Nutritional Care of the Older Patient with Fragility Fracture: Opportunities for Systematised, Interdisciplinary Approaches Across Acute Care, Rehabilitation and Secondary Prevention Settings

Jack J. Bell; Ólöf Guðný Geirsdóttir; Karen Hertz; Julie Santy-Tomlinson; Sigrún Sunna Skúladóttir; Stefano Eleuteri; Antony Johansen

doi:10.1007/978-3-030-48126-1_18

Nutritional Care of the Older Patient with Fragility Fracture: Opportunities for Systematised, Interdisciplinary Approaches Across Acute Care, Rehabilitation and Secondary Prevention Settings

Review

In: Orthogeriatrics: The Management of Older Patients with Fragility Fractures [Internet]. 2nd edition. Cham (CH): Springer; 2021. Chapter 18.

2020 Aug 21.

Authors

Jack J. Bell¹, Ólöf Guðný Geirsdóttir², Karen Hertz³, Julie Santy-Tomlinson⁴, Sigrún Sunna Skúladóttir², Stefano Eleuteri⁵, Antony Johansen^{6

7}

Book Editors

Paolo Falaschi¹, David Marsh²

Affiliations

¹ The Prince Charles Hospital and School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, QLD, Australia
² Faculty of Food Science and Nutrition, School of Health, University of Iceland, Reykjavík, Iceland
³ Royal Stoke University Hospital, Stoke-on-Trent, UK
⁴ Orthopaedic Nursing, Odense University Hospitals/University of Southern Denmark, Odense, Denmark
⁵ Department of Psychology, Sapienza University of Rome A, Rome, Italy
⁶ Trauma Unit, University Hospital of Wales, Cardiff, UK
⁷ National Hip Fracture Database, Royal College of Physicians, London, UK

Book Affiliations

¹ Geriatrics Department, Sapienza University of Rome, Roma, Italy
² Department of Orthopaedics, University College London, London, UK

Excerpt

Nutritional care of the older patient with fragility fracture is complex. Diagnostic difficulties, multi-morbidities and interdependencies and social complexities all contribute to the wicked problem of malnutrition. Whilst many settings have attempted to address malnutrition through highly specialised care, increasing evidence supports the role of systematised, interdisciplinary approaches across acute care, rehabilitation and secondary prevention settings. Consequently, this chapter is devoted to highlighting why a SIMPLE approach to malnutrition should underpin the nutritional care of the older patient with fragility fracture, regardless of setting or healthcare provider.

S Screen for nutrition risk

I Interdisciplinary assessment

M Make the diagnosis (es)

P Plan with the patient

L impLement interventions

E Evaluate ongoing care requirements

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Review