Patient’s primary medical team

Must play a co-ordinating role between nutritional and other medical and surgical treatments and ensure that their patients receive excellent nutritional screening, assessment and care.

  1. Acknowledges the importance of the involvement of all doctors/surgeons in nutritional care as, for example, emphasised by the Royal College of Physicians and PMETB.
  2. Develops, fosters and encourages an awareness of the benefits of appropriate nutritional management and treatment, before during and after hospital admission, whether surgical or medical.
  3. Considers the patients’ mental and physical ability to eat, the integrity of gastrointestinal function including motility, digestion and absorption, the metabolism and excretory function in the context of a diagnosis.
  4. Prescribes treatment, taking into consideration drug nutrient interactions, surgical needs etc
  5. Takes note of and applies nutritional screening, and assesses and monitors nutrition employing  clinical, biochemistry/haematology/microbiology information. Includes documentation of nutrition-related issues in records.
  6. Decides in liaison with NST, nurses, dietitians etc on the optimal approach to each patient’s nutritional needs and ensures informed consent.
  7. Liaises with patient and patient’s relatives: provides major source of information to patient and relatives in respect of all aspects of treatment, including nutrition.
  8. Leads on ethical decisions in conjunction with NST and ward nurses, taking into consideration family/carer views including interpretation of advance directives.
  9. Includes nutritional aspects of care in plans for  discharge and out-patient follow up
  10. Includes nutrition when liaising with primary healthcare professionals.
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