UK-N/A-2400375 | September 2025
Authors:
Dr Ione de Brito-Ashurst, PhD, RD
Publish Date:
November 2024 | 25 min
Abstract:
Join Dr. Ione De Brito Ashurst as she explores the development of a system-level frailty framework. This video covers the importance of creating a frailty network, the planning process, and the frailty model. Learn about muscle screening, assessment tools, and nutrition strategies to support muscle health, along with the synergistic effect of nutrition and exercise.
Once you have watched this video, please remember to complete your self-reflective notes to contribute towards your continuing professional development. You will then be able to access your Certificate of Completion.
LEARNING OBJECTIVES
Discuss why a system-level frailty framework should be created and review the development process.
Identify the key pillars of a frailty framework, including nutrition, and summarise practical ways to embed muscle screening and nutrition intervention.
Review how dietitians can support frailty care.
DR IONE DE BRITO-ASHURST, PhD RD
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.


