Date post: | 09-Jul-2015 |
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Health & Medicine |
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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