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Bolus feeding (the delivery of smaller volume feeds at regular intervals) has become more widely used in recent years, with an estimated one third of tube-fed patients now receiving either all or part of their nutrition via this method.1
Bolus feeding is suitable for a variety of adult patients such as patients with head and neck cancer, those who have suffered a brain injury or those with neurological disorders. It is an enteral feeding method that is often preferred by patients and dietitians as it enables flexibility and can be tailored to the patient’s needs and circumstances.1
However, despite the increase in use of bolus feeding regimens, there is limited published guidance to help healthcare professionals make some of the key decisions, including patient type, feed choice and training needs.
A group of specialist dietitians with extensive experience of enteral tube feeding came together to discuss some of these key issues and to develop a bolus feeding decision aid to help in the day-to-day management of these patients.
The aid is designed to provide practical, day-to-day guidance for dietitians and other healthcare professionals and to be used as training material for more experienced dietitians to share with dietitians new to bolus feeding modalities.
Please click here to view an article published in the Complete Nutrition magazine supporting this resource!
1. Simons R et al. Clin Nutr ESPEN 2017;22:122.
This decision aid has been developed by a group of specialist dietitians:* Kelly McCabe, Chief Operating Officer, Leaders in Oncology Care (LOC), London; Kavita Biggin, Stroke Services Dietitian, Oxford Health NHS Foundation Trust; Claire Birch, Community Nutrition Support Dietitian / Team Lead, University Hospitals Coventry; Kirsty Capper, Community Dietitian, Home Enteral Tube Feeding, Countess of Chester Hospital; Jessica Harris, Clinical Lead Dietitian, Head and Neck, UCLH, London; Roisin Kavanagh, Macmillan Cancer and Palliative Care Dietitian, Pennine Care Foundation NHS Trust, Oldham; Margy Thomson, Clinical Lead Dietitian, Nutritional Support, NHS Fife.
*Job titles accurate at the time of publication
A multi-disciplinary group of healthcare professionals has developed a practical guide to support symptom identification, assessment and management of symptoms of gastrointestinal (GI) intolerance in malnourished adults in the community.
The benefits of oral nutritional supplements containing HMB are supported by evidence from over 18 clinical studies,<sup>9-27</sup> Watch this short video to learn more about the benefits of HMB.
I-CARE checklist is a useful, practical tool to help people spot the signs and symptoms of malnutrition in their older relatives and friends. I-CARE may help provide an early warning sign which enables individuals to take prompt action and speak to their doctor.
UK-N/A-2200390 (V2) | October 2023
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1,5 kcal / ml
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