your hospitals, your health, our priority st05_mar12 preventing malnutrition at wwl linda smyth head...
TRANSCRIPT
![Page 1: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/1.jpg)
your hospitals, your health, our priorityST05_Mar12
Preventing Malnutrition at
WWL
Linda SmythHead of Quality Improvement
![Page 2: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/2.jpg)
your hospitals, your health, our priority
Wrightington, Wigan & Leigh
• Population >300,000• 16% age>65• Little ethnic diversity (4%
BME)• Life expectancy <
England average• Inequalities within the
borough• Pockets of extreme
deprivation• Coal Mining legacy• “Pie Eaters”
![Page 3: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/3.jpg)
your hospitals, your health, our priority
NHS Foundation Trust
• ~ 750 beds• 3 hospital sites• Specialist
orthopaedics• 1 town centre
outpatient site• 4,000 staff
![Page 4: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/4.jpg)
your hospitals, your health, our priority
Nutrition - where we were…
Catering Team
Specialist Nutrition
Team
Professional Competence
Artificial Nutrition
Steering Group
Patient Meals
Falls Prevention
Pressure Ulcer
Prevention
Infection Prevention
Reducing Mortality
![Page 5: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/5.jpg)
your hospitals, your health, our priority
Rapid SpreadMUST
Food4ThoughtNutrition Mission
Recipe for Success
Safety Express
Harm Free Care
Pressure Ulcers Falls Ca UTI VTE
Our Nutrition Journey: 2011 - present
![Page 6: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/6.jpg)
your hospitals, your health, our priority
Action Plan
Supporting Patients
Positive Dining
Experience
Staff Awareness & Training
Clinical Care
Infrastructure
Catering Team
Nurses
Volunteers
Dieticians
Therapists
Lead Doctor
Executive
Porters
QI Team
Communications Team
Business Intelligence
Housekeepers
![Page 7: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/7.jpg)
your hospitals, your health, our priority
Weight Loss As A Harm Event
Age Distribution
•Root cause analysis into weight loss >5kg during in patient stay
•6 wards – harm free ward programme
•Exclusion criteria applied
•30 patients included
0
2
4
6
8
10
Num
ber o
f pati
ents
Under50
50-60 60-70 70-80 80-90 >90
Patients Age (years)
![Page 8: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/8.jpg)
your hospitals, your health, our priority
Reasons for Weight Loss
0
2
4
6
8
10
12
Num
ber
of P
atien
ts
Reasons for weight loss
![Page 9: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/9.jpg)
your hospitals, your health, our priority
Summary of Findings
• Poor compliance with weighing patients on discharge or transfer → impossible to establish whether weight loss had occurred
• Majority with weight loss age >70• Issues with accuracy• Suitable weighing equipment not always available
for acutely ill• Clinical condition as a cause of weight loss• Dislike of food & refusal
![Page 10: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/10.jpg)
your hospitals, your health, our priority
ConclusionsWhat worked well• Multidisciplinary team
working• Maintaining momentum• ↑Patient satisfaction• ↓Harm from falls &
hospital acquired infections
• ↓ Mortality• Low rates of hospital
acquired pressure ulcers
Challenges• Inquests & complaints• Inconsistency• Prioritisation• Weights
![Page 11: Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement](https://reader035.vdocuments.mx/reader035/viewer/2022062806/56649e575503460f94b501ec/html5/thumbnails/11.jpg)
your hospitals, your health, our priority
Next Steps
• A continuous journey• Wider health & social
care economy• Dementia• Weight loss as a
harm event
THANK YOU