals, including for bariatric surgery and eating disorders, will also be discussed.
- August 2015 : Volume 29, Issue 4
- Understanding the link between wound care and nutrition
- Wound care and nutrition are two interlinked areas that will have a serious impact on the caseload of any community nurse. Healthy eating and regular physical activity help to prevent chronic illnesses, which in turn have an effect on the development of wounds and ulcers. In particular, malnutrition can impair wound healing and so it is essential that at-risk patients are identified in the early stages using an evidence-based nutritional screening tool. If a wound has developed, adequate nutritional management plays a key role in the healing process. If necessary, patients should be referred to a registered dietitian for a detailed nutritional assessment and treatment plan. This article looks at the link between nutrition and wound care, as well as highlighting preventative measures that can be encouraged in all patients at risk of developing a wound.
- August 2015 : Volume 29, Issue 4
- Understanding the relationship between type 1 diabetes and diet
- This articles looks at the dietary advice that should be provided for people with type 1 diabetes. As well as focusing on healthy eating generally, blood sugar control can be optimised if both the type and amount of carbohydrate is considered. Low glycaemic index (GI) carbohydrates, where glucose is released slowly into the blood stream, may help to lower the individual’s glycated haemoglobin (HbA1c) levels (HbA1c is a form of haemoglobin that is measured to identify the average plasma glucose concentration over a prolonged time period). Carbohydrate (‘carb’) counting should be considered as it can improve glycaemic control and promote independence in regard to food choice and management of the condition. Gestational diabetes (that which develops during pregnancy) is also considered, as this can affect birth outcome, the baby’s future health and the health of the mother after the birth.
- May 2015 : Volume 29, Issue 2
- Role of nutrition in the final stages of palliative care
- This article examines and summarises the role of nutrition and the dietitian in the final stages of palliative care. The recent publication of One chance to get it right (NHS England, 2014), highlighted the need for a change in the approach to food and drink, especially when caring for those patients who are at the end of life. There is a clear need for documentation and formulation of clear, patient-centred and effective care plans, as it is vital that food and drink are offered, as long as it remains safe and is not harmful to the patient.
- February 2015 : Volume 29, Issue 1
- Providing dietary advice for people with type 2 diabetes
- This articles deals with the dietary advice that should be provided to people with type 2 diabetes by anyone working in the community (it does not cover advice on physical activity or prevention of type 2 diabetes). If a patient with type 2 diabetes is overweight or obese, the most important factor is to lose weight — even a 5–10% weight loss can improve insulin sensitivity and hence diabetic control. Other factors that are considered in this article are the type of carbohydrate that can be eaten, with wholegrain/high-fibre, lower glycaemic index starches being the best option (the glycaemic index measures the effect of carbohydrates on blood glucose level). Although sugar provides 'empty calories' (food that supplies energy but negligible nutrition) and can result in weight gain, it does not contribute to diabetes directly. Cholesterol levels should be reduced by eating the correct fats, and salt levels should be kept to below 6g a day.
- October 2014 : Volume 28, Issue 5
- The role of nutrition in the management of COPD patients
- This article examines the role of malnutrition in chronic obstructive pulmonary disease (COPD). Until recently, weight loss was considered an inevitable consequence of COPD, however, modern research has demonstrated that weight gain is in fact achievable and can result in functional improvements. It is important that community nurses are aware of the importance of nutrition in COPD, both in screening for malnutrition and developing appropriate treatment plans, including the use of oral nutritional supplements alongside dietary advice and counselling. The current NHS policy of moving care 'closer to home' is resulting in more complex COPD patients being managed in the community and with this comes the challenge of managing reduced weight and low oral intake. It is, therefore, essential that community nurses develop the necessary skills and resources to deal with this growing group of patients.
- August 2014 : Volume 28, Issue 4
- Practical strategies for treating malnutrition in the community
- In an earlier article in this journal, the author looked at malnutrition in the community from the patient's perspective (JCN, 28(2): 40–4). Here, she examines some practical tips on how community nurses can provide help for patients in danger of becoming malnourished. Malnutrition may have been caused by a chronic problem that has resulted in years of gradual deterioration and prompt action can prevent malnutrition escalating further and affecting the patient’s overall health. In this case, more detailed and supportive treatment from family, friends and healthcare services may be required to help implement changes in a patient's routine. By using some of the ideas highlighted in this article, and with regular monitoring and support, nurses can better help patients in the community to recover quickly from, or avoid, malnutrition.
- June 2014 : Volume 28, Issue 3
- Looking at malnutrition from the patient's perspective
- This article examines malnutrition, a complex issue that has wideranging implications in terms of patient experience and resources - evidence suggests that malnourished people are repeat attendees at GP surgeries, incur higher prescription costs and experience twice as many hospital admissions than well-nourished people. While there have been many hospital initiatives targeted at reducing the risks of malnutrition, in the community the solution remains challenging. Recommendations include arranging services so that health and social care professionals can work together to overcome nutrition issues, making extra resources available to combat malnutrition and improving the monitoring of patients' nutritional state. As healthcare shifts to a more community-based model, there needs to be a reallocation of resources from hospitals to community to ensure that efforts to tackle malnutrition have a more realistic chance of success.
- April 2014 : Volume 28, Issue 2
- Nutrition in the older person — are we facing a crisis in the community?
- Eating well in later life is an essential part of enabling older people to live independently at home for longer. However, with increasing funding cuts to community care services in the context of an ageing society, is enough being done to encourage good nutrition in later life? This article discusses the importance of nutrition for older people and explores how community practitioners are ideally placed to spot the early warning signs of malnutrition and encourage patients to take better care of their diet.
- January 2014 : Volume 28, Issue 1
- The provision of adequate hydration in community patients
- Hydration is an easily overlooked but crucial element of general health that nurses working in the community need to be particularly aware of. Monitoring what people eat and drink is vital if dehydration, as well as deterioration in other conditions such as diabetes, is to be avoided.
- January 2014 : Volume 28, Issue 1
- Managing the nutritional status of community patients with leg ulcers
- This article discusses nutrition in relation to patients in the community who are living with venous leg ulcers. The author explores the complex issues surrounding the care of this patient group, which is predominantly made up of older people who often have several underlying medical conditions and may live alone in their own homes or in supported residential settings. The article covers the physiology and aetiology of venous leg ulcers and explores how nutrition plays a role in the healing process. It advocates a holistic approach, taking into account the many factors involved when considering nutritional status and suggests interventions that are available to nurses and healthcare professionals working in the community.
- November 2013 : Volume 27, Issue 5
- Assessing eating disorder and weight preoccupation risk in female students
- Obsession with weight has been identified as a significant problem in modern society, particularly among young women. Similarly, the phenomena of weight and shape preoccupation have been recognised as preliminary behaviours to the development of eating disorders. This study aimed to identify the current incidence of, and factors associated with, weight preoccupation, shape preoccupation, and eating disorder risk in female US university students aged 18 to 23 years. An online study was used and the findings demonstrated that 31% of respondents identified themselves as weight-preoccupied and 33% as shape-preoccupied. Overall, the study found that asking students whether they are weight-preoccupied could be an initial step in early intervention for those at risk of developing an eating disorder.
- September 2013 : Volume 27, Issue 4
- Helping to manage malnutrition with BAPEN Decision Trees
- Malnutrition affects one in four acute hospital admissions and one in three admitted to care homes. While many clinical staff may fail to recognise the signs of malnutrition, the use of screening tools such as ‘MUST’ are used in both hospital and community settings. With greater identification of those at risk of malnutrition comes the responsibility of managing these individuals. This article presents the launch of the BAPEN decision trees that are designed to help healthcare professionals manage malnutrition.
- May 2013 : Volume 27, Issue 3
- Who’s taking care of the boys?
- ‘It is widely known that there are differences between men and women in the incidence and prevalence of most health conditions. Sometimes there are clear biological reasons for these differences – but often there are not.’ (Mens Health Forum – www.menshealthforum.org.uk)
- January 2013 : Volume 27, Issue 1
- Mealtime difficulties
Frequent or complex mealtime difficulties can have adverse effects on relationships within families. Such issues require community-based prevention and early intervention to optimise the emotional well-being of families.
This article describes the relational component of mealtime difficulties, the effects on the emotional well-being and family relationships and the perceived needs of families for new service developments at a community level. In contrast to most of the literature regarding mealtime difficulties, which focus on behaviour training, parenting skills and nutrition education, this article concludes that the primary aim of an intervention for mealtime difficulties in the community should be to optimise interactions and relationships within families through a holistic, interdisciplinary approach.
- November 2012 : Volume 26, Issue 6
- Home enteral nutrition and team working
- Community provision of nutritional support to patients who are unable to meet their nutritional requirements through oral intake alone is increasing. These patients often have complex clinical and social needs due to their diagnosis and social circumstances, and thus require input and support from a number of different healthcare professionals. This article, from a winner of the JCN Writing Awards, outlines how concerted team working can provide a seamless service for patients requiring home enteral nutrition.
- March 2012 : Volume 26, Issue 2
- Providing nutritional support for patients with COPD
- Margaret Barnett looks at providing nutritional support and advice to patients with COPD.
- November 2011 : Volume 25, Issue 6
- Maintaining a balanced diet with food allergies
- Not everyone with eczema has food allergies but some, particularly children, do. In this article dietitian Sarah Heath looks at how to eat healthily if your diet is restricted
- July 2011 : Volume 25, Issue 4
- Evaluating care: home enteral nutrition
- Dr Omorogieva Ojo discusses the findings of a small study which evaluated the effectiveness of a home enteral nutrition nursing team
- May 2010 : Volume 24, Issue 3
- Assisted suicide – are we all singing from the same hymn sheet?
- Mark Gagan reflects on the RCN position statement on assisted suicide
- December 2009 : Volume 23, Issue 12
- The public health challenge of obesity: is it the new smoking?
- Dianne Burns, John Costello, Monica Haggart, Joanne Kerr, Keith Longshaw & Ruth Thornton consider the complexity of obesity and its health implications, highlighting its implications for community practitioners.
- November 2009 : Volume 23, Issue 11
- Improving nursing management of nutrition in COPD patients
- Margaret Barnett discusses the nutritional management of patients with respiratory disease
- March 2009 : Volume 23, Issue 3
- The obesity epidemic - a holistic approach
- Runner-up in our “Excellence in Practice” awards Teresa Davies discusses the need for community teams to undertake an active role in the fight against obesity
Teresa Davies BN (Hons), RGN is a Community Nurse, Corwen and Llangollen District Nurses, Conwy and Denbighshire NHS Trust
- December 2008 : Volume 22, Issue 12
- The role of parents in children’s eating habits & childhood obesity
- David Benton discusses some potential influences on the rise in childhood obesity levels
David Benton, Department of Psychology, University of Swansea, Wales
Article accepted for publication: August 2008
- October 2008 : Volume 22, Issue 10
- Sugar rush – the facts
- Joanna Philpot aims to explore the scientific evidence available on the so-called “sugar rush” and to dispel some of the misunderstandings surrounding this much publicised area of nutrition
Joanna Philpot RNutr is a Freelance Nutritionist. firstname.lastname@example.org
Article accepted for publication: June 2008
- September 2008 : Volume 22, Issue 9
- Nutritional management of coronary heart disease
- Angie Jefferson reviews recent developments in dietary management of CHD, highlights major studies and outlines a practical approach to dietary change for the nurse practitioner.
Angie Jefferson BSc, RD, RPHNutr is a Consultant Dietician based in Berkshire.
Article accepted for publication: March 2008
- May 2008 : Volume 22, Issue 5
- Dietary prevention and treatment of diabetes
- Dr Alyson Hill discusses the dietary management of diabetes mellitus
Dr Alyson Hill PhD, BSc, RD is a Lecturer in Dietetics at University of Ulster, Coleraine Article accepted for publication: January 2008
- March 2008 : Volume 22, Issue 3
- Nutritional spices of life
- Joanne Wright takes an overview of some common food stuffs and discusses their health value
Joanne Wright RGN, RM is a practice nurse in Brighouse, West Yorkshire & a freelance medical writer
Article accepted for publication: June 2007
- October 2007 : Volume 21, Issue 10
- Childhood nutrition
- Dr Hannah Theobald discusses recent guidelines for optimum childhood nutrition.
Dr Hannah Theobald PhD, BSc, RPHNutr
Article accepted for publication: January 2007
- February 2007 : Volume 21, Issue 2
- Eating for type 2 diabetes
- Dr Hannah Theobald gives a brief overview of diabetes and offers advice on eating for health.
Dr Hannah Theobald, PhD BSc RPHNutr, supported by The Sugar Bureau.
The Sugar Bureau provides scientific evidence on the contribution of sugars and other carbohydrates to a healthy balanced diet. For more information visit:
Article accepted for publication: October 2006
- December 2006 : Volume 20, Issue 12
- Maintaining optimum nutrition
- Joanne Wright looks at how community nurses can help patients to maintain optimum nutrition
Joanne Wright RGN, RM is a Practice Nurse, Brighouse, West Yorkshire.
Article accepted for publication: September 2006
- November 2006 : Volume 20, Issue 11
- Addressing the health needs of women and children of Asian descent
- Mary Chatrath & Joan Gray discuss a project which addressed the health needs of women and children of Asian descent.
Mary Chatrath RN, RM, RHV is a Health Visitor, St Albans and Harpenden PCT.
Joan Gray BSc, RD is a Paediatric Dietitian, Hertfordshire.
Article accepted for publication: July 2006
- October 2006 : Volume 20, Issue 10
- Nutrition in palliative care: effective or ineffective?
- Tessa Aston gives an overview of nutrition management in the palliative care patient.
Tessa Aston, MSc, BSc (Hons), RD is a Macmillan Specialist Dietitian for Hambleton and Richmondshire Primary Care Trust.
Article accepted for publication: June 2006
- October 2006 : Volume 20, Issue 10
- The role of diet and lifestyle changes in the management of constipation
- Nigel Denby outlines the role of diet and nutrition as simple treatments for the management of constipation.
Nigel Denby BSc Hons, is a Nutrition Consultant and Registered Dietician, Bedfordshire.
Article accepted for publication: January 2006
- September 2006 : Volume 20, Issue 9
- Nutrition and reducing CVD
- Angie Jefferson gives an overview of how diet can reduce coronary vascular disease.
Angie Jefferson BSc, RD, RPH Nutr is a Consultant Dietitian.
Article accepted for publication:June 2006
- July 2006 : Volume 20, Issue 7
- Weight loss diets: what does the science say?
- Penny Hunking takes a look at the science behind the hype of weight loss diets.
Penny Hunking RD, ASD, RPHNutr is a Nutrition Consultant for Energise Nutrition Ltd.
Article accepted for publication: January 2006
- May 2006 : Volume 20, Issue 5
- Nutrition matters for older adult
- Susan Holmes identifies the many factors that affect nutrition in older adults and offers some suggestions and appropriate interventions to help community nurses to identify vulnerable individuals and prevent further health decline.
Professor Susan Holmes BSc, PhD, SRN, FRSH is Director of Research and Development at Canterbury Christ Church University, Kent.
Article accepted for publication: September 2005
- February 2006 : Volume 20, Issue 2
- Are you pro or anti biotics?
- Zahra Pah Lavan discusses the role of probiotics' health and disease and explores current understandings on why we may need to replace the good bacteria in our bodies.
Zahra Pah-Lavan RN, BSc (Hons) is a freelance medical writer. Article accepted for publication: March 2004
- August 2005 : Volume 19, Issue 8
- Nutritional screening by district nurses
- Suzanne Williams gives an overview of a proposal to pilot a standard for screening the nutritional status of the over 65s. Suzanne Williams RGN, BSc Hons, District Nursing is a Community Matron, Norwich PCT. Article accepted for publication: February 2005
- May 2005 : Volume 19, Issue 5
- Prevention and treatment of obesity in the community
- Dr Sandra Drummond gives an overview of the health implications of obesity
Dr Sandra Drummond, Lecturer in Human Nutrition & Public Health Nutrition, Dietetics, Nutrition and Biological Sciences, Queen Margaret University College, Edinburgh, UK.
Article accepted for publication: July 2004
- November 2004 : Volume 18, Issue 11
- The role of diet in the prevention and treatment of CHD
- Luci Daniels gives an overview of diet and the prevention and treatment of CHD Luci Daniels is a Consultant Dietitian, London. Article accepted for publication: May 2004
- October 2004 : Volume 18, Issue 10
- Nutrition and cancer
- Doctor Nora O'Brien & Doctor Tom O'Connor give an overview of the effects of nutrition on the development of cancers
Dr. Nora O'Brien and Dr. Tom O'Connor, Department of Food and Nutritional Sciences, University College, Cork, Ireland.
Article accepted for publication: June 2004
- September 2004 : Volume 18, Issue 9
- Home enteral nutrition
- Claire Wright discusses the factors which should be considered before embarking on home nutritional support programmes
Claire Wright BSc, SRD, MPhil. Senior Lecturer in Nutrition and Dietetics, Chester College, Parkgate Road, Chester CH1 4BJ. Article accepted for publication: July 2003
- February 2004 : Volume 18, Issue 2
- Improving the nutritional status of elderly people in residential care
- Caroline Morrell describes a staff training package that was designed to increase understanding and knowledge of nutritional status of elderly people in residential homes.
Acknowledgements: - Greater Manchester Workforce Development Confederation for the grant to undertake this project.
- All the staff that participated in the training programme.
- Val Anwyl, Chief Community Dietitian who successfully obtained the funding and started up the project.
Caroline A. Morrell BSc, SRD, Cert MHS Community Dietitian, Tameside and Glossop Primary Care Trust. Article accepted for publication: July 2002
- September 2003 : Volume 17, Issue 9
- Nutrition and healing
- Sarah-Jane Hughes discusses the importance of good nutrition for optimum wound healing.
Sarah-Jane Hughes BSc (Hons), MSc, PGDip, SRD is a Senior Dietitian, Royal Hospitals Trust, Belfast. Article accepted for publication: December 2002
- April 2003 : Volume 17, Issue 4
- A pragmatic guide to evidence-based treatment of community based under-nutrition
- In April Claire Wright reviewed the extent of undernutrition in the community & outlined ways of detecting nutritional risk. Here in her second article she looks at the evidence supporting the use of prescribable products in the community.
Claire Wright, BSc, SRD, MPhil. Programme Leader for the MSc in Nutrition and Dietetics at Chester College, Parkgate Road, Chester. Article accepted for publication June 2002.
- October 2002 : Volume 16, Issue 10
- Tackling oral health inequalities in young children
- Carol Ottley gives an overview of the incidence of dental caries among young children and suggests ways in which community practitioners can help parents to look after their children’s oral health more effectively.
Carol Ottley BSc, SRD, RPHNutr is a State Registered Dietitian & Public Health Nutritionist.
Article accepted for publication June 2002.
- September 2002 : Volume 16, Issue 9
- Loss of the ability to eat and drink - a case study
- Dawn Brookes describes the experiences of an 83 year old man who lost the ability to eat and drink and has had to adjust his life accordingly.
Dawn Brookes RGN, RM, BA.(Hons), is a District Nursing Sister, Reading Primary Care Trust. Article accepted for publication May 2001.
- July 2002 : Volume 16, Issue 7
- A guide to using enteral nutrition in the community
- Dr Rebecca Stratton describes the uses of oral nutritional supplements and enteral tube feeding to prevent disease related malnutrition in patients.
Dr Rebecca Stratton, Research Fellow, Institute of Human Nutrition, Southampton General Hospital, University of Southampton.
Article accepted for publication May 2001.
- June 2002 : Volume 16, Issue 6
- Screening for undernutrition in the community
- State Registered Dietician Claire Wright discusses the extent of undernutrition in the community and challenges of nutritional screening in sick and elderly patients.
Claire Wright BSc, SRD, MPhil., Senior Lecturer in Nutrition and Dietetics,
Dept. of Biological Sciences, Chester College, Parkgate Road, Chester, CH4 1BJ.
Article accepted for publication February 2002.
Acknowledgement: The author gratefully acknowledges the guidance and information provided by the Malnutrition Advisory Group and Professor Marinos Elia, Institute of Human Nutrition, Southampton. For further information on MAG contact Tom Thorpe on 0207 3091127.
- April 2002 : Volume 16, Issue 4
- Appetite and the older person
- Sue Green discusses how nurses can promote appetite in older people.
Sue M. Green RN, BSc, MMedSci, PhD is a Lecturer at the School of Nursing and Midwifery, University of Southampton, Southampton.
Article accepted for publication
- February 2002 : Volume 16, Issue 2
- The role of the nurse in obesity management
- Steven Jeffry discusses how nurses can help patients/clients to maintain a healthy weight.
- March 2001 : Volume 15, Issue 3
- Oral dietary supplements
- Sue Green considers the use of oral dietary supplements to promote nutritional intake of adults in the primary care setting.
- March 2000 : Volume 14, Issue 3
- Nutritional and dental health management in Parkinson’s disease
- Karen Hyland, Janice Fiske & Dr. N. Mathews discuss the dental dietetic dilemma in patients with Parkinson’s disease. They give practical guidance in the nutritional and dental health management of Parkinson’s disease.
- January 2000 : Volume 14, Issue 1
- Sugar in a weight reducing diet
- Dr. Sandra Drummond suggests that going against traditional ideas and including sugar in a weight reducing diet may be beneficial in reducing weight and body fat percentages.
- November 1998 : Volume 12, Issue 11
- Getting to grips with obesity
- Dr. Sandra Drum-mond discusses ways in which community nurses can work towards detecting and preventing obesity in their clients.
- October 1998 : Volume 12, Issue 10
- Vitamin Supplementation: Giving your body a helping hand
- Andrew Hanson discusses why vitamin supplementation is valued in today's hectic world.
- September 1998 : Volume 12, Issue 9
- How Well Nourished Are Your Patients?
- Mary Hickson & Margaret Hill describe the development, audit & training of community nurses in the use of a nutritional assessment tool for the elderly.
- January 1998 : Volume 12, Issue 1