Abbott is in the business of helping people live longer and better at all ages and stages of life through good health. Sustainability is an essential part of this, and an essential part of our mission.

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Fred is 89-year-old retired gentleman with grown up sons, currently living independently...

Martin is a 74-year-old retired gentleman with a grown-up daughter. He is currently living in his own home in Rochdale with the support of his daughter and daily carers for his hygiene needs.

Doreen, a retired mother of two, suffered a serious fall while she was out shopping, which led to her having to spend eight weeks in hospital, recovering from a fractured neck of femur.

Sue is a 42 year old female patient with a subtotal colectomy and ileostomy. She was admitted to hospital with chronic diarrhoea, and investigation showed evidence of ulceration of the ileosigmoid anastamosis and terminal ileum. During this admission she had numerous medical interventions such as steroid therapy, blood and ferritin transfusions, diuretics and a trial of Creon. She was fed via nasogastric (NG) feeding tube as she was only consuming half of her meals. Previously she had unsuccessfully trialled various whole protein oral nutritional supplements (ONS) and modular supplements, which she had felt exacerbated the diarrhoea.

Rupert is a 65 year old male with Ménière’s disease, chronic obstructive pulmonary disease (COPD), depression, angina and previous history of transient ischaemic attacks (TIAs). Rupert was admitted to hospital with gastroenteritis and poorly controlled angina. He develop loose stools (type 7 on the Bristol Stool Chart) which persisted for four weeks and Metronidazole was prescribed for suspected C.difficile. His loose watery stools persisted and after a flexible sigmoidoscopy and colonoscopy were performed, Rupert was diagnosed with non-infective gastroenteritis and colitis. Codeine phosphate, Citalopram, Omeprazole, Prednisolone were trialled during this time. Rupert was only managing to consume a quarter of his meals and was prescribed whole protein oral nutritional supplements (ONS).

Phil is a 64 year old male undergoing palliative chemotherapy for pancreatic cancer and had a biliary stent in situ. He was consuming all of his meals but required additional supplementation to meet his nutritional requirements. Whole protein oral nutritional supplements (ONS) were not tolerated as they exacerbated his diarrhoea.

John is an 80 year old gentleman who was admitte to hospital for an elective mitral valve repair (MVR) and quadruple coronary bypass graft (CABG). On extubation in the Intensive Care unit (ICU) he developed hypoxia due to collapse of the left lower lobe of his lung. He has a flexiseal in situ to manage severe diarrhoea and was fed a high energy whole proteun fibre feed continuously via a nasogastric tube. 

Arnold is an 82 year old male patient with a ruptured oesphagus and dysphagia. He is nil by mouth and reliant on tube fedding via a percutaneous endoscopic gastrostomy tube with a jejunal extension (PEG-J).  His regular prescription for medication includes Ranitidine, Domperodone, Citalopram, Hyoscine patches, Carbocisteine, Lansoprazole, Zopiclone and Cyclizine. He lives at home and was experiencing loose stools up to 5 times a day with an urgency to pass stools. 

Maggie is an 83 year old female with osteoporosis and high blood presure. She is housebound and lives on her own. Maggie's dietary intake was poor, so she was prescribed a powder-based oral nutritional supplement (ONS) twice daily. 

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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. 

Derek, 82, is a retired civil servant from Kent who lives at home with his wife. Despite his love for gardening and the crops of fresh vegetables he has grown for more than 34 years, Derek struggles with eating and drinking.