UK-N/A-2400372 | September 2025
Authors:
Dr Ione De Brito-Ashurst, RD, PHD
Dr Clifford Lisk
Publish Date:
November 2024 | 12 mins
Abstract:
Improving the nutritional intake of frail patients can be very challenging. Healthcare professionals need to overcome these obstacles and come up with solutions for patients to improve their health.
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LEARNING OBJECTIVES
Discover the complexities of implementing nutritional interventions for frail patients.
Learn effective strategies and solutions used by healthcare professionals to overcome challenges and ensure successful nutritional interventions.
Gain practical recommendations for nutritional changes that frail patients at risk of malnutrition can implement to improve their health and wellbeing.
AUTHOR(S) BIO
DR IONE DE BRITO-ASHURST, RD, PHD
Head of Therapies & Rehabilitation, Royal Marsden NHS Foundation Trust, London
Ione is a dietitian and most of her recent clinical work has been in critical care. This has led to her active research interest in prevention and management of muscle mass decline. However, her research as part of her master’s and PhD has been around renal nutrition. She carried out her master’s research in patients’ renal nutrition education looking at improving phosphate management.
This was followed by a trial in bicarbonate supplementation that was published in an USA journal, won a European prize for significant contribution to the renal field and led to changes in the American and European renal nutrition recommendations.
Ione’s PhD followed this – A dietary salt intervention to reduce blood pressure in the Bangladeshi chronic kidney disease patients. Her work aimed to bridge the gap between the acute and community sector in the renal care of this patient group and to reduce health inequalities.
Ione is currently part of the European Society Parenteral Enteral Nutrition (ESPEN) Life Long Learning Faculty teaching group. She also works with the Care Quality Commission (CQC) of NHS England as a specialist advisor. Despite the leadership role, Ione is still passionate about nutrition and critical care and works closely co-supervising Masters and PhDs at Brazilian Universities. Ione won the ‘Florence Nightingale Leadership’ scholarship award in 2016, the only allied health professional in the nursing group.
Ione joined the London Clinical Senate Council in May 2019.
DR CLIFFORD LISK
Consultant physician in Acute medicine and Geriatric medicine, Barnet Hospital, Royal Free Hospitals NHS Foundation Trust.
Depute head, London School of Medicine and the Medical Specialties, NHSE.
Honorary clinical associate professor, UCL Medical School.
Dr Lisk is a Consultant physician in Acute medicine and Geriatric medicine at Barnet hospital with interests in medical education, community geriatrics and appropriate medicines use in older adults.
He is Deputy Head of School for Medicine and the Medicine specialties NHSE London, Quality lead for the Royal College of Physicians Specialty Advisory committee for Internal Medicine stage 1 training, Host examiner to the Membership of the Royal Colleges of Physicians practical assessment of clinical examination skills examinations and examiner to University College London MBBS final year examinations.
He is also Clinical Associate Professor to UCL Medical school.
