South Nutrition Day Review A Review from the Fifth South Region BAPEN Nutrition Day


PETER AUSTIN Senior Pharmacist, Southampton University Hospitals NHS Trust, South Region BAPEN Representative Peter.Austin@suht.swest.nhs.uk


The fifth South Region BAPEN Nutrition day was held on Monday 4th July at Paultons Park in Hampshire, attracting over 60 delegates of mixed professional backgrounds. The theme this year was ‘Feast and Famine’ in adult patients.


Gil Hardy from New Zealand chaired the first session on ‘Low BMI’. Steve Wootton began by explaining the causes of malnutrition and how reductive adaptation is reflected in both structural and functional changes. Mike Stroud provided an interesting overview of the development of the MARSIPAN guidelines. He followed this by going over their content and discussing the need to commence feeding in malnourished individuals cautiously (but to increase it as tolerated) whilst watching out carefully for complications. During his presentation on cancer cachexia, Alessandro Laviano asked the audience to consider the cost and benefit of nutritional support compared to other therapies, providing a thought-provoking example. After a coffee break, Mark Tomlin from Southampton chaired the second session on ‘Practical issues in the management of cancer and malnutrition’. First, Phil Boger highlighted that patients with gastro-oesophageal cancer suitable for surgery and/or chemotherapy should have specialist consideration due to the impact of their nutrition status on their likely outcome. Second, Aminda de Silva tested the audience with some images during his description of the effects of radiation enteritis and gave a number of practical management tips. And third, Paul Cook explained how to take a critical approach to biochemical values with a number of interesting


examples. He also reminded everyone that albumin is not a marker for nutritional status. Lunch was an opportunity for the audience to fuel up ready for the afternoon sessions. Andrew King chaired the ‘Obesity’ session, which Christopher Byrne opened by defining the metabolic syndrome and explaining its consequences and difficulties. Jamie Kelly then talked about the increasing prevalence of obesity, and the associated morbidity and costs before moving on to describe the possible types of surgery and relevant post-operative management. To conclude the session, Marinos Elia presented the paradox that a higher BMI may actually have a survival advantage according to some studies, but this interesting issue remains controversial. This final presentation of the session was timed well, as it was followed by afternoon cream tea!


The final session on ‘Community’, chaired by


Marinos Elia, covered enteral feeding issues from Peter Collins and Emma Parsons and parenteral feeding issues from Trevor Smith. Peter noted clear guidelines for the management of nutrition in COPD patients is required, highlighting the need for routine screening in the meantime. Emma talked about nutrition in care homes after reminding the audience of the £13b annual cost of malnutrition to the UK. She presented preliminary results of a randomised control trial


in malnourished care home residents who showed an improvement in quality of life with oral nutritional supplementation. Trevor described the definitions of acute (types 1 and 2) and chronic (type 3) intestinal failure and went on to describe the incidence of home parenteral nutrition and a number of helpful practical management issues.


The delegate feedback was positive and we hope that next year’s meeting on Monday 3rd July 2011 proves as popular - please sign up early! We are very grateful to all our speakers and very grateful to (in alphabetical order) Abbott, Baxter, BBraun, BUPA, Ferring, Fresenius Kabi, Merck Serono Limited and Nutricia, for kindly supporting the day and answering questions from the delegates.


The opening presentation by Steve Wootton on the causes and consequences of a low BMI, with chair Gil Hardy to the left.


BAPEN Nutricia Good Practice Awards 2011


The BAPEN Nutricia Good Practice Awards recognize good practice by health and social care workers in identifying and managing malnutrition.


The awards are designed to encourage health and social care workers to share experiences in implementing screening and appropriate management of malnutrition across settings from the last 2 years.


The gold medal winner will be awarded £2000 and invited to present their example of good practice at the BAPEN annual conference 2011 (29th – 30th November).The silver medal winner will receive £1000 and the bronze medal winner £500.


Guidelines and instructions for applicants are available on request from: Rachel Freeman: rachel.freeman@nutricia.com


Or for further information please contact: Andrea Ralph: andrea.ralph@nutricia.com


Representatives of BAPEN’s Malnutrition Action Group and Nutricia will judge the applications and the award will be presented at the BAPEN annual conference 2011(29th – 30th November).


The closing date for applications is 31st August 2011 BAPEN In Touch No.62 August 2011 4


Bronze £500


Silver £1000


Gold £2000


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