As part of our on-going commitment to improve levels of care for those at risk of malnutrition in the UK we have introduced a new Decision Tree resource. The Decision Trees have been produced by the members of BAPEN Education and Training committee and the Core Groups and associate organisations: BAPEN Medical, BPNG, BSPGHAN, NNNG, PENG, and PINNT and offer a pragmatic and effective tool to assist in the care of those at risk of malnutrition and its consequences.
Malnutrition remains all too common in a wide range of care settings including hospitals and the community, and as such has become the responsibility of a wide range of health care professionals in primary and secondary care. While many guidelines exist, the sources are varied, and often too thorough and in-depth for immediate easy use in the care setting. The BAPEN Principles of Good Nutritional Practice has been devised to draw together existing guidelines and evidence base, together with best practice where no research is possible, to produce Decision Trees to help guide all levels of health care professionals through the pathway of care of those with malnutrition.
All Decision Trees are freely available to download below:
Naso Gastric (NG) Tube Insertion – Decision Tree
Content under revision.
Ethics and clinically assisted nutrition or hydration approaching the end of life
This decision tree is superseded by the following documents on ethical decision-making in nutrition support:
Percutaneous Endoscopic Gastrostomy Diagnosis of Buried Bumper Syndrome – Decision Tree
Percutaneous Endoscopic Gastrostomy Management of Buried Bumper Syndrome – Decision Tree
Managing abnormal liver function tests among those receiving Home Parenteral Nutrition exclusion of non-nutritional causes – Decision Tree
Dietary management of hyperkalaemia in haemodialysis patients – Decision Tree
This decision tree has been retired.
Guidance can be found here and in the PENG Pocket Guide.