AgencyNurse @MacMoomin hope your washing machine is ok !! #Nurchat 9:08 PM

Nov 8th

nursiedeb RT @AgencyNurse: Thank you all, great conversation :-)) #Nurchat 9:08

PM Nov 8th

AgencyNurse @kathjlo Sorry to hear that ! You can catch up by reading the

transcript later - will let you know when it's up ! #Nurchat 9:07 PM Nov 8th

AgencyNurse Thank you all, great conversation :-)) #Nurchat 9:06 PM Nov 8th

nursemaiden @AgencyNurse #NurChat night all! Home duties call! Thanks for great

session again! 9:06 PM Nov 8th

McCandlish Really interesting converstation :) thank you #Nurchat 9:04 PM Nov 8th

kathjlo #Nurchat sorry you lost me halfway through lol had wash dye from my hair!

Got told today i look 43 ( I'm 38) :( 9:03 PM Nov 8th

bigdfaekillie I think the foremost thing should be informed choice as well as dignity

and respect #nurchat 9:03 PM Nov 8th

AgencyNurse RT @nursemaiden: #NurChat It doesnt all have to be down to money,

its culture again, values etc? #Nurchat 9:03 PM Nov 8th

AgencyNurse @gerrybolger You are right - however investment in the current

economic climate is not forthcoming !! #Nurchat 9:02 PM Nov 8th

NurChat please enjoy the chat for as long as you like this evening, another great

NurChat thanks to you all :) #nurchat 9:02 PM Nov 8th

NurChat transcript will be up later, and download for next chat available soon.

#nurchat 9:01 PM Nov 8th

gerrybolger RT @nursemaiden: #NurChat It doesn't all have to be down to money,

its culture again, values etc? 9:01 PM Nov 8th

AgencyNurse @KevinHamPlymUni Thanks for suggesting a great subject #Nurchat

9:01 PM Nov 8th

nursemaiden #NurChat It doesn't all have to be down to money, its culture again,

values etc? 9:01 PM Nov 8th

gerrybolger @AgencyNurse Its about investing in quality not an overhead... good

nutrition & hydration pays for itself tenfold #Nurchat 9:01 PM Nov 8th

MacMoomin #nurchat cheers @McCandlish good chat! 9:01 PM Nov 8th

RT @NurChat: thank you all for tonights input, espcially @KevinHamPlymUni for

the topic and @newcrosshealth for supporting NurChat #Nurchat 9:01 PM Nov 8th

Gaggyy @NurChat Gotta go! Lovely chatting to everyone tonight about #Nutrition!

#NurChat 9:00 PM Nov 8th

AgencyNurse @nursemaiden I so agree with you there !! It's the only way to nurse

#Nurchat 9:00 PM Nov 8th

KevinHamPlymUni #Nurchat thanks everyone for a great chat bye 9:00 PM Nov 8th

NurChat thank you all for tonights input, espcially @KevinHamPlymUni for the

topic and @newcrosshealth for supporting NurChat #nurchat 9:00 PM Nov 8th

MacMoomin RT @nursemaiden: #NurChat I now vow never to allow any of my

patients experience the same thing. Dignity and respect, treat how u wish be treated

urself 9:00 PM Nov 8th

JigsawHealth RT @gerrybolger IMHO training is only part of the problem, its about

resources & values - adequate nutrition is key for recovery #nurchat 9:00 PM Nov 8th

nursemaiden #NurChat I now vow never to allow any of my patients experience the

same thing. Dignity and respect, treat how u wish be treated urself 8:59 PM Nov 8th

AgencyNurse @nursemaiden Yes it is , but how do we resolve this?? It all comes

down to cost - training, staffing, better food £££££ !! #Nurchat 8:59 PM Nov 8th

NurChat almost closing time this evening, next chat 22nd Nov "effect of the

environment on pt and health" #nurchat 8:59 PM Nov 8th

nursemaiden #NurChat I witnessed my elderly father being cared for in acute

hospital. It was an eye opener being on the other side of fence! 8:57 PM Nov 8th

AgencyNurse @KevinHamPlymUni Yes we are back to fundamental care - so

important to promote recovery and prevent complications #Nurchat 8:56 PM Nov 8th

NotFromBolton @AgencyNurse Ahhh buts that's expensive #Nurchat 8:56 PM Nov

8th

NurChat RT @McCandlish: I have been fed, had my teeth brushed, been hoisted. and

think you need this to understand how to help pts. #nurchat 8:55 PM Nov 8th

KevinHamPlymUni #Nurchat we try to instill the importance of the fundamentals of

nursing care before getting too involved with other roles 8:54 PM Nov 8th

McCandlish I have been fed, had my teeth brushed, been hoisted. and think you need

this to understand how to help pts. #Nurchat 8:54 PM Nov 8th

nursemaiden #NurChat 8:54 PM Nov 8th

McCandlish RT @AgencyNurse: @NotFromBolton Yes if we were all robots !!! But

we are human beings after all !! #Nurchat 8:54 PM Nov 8th

AgencyNurse @bigdfaekillie Thats not good - when did we get too short staffed to

not ensure ppl are adequately fed and hydrated ? #Nurchat 8:54 PM Nov 8th

AgencyNurse @NotFromBolton Yes if we were all robots !!! But we are human

beings after all !! #Nurchat 8:53 PM Nov 8th

bigdfaekillie @AgencyNurse yes, I think its down to staffing levels though #nurchat

8:52 PM Nov 8th

UKDietitian Thanks to all, sorry I have to go now, brilliant to hear all your

comments. #nurchat 8:52 PM Nov 8th

NotFromBolton #Nurchat NG tubes and a liquidator? Reduced cost and improved

performance in one go #winning 8:51 PM Nov 8th

AgencyNurse @bigdfaekillie On the wards ? #Nurchat 8:51 PM Nov 8th

bigdfaekillie @KevinHamPlymUni as a second year student, I agree with you about

the theory side, unfortunately we dont see this in practice #nurchat 8:51 PM Nov 8th

UKDietitian @AgencyNurse Brilliant to hear that! I should include that in my

training, I make Drs drink Fortisips after all! #nurchat 8:50 PM Nov 8th

KevinHamPlymUni “@gerrybolger: @KevinHamPlymUni Can they put it into

practice when they go into placement? #Nurchat” > I'd be amazed if they couldn't

8:50 PM Nov 8th

gerrybolger IMHO training is only part of the problem, its about resources (people &

food) & values - adequate nutrition is key for recovery #nurchat 8:49 PM Nov 8th

Gaggyy @AgencyNurse @UKDietitian Same here, I had to be fed and feed a kitchen

staff, as well as being hoisted! Was great #Nurchat 8:49 PM Nov 8th

AgencyNurse @McCandlish your placement sounds like they have it sussed !!

#Nurchat 8:49 PM Nov 8th

McCandlish we have a nutritional link nurse who has developed a good resource for

the whole ward, and attends regular extra training herself #Nurchat 8:48 PM Nov 8th

gerrybolger @KevinHamPlymUni Can they put it into practice when they go into

placement? #Nurchat 8:48 PM Nov 8th

nursemaiden @AgencyNurse #NurChat why do we always seem to go around in

circles we have talked about this for years haven't we! 8:48 PM Nov 8th

AgencyNurse @UKDietitian I had some fabulous training that included being fed !!

Interesting and recommended experience #Nurchat 8:47 PM Nov 8th

KevinHamPlymUni #Nurchat we educate our students in theory and through

simulation in the skills lab regarding nutrition 8:47 PM Nov 8th

gerrybolger @AgencyNurse I agree QIPP is about prevention, not reaction &

investing more in nutrition & hydration would also reduce LOS too #Nurchat 8:47

PM Nov 8th

nursiedeb @AgencyNurse You have hit the nail on the head there. #nurchat 8:47 PM

Nov 8th

NurChat RT @AgencyNurse: @nursiedeb @gerrybolger mad that the NHS spend so

little on food but lots monitoring malnutrition!! #nurchat 8:47 PM Nov 8th

NurChat RT @UKDietitian:Most definitely! Our Trusts nutritional ward training

runs on a rolling basis and is our best tool to help #nurchat 8:46 PM Nov 8th

AgencyNurse @nursiedeb @gerrybolger mad that the NHS spend so little on food

but lots monitoring malnutrition!! #Nurchat 8:46 PM Nov 8th

gerrybolger RT @NotFromBolton: #nurchat People admitted to hospital are usually

fairly I'll. This means they are in a maln… (cont) http://t.co/tlA5C2gX 8:46 PM Nov

8th

mikkywatt RT @McCandlish: I also dislike it when pts are able to feed themselves,

slowly, but staff feed them to speed things ups. #nurchat 8:46 PM Nov 8th

UKDietitian @NurChat Most definitely! Our Trusts nutritional ward training runs on

a rolling basis and is our best tool to help #nurchat 8:46 PM Nov 8th

NurChat RT @NotFromBolton: #nurchat People admitted to hospital are usually

fairly I'll. This means they are in a malnourished state already. Feeding up is the game

;) 8:45 PM Nov 8th

Gaggyy @NurChat BASICALLY! imo, there's not enough staff, there's not enough

funding, and there's not enough training. #Nurchat 8:45 PM Nov 8th

gerrybolger @UKDietitian I agree facilities are necessary & they did have a variable

seasonal locally sourced menu with dietican input #nurchat 8:45 PM Nov 8th

NotFromBolton #nurchat People admitted to hospital are usually fairly I'll. This

means they are in a malnourished state already. Feeding up is the game ;) 8:44 PM

Nov 8th

McCandlish I also dislike it when pts are able to feed themselves, slowly, but staff

feed them to speed things ups. #Nurchat 8:44 PM Nov 8th

NurChat so are we saying that more training is needed ? #nurchat 8:44 PM Nov 8th

rc4gehr Giving the correct sized portions for pt, have seen overloaded plates when

small have been requested. Can be off putting. #nurchat 8:44 PM Nov 8th

UKDietitian @gerrybolger And this works best when you have a seasonal menu to

make the most of local foods at their best price #nurchat 8:44 PM Nov 8th

nursiedeb RT @gerrybolger: & remember food & hydration is linked to many other

preventable issues, ulcers, VTEs, falls and impacts of recovery - #nurchat 8:44 PM

Nov 8th

mikkywatt @nursemaiden Definitely sitting, how off putting must it be to have

someone stand over you shoving food in your mouth?! #nurchat 8:43 PM Nov 8th

KevinHamPlymUni #Nurchat touché I worked in private sector and the quality of

food is amazing 8:43 PM Nov 8th

AgencyNurse RT @gerrybolger: & remember food & hydration is linked to many

other preventable issues, ulcers, VTEs, falls & impacts of recovery #Nurchat 8:43 PM

Nov 8th

NurChat RT @gerrybolger: & remember food & hydration is linked to many other

preventable issues, ulcers, VTEs, falls and impacts of recovery - #nurchat 8:42 PM

Nov 8th

McCandlish #Nurchat oral hygiene is often forgotten, however we do have lots of

toothbrushes and toothpaste, and I try and make sure I remind my bay. 8:42 PM Nov

8th

UKDietitian @gerryblogger Very true, but if you don't have an onsite kitchen to cook

it it still has to be reheated to be served! #nurchat 8:41 PM Nov 8th

nursemaiden @AgencyNurse #NurChat I now work in independent sector quality of

food excellent and hostesses to collect order and serve etc! 8:41 PM Nov 8th

KevinHamPlymUni #Nurchat perhaps oral hygiene could be a future topic? 8:41 PM

Nov 8th

AgencyNurse @gerrybolger Yes SIT DOWN !! I agree !! #Nurchat 8:41 PM Nov 8th

gerrybolger & remember food & hydration is linked to many other preventable

issues, ulcers, VTEs, falls and impacts of recovery - #nurchat 8:41 PM Nov 8th

nursiedeb @AgencyNurse I agree! Oral hygiene is so important! I better not get on

my high horse. I may fall off! #nurchat 8:40 PM Nov 8th

mikkywatt Hear hear! RT @Gaggyy: @kathjlo @AgencyNurse I agree oral hygiene

is always forgotten about!! SO ANNOYING! #nurchat 8:40 PM Nov 8th

gerrybolger RT @nursemaiden: @gerrybolger#Nurchat its both quality of food and

staff to sit down and supervise feeding! Sitting and not standing!! 8:40 PM Nov 8th

NotFromBolton @registerpatient Then it's not a big enough problem then. #Nurchat

8:40 PM Nov 8th

gerrybolger On BBC Countryfile in the Midlands showed you can feed pts with

locally sourced highly nutritional food cheaper than chilled food #nurchat 8:40 PM

Nov 8th

KevinHamPlymUni RT @nursemaiden: @gerrybolger#Nurchat its both quality of

food and staff to sit down and supervise feeding! Sitting and not standing!! 8:39 PM

Nov 8th

AgencyNurse RT @Gaggyy: @kathjlo @AgencyNurse I agree oral hygiene is

always forgotten about!! SO ANNOYING! #Nurchat 8:39 PM Nov 8th

AgencyNurse RT @gerrybolger: @nursemaiden but the cost to the NHS with

malnourishment a poor food budget gas to be false economy?? #Nurchat 8:39 PM

Nov 8th

mikkywatt @gerrybolger @agencynurse @nursemaiden Remember reading it was

less than the budget for prisoners, not enough for good healthy food #nurchat 8:39

PM Nov 8th

nursemaiden @gerrybolger#Nurchat its both quality of food and staff to sit down and

supervise feeding! Sitting and not standing!! 8:39 PM Nov 8th

AgencyNurse @bigdfaekillie add #nurchat to your tweets, then we can see you in the

chat, suggest www.tweetchat.com to follow others tweets :) 8:39 PM Nov 8th

Gaggyy @kathjlo @AgencyNurse I agree oral hygiene is always forgotten about!!

SO ANNOYING! #nurchat 8:39 PM Nov 8th

UKDietitian @kathjlo In the good old days we had onsite kitchens cooking fresh

food & ward kitchens for cooking snacks on demand. Sadly no more #nurchat 8:38

PM Nov 8th

gerrybolger RT @KevinHamPlymUni: #Nurchat research in 1970s show similar

percentages as today for malnourishment in hospitals 8:38 PM Nov 8th

gerrybolger @AgencyNurse I believe so, maybe if we have any dietican's they could

advise? #Nurchat 8:37 PM Nov 8th

nursemaiden @AgencyNurse#Nurchat personally I would like to see wards have

their own volunteers, there are many people willing to do this 8:37 PM Nov 8th

AgencyNurse RT @KevinHamPlymUni: #Nurchat research in 1970s show similar

percentages as today for malnourishment in hospitals #Nurchat 8:37 PM Nov 8th

kathjlo @AgencyNurse i think thats it we didnt have so much other stuff to do

#nurchat 8:37 PM Nov 8th

AgencyNurse @gerrybolger really, as little as that ? #Nurchat 8:37 PM Nov 8th

KevinHamPlymUni #Nurchat research in 1970s show similar percentages as today

for malnourishment in hospitals 8:37 PM Nov 8th

rc4gehr #nurchat hi I'm Claire (Midlands) was late so have been lurking #nurchat

8:37 PM Nov 8th

AgencyNurse @kathjlo surely there have always been both underweight and

overweight pts, but did we use to have time to care?? #Nurchat 8:36 PM Nov 8th

robertjgardner RT @nursemaiden: @AgencyNurse#Nurchat we used to have lots of

volunteers in our A&E department, they were brilliant at making tea, getting

sandwiches etc 8:36 PM Nov 8th

gerrybolger @nursemaiden Is the issue how much budget set to feed each patient in

24 hours, isn't it something like less than £4 a day? #Nurchat 8:36 PM Nov 8th

kathjlo @AgencyNurse ooh dont get me started on oral hygiene lol #nurchat 8:36 PM

Nov 8th

nursiedeb RT @nursemaiden: @AgencyNurse#Nurchat we used to have lots of

volunteers in our A&E department, they were brilliant at making tea, getting

sandwiches etc 8:35 PM Nov 8th

kathjlo did we have these issues with nutrition in the good old days or is this

something new lol? #nurchat 8:35 PM Nov 8th

gerrybolger @mikkywatt For the record, it's an approached used in one US hospital,

it works for them for all harm risks #nurchat 8:34 PM Nov 8th

AgencyNurse @nursemaiden that's excellent and just what is needed surely !

#Nurchat 8:34 PM Nov 8th

NurChat RT @nursemaiden: @AgencyNurse#Nurchat we used to have lots of

volunteers in our A&E department, they were brilliant at making tea, getting

sandwiches etc 8:34 PM Nov 8th

AgencyNurse What about oral hygiene - I often see this go unnoticed as very

important !! Is this another time thing? #Nurchat 8:33 PM Nov 8th

mikkywatt @gerrybolger Coloured nightwear? Think I would have issues with that,

not sure it is very dignified. #nurchat 8:33 PM Nov 8th

NotFromBolton @registerpatient Exactly, there's your problem. Now what's the

solution? #nurchat 8:33 PM Nov 8th

nursemaiden @AgencyNurse#Nurchat we used to have lots of volunteers in our A&E

department, they were brilliant at making tea, getting sandwiches etc 8:33 PM Nov

8th

NurChat RT @nursiedeb: @NurChat One again I am astounded by the depth of

knowledge of nurchatters out there. What a way to learn! #nurchat 8:31 PM Nov 8th

gerrybolger @agenc@AgencyNurse i agree its their approach hich works from them

- similar to redtrays & jugs here #Nurchat 8:31 PM Nov 8th

nursiedeb @NurChat One again I am astounded by the depth of knowledge of

nurchatters out there. What a way to learn! #nurchat 8:31 PM Nov 8th

AgencyNurse RT @nursemaiden: @AgencyNurse I mentioned that to a hospital and

was told volunteers werent allowed to incase a patient choked??? #Nurchat 8:31 PM

Nov 8th

kathjlo @nursemaiden @AgencyNurse yes i ve heard that too but our volunteers do

help and are very good #nurchat 8:31 PM Nov 8th

CaraSloss #nurchat MUST def only a small part of the big picture, overwt & underwt

equally at risk, nutrition assistants massive help on wards! 8:30 PM Nov 8th

NotFromBolton #Nurchat Give people crap and then wonder why they are not

eating? It doesn't add up. Would you eat it? 8:30 PM Nov 8th

AgencyNurse @gerrybolger Sounds like a good idea , but not sure I would want to be

the pt in different coloured nightwear !! #Nurchat 8:30 PM Nov 8th

UKDietitian @AgencyNurse We too have been told volunteers can only assist by

opening packets/giving encouragement, not feeding! #nurchat 8:30 PM Nov 8th

NurChat should we be sending the transcript to @jamieoliver tomorrow

@notfrombolton? #nurchat 8:30 PM Nov 8th

kathjlo @McCandlish as long as they have food hygiene certificates then thats fine

#nurchat 8:30 PM Nov 8th

nursemaiden @AgencyNurse#Nurchat I mentioned that to a hospital and was told

volunteers weren't allowed to incase a patient choked??? 8:29 PM Nov 8th

gerrybolger In US (Parkland Hospital Texan) use coloured nightwear to identify

vulnerable patients #nurchat 8:29 PM Nov 8th

McCandlish Would volunteers be allowed? As visitors are not allowed to assist at

meals as far as I am aware. #nurchat 8:28 PM Nov 8th

AgencyNurse RT @gerrybolger: @AgencyNurse The link to the proposed outcome

measurement indicator is here http://t.co/EaNd1iKz#Nurchat 8:28 PM Nov 8th

UKDietitian @AgencyNurse: We've found adapted cutlery, plates & mugs have

made huge difference to some of our patients. #nurchat 8:28 PM Nov 8th

Gaggyy @NotFromBolton I quite like hospital food :P #Nurchat 8:28 PM Nov 8th

AgencyNurse @gerrybolger Great thank you :-)) #Nurchat 8:28 PM Nov 8th

kathjlo @AgencyNurse couldnt agree more but i think because they are overweight

they are treated differently not classed as high risk #nurchat 8:28 PM Nov 8th

McCandlish My current ward is very good at protecting meal times, doctors were

running late on ward round one day but thats all ive seen #nurchat 8:28 PM Nov 8th

gerrybolger @AgencyNurse The link to the proposed outcome measurement

indicator is here bit.ly/rPiZTt #Nurchat 8:27 PM Nov 8th

NotFromBolton #Nurchat But when is some one actually going to sort out the fact

that hospital food is a massive contributory factor. Its awful #noexcuse 8:27 PM Nov

8th

AgencyNurse @nursemaiden What about mealtime volunteers ?? Would this help?

#Nurchat 8:27 PM Nov 8th

Gaggyy RT @KevinHamPlymUni: #Nurchat also encouraging visitors to visit at

mealtimes to help or encourage patients to eat 8:27 PM Nov 8th

Gaggyy @mikkywatt @KevinHamPlymUni I have views for and actually against

protected meal times. #Nurchat 8:27 PM Nov 8th

nursemaiden @AgencyNurse#Nurchat I wish I knew, I agree with red tray and

protected time however its staff numbers to dependency issues? 8:26 PM Nov 8th

mikkywatt @KevinHamPlymUni Does everyone obey the meal times though? We

had them on my final placement but they still got disturbed #nurchat 8:25 PM Nov

8th

NurChat RT @UKDietitian: #nurchat Just carried out yearly MUST Audit at our

Trust, now doing route-cause analysis as to why not completed. Suggestions to start

us? 8:25 PM Nov 8th

KevinHamPlymUni #Nurchat also encouraging visitors to visit at mealtimes to help

or encourage patients to eat 8:25 PM Nov 8th

AgencyNurse @kathjlo Surely the idea is to promote a healthy balanced diet?

#Nurchat 8:25 PM Nov 8th

kathjlo obviously this whole debate makes you think a little differently #nurchat 8:25

PM Nov 8th

McCandlish I agree about older pts being left unable to feed themselves. It is very

frustrating especially when wards are short staffed. #nurchat 8:25 PM Nov 8th

AgencyNurse @nursemaiden I have similar concerns - what practical things can we

do to combat this ? #Nurchat 8:24 PM Nov 8th

kathjlo i have had incidences where overweight patients may not be eating meals and

it gets over looked because they arnt going to starve #nurchat 8:24 PM Nov 8th

mikkywatt Me too RT @nursemaiden: #NurChat my concern is the elderly in

hospital unable to feed themselves and food being left #nurchat 8:23 PM Nov 8th

nursiedeb RT @AgencyNurse: RT @nursemaiden: #NurChat my concern is the

elderly in hospital unable to feed themselves and food being left #Nurchat 8:23 PM

Nov 8th

KevinHamPlymUni #Nurchat our local trust has protected mealtimes and the red tray

system 8:23 PM Nov 8th

AgencyNurse RT @nursemaiden: #NurChat my concern is the elderly in hospital

unable to feed themselves and food being left #Nurchat 8:23 PM Nov 8th

UKDietitian #nurchat Just carried out yearly MUST Audit at our Trust, now doing

route-cause analysis as to why not completed. Suggestions to start us? 8:23 PM Nov

8th

AgencyNurse @KevinHamPlymUni That sounds like a very minimal approach - do

they get put on any weight loss programme? #Nurchat 8:23 PM Nov 8th

NurChat thanks @Hhaylo, catch you soon :) #nurchat 8:22 PM Nov 8th

Hhaylo #nurchat sorry, have to go. Thanks and will read transcript tomorrow, hope

you all come up with some good solutions :-) 8:22 PM Nov 8th

AgencyNurse Anyone aware of community drives to identify and help with

malnourishment ? #Nurchat 8:22 PM Nov 8th

KevinHamPlymUni #Nurchat in my local trust if a patient is assessed as obese the

instructions is to give them a healthy eating booklet 8:21 PM Nov 8th

nursemaiden #NurChat my concern is the elderly in hospital unable to feed

themselves and food being left 8:21 PM Nov 8th

AgencyNurse @KevinHamPlymUni I agree we often forget the overweight pts -

obesity has it's own health implications #Nurchat 8:21 PM Nov 8th

NotFromBolton RT @AgencyNurse: RT @nursiedeb I think that we need to realise

patients are often malnourished prior to admission. Its a huge prob in bariatric pts

#Nurchat 8:21 PM Nov 8th

Gaggyy @KevinHamPlymUni Agreed! We shouldn't condone being size 0 OR size

sexy, SIZE HEALTHY all the way! #Nurchat 8:21 PM Nov 8th

kathjlo as likely to be as an underweight pateint. and yet we may even attempt to

reduce intake in this patient group #nurchat 8:20 PM Nov 8th

mikkywatt @Gaggyy Very true, was thinking of some of my older clients who

struggle to keep their trousers/skirts up when walking. #nurchat 8:20 PM Nov 8th

AgencyNurse RT @McCandlish: Have NICE produced guidelines in over nutrition?

#nurchat When I was looking recently I couldnt find any. #Nurchat 8:19 PM Nov 8th

kathjlo @AgencyNurse @nursiedeb i think that its highly unlikely that a bariatric

patient would be considered as malnourished but are just #nurchat 8:19 PM Nov 8th

nursiedeb @AgencyNurse I totally agree. Often the family is our greatest ally in

prevent malnourishment #nurchat 8:19 PM Nov 8th

KevinHamPlymUni #Nurchat most people in society are overweight or obese 8:18

PM Nov 8th

McCandlish Have NICE produced guidelines in over nutrition? #nurchat When I was

looking recently I couldn't find any. 8:18 PM Nov 8th

AgencyNurse RT @nursiedeb I think that we need to realise patients are often

malnourished prior to admission. Its a huge prob in bariatric pts #Nurchat 8:18 PM

Nov 8th

nursiedeb @NurChat also need to be aware that malnutrition isn't just caused by not

eating. Not eating the rght variety offoods is the issue #nurchat 8:18 PM Nov 8th

AgencyNurse @nursiedeb this is ridiculous - particularly when we are trying to

encourage ppl to eat and gain weight #Nurchat 8:17 PM Nov 8th

Gaggyy @mikkywatt But what about patients that favour baggy clothes? Or wear

them for hassle free dressing? #nurchat 8:17 PM Nov 8th

KevinHamPlymUni #Nurchat bariatric is the future 8:17 PM Nov 8th

mikkywatt @NurChat Decent food that people actually want to eat, makes a huge

difference #nurchat 8:17 PM Nov 8th

nursemaiden #NurChat hi sally from bristol sorry bit late 8:17 PM Nov 8th

NurChat RT @KevinHamPlymUni: #Nurchat Must isnt great at assessing or

suggesting care for patients who are overnourished #nurchat 8:17 PM Nov 8th

nursiedeb @NurChat I think that we need to realise patients are often malnourished

prior to admission. Its a huge prob in bariatric pts #nurchat 8:16 PM Nov 8th

AgencyNurse RT @KevinHamPlymUni: #Nurchat Must isnt great at assessing or

suggesting care for patients who are overnourished #Nurchat 8:16 PM Nov 8th

EmmaCarderRD @northwnutrition @McCandlish: MUST an assessment tool, not a

care plan so just beginning of sorting out a pts nutritional needs... #nurchat 8:16 PM

Nov 8th

mikkywatt Should be something in initial/ongoing nurse assessment about clothes

fitting, people often come into hospital wearing 2 big items #nurchat 8:15 PM Nov

8th

AgencyNurse @gerrybolger Lol - that would be fab, but please don't rush on my

account !! #Nurchat 8:15 PM Nov 8th

Gaggyy @NurChat More staff!!! :P #nurchat 8:15 PM Nov 8th

KevinHamPlymUni #Nurchat Must isn't great at assessing or suggesting care for

patients who are overnourished 8:15 PM Nov 8th

nursiedeb @NurChat Pts. families are often keen to bring in food they know their

relative will eat but are discouraged due to various regs. #nurchat 8:15 PM Nov 8th

gerrybolger @AgencyNurse no, but can put up a page tonight if that would help

http://t.co/s9ho6oYD will be the link give me 30 mins! #Nurchat 8:14 PM Nov 8th

NurChat so what CAN be done to really tackle malnutrition in pts?? #nurchat 8:14

PM Nov 8th

kathjlo it is not a magic wand and does not replace the need for good nursing care

and clinical observation #nurchat 8:14 PM Nov 8th

gerrybolger MUST is also only suitable for adults #nurchat 8:14 PM Nov 8th

northwnutrition RT @McCandlish: MUST is just an assessment tool, not a care plan

so its just the beginning of sorting out a pts nutritional needs... #nurchat 8:13 PM Nov

8th

AgencyNurse @gerrybolger do you hav details on your blog? #Nurchat 8:13 PM Nov

8th

gerrybolger RT @McCandlish: MUST is just an assessment tool, not a care plan so

its just the beginning of sorting out a pts nutritional needs.. #nurchat 8:13 PM Nov 8th

kathjlo Must is another piece of paper work put in place from the gods above so they

can say they are dealing with malnutrition! #nurchat 8:13 PM Nov 8th

KevinHamPlymUni #Nurchat hi all I'm Kevin lecturer in adult nursing in Plymouth

8:13 PM Nov 8th

AgencyNurse @McCandlish I agree - it's just the start needs to be followed through

with good planning and most importantly implementation #Nurchat 8:13 PM Nov 8th

NurChat RT @McCandlish: MUST is just an assessment tool, not a care plan so its

just the beginning of sorting out a pts nutritional needs... #nurchat 8:13 PM Nov 8th

gerrybolger I'm happy to share what we did & it was developed with RCN, BDA,

Water Uk & others but didn;t get uptake #nurchat 8:12 PM Nov 8th

AgencyNurse @gerrybolger that sounds interesting #Nurchat 8:12 PM Nov 8th

McCandlish MUST is just an assessment tool, not a care plan so its just the beginning

of sorting out a pts nutritional needs... #nurchat 8:12 PM Nov 8th

mikkywatt @AgencyNurse Absolutely, MUST score of 2-3, nothing done about it...

Hard to do on some people though, poor historians #nurchat 8:11 PM Nov 8th

nursiedeb RT @AgencyNurse: RT @MacMoomin: we use MUST but I agree.

Sometimes it is paid lip service & not linked to care or real life problem solving for

pts #Nurchat 8:11 PM Nov 8th

gerrybolger ... but for some odd reason never got finally implemented because it

needed patient weight (as we also aligned it to hydration #nurchat 8:10 PM Nov 8th

MacMoomin #nurchat back in a mo. Washing machine playing up! #darn 8:10 PM

Nov 8th

Gaggyy @AgencyNurse Agreed! Great tool, but is it always followed? I don't think

so... Is malnutrition more prevalent in geriatrics? #Nurchat 8:10 PM Nov 8th

Hhaylo @MacMoomin totally agree #nurchat 8:10 PM Nov 8th

gerrybolger @AgencyNurse I agree but only if we let it, we incorporated its

principles into a suggested nurse sensitive outcome indicator... #Nurchat 8:10 PM

Nov 8th

AgencyNurse RT @MacMoomin: we use MUST but I agree. Sometimes it is paid lip

service & not linked to care or real life problem solving for pts #Nurchat 8:10 PM

Nov 8th

Hhaylo @AgencyNurse Agree with paper exercise comment, snowed under with

documentation! #nurchat 8:09 PM Nov 8th

AgencyNurse @Hhaylo I like the addition of eyes and instinct - I think this is vital

#Nurchat 8:09 PM Nov 8th

MacMoomin #nurchat we use MUST but I agree. Sometimes it is paid lip service and

not linked to care or real life problem solving for patients. 8:09 PM Nov 8th

paulalouisexx #nurchat 3rd year nutrition and health student 8:09 PM Nov 8th

Hhaylo #nurchat we use malnutrition screening tool, good if used effectively with

dietetic support + eyes and instinct! 8:08 PM Nov 8th

McCandlish MUST #nurchat done on admission, which then leads to a food plan for

every pt - red amber or green, and potentially dietician referral. 8:08 PM Nov 8th

AgencyNurse MUST is a fabulous tool but all too often I see it being used only as a

paper exercise #Nurchat 8:07 PM Nov 8th

Gaggyy @NurChat Hey tweeps! Gage here :) An interesting topic! Mainly lurking as

on my Blackberry! #Nurchat 8:06 PM Nov 8th

AgencyNurse RT @NurChat: so tonight subject is nutrition- with 1/3 of pts at risk of

malnutrition how can we identify those at risk #Nurchat 8:05 PM Nov 8th

northwnutrition Hi to #nurchat. Anne from wirral- dietitian. Trying to join in with a

slowish connection 8:05 PM Nov 8th

lisadietitian RT @NurChat: #nurses #nursing #nurseuk tonight at 8pm we are

discussing nutrition via #NurChat http://t.co/5lZxsTsJ 8:05 PM Nov 8th

Hhaylo #nurchat Hi, Hayley in Bristol 8:04 PM Nov 8th

NurChat thanks to Kevin for tonight’s topic suggested from

@kevinhamplymuni#nurchat 8:04 PM Nov 8th

NurChat so tonight subject is nutrition- with 1/3 of pts at risk of malnutrition how can

we identify those at risk #nurchat 8:04 PM Nov 8th

MacMoomin #nurchat Kate in Hampshire. Community perspective. 8:03 PM Nov 8th

McCandlish Student Nurse (second year) in Nottingham - currently on an adult acute

medical ward #nurchat 8:03 PM Nov 8th

gerrybolger Gerry from London #nurchat 8:02 PM Nov 8th

AgencyNurse Hi all - Teresa here in Bristol #Nurchat 8:02 PM Nov 8th

nursiedeb @NurChat Hello it's Debbie from just outside Edinburgh #nurchat 8:02

PM Nov 8th

NurChat good evening all - lets start with introductions, who is out there this

evening?? #nurchat 8:01 PM Nov 8th

NurChat ... and bear in mind the NMC code of conduct and guidelines when tweeting

#nurchat 7:59 PM Nov 8th

NurChat Please remember as always that your tweets are all your own opinion and

not necessarily those of nurchat... #nurchat 7:58 PM Nov 8th