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  1. AU="Chawner, Melody"
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  1. Artikel ; Online: Nutritional Screening, Initial Management and Referral for Older People with Sarcopenia or Frailty - Results from a UK-Wide Survey.

    Bowler, Caroline / Moriarty, Elizabeth / Chawner, Melody / Clegg, Andrew / Biase, Sarah De / Offord, Natalie / Romano, Vittoria / Sayer, Avan A / Smith, Alison / Todd, Oliver / Witham, Miles D

    Journal of frailty, sarcopenia and falls

    2024  Band 9, Heft 2, Seite(n) 131–141

    Abstract: Objectives: We surveyed healthcare staff working with older people to understand current practice in nutrition screening, initial management and referral for older people with sarcopenia and frailty.: Methods: We conducted a UK-wide web-based survey ... ...

    Abstract Objectives: We surveyed healthcare staff working with older people to understand current practice in nutrition screening, initial management and referral for older people with sarcopenia and frailty.
    Methods: We conducted a UK-wide web-based survey of staff working with older people in both hospital and community settings. Surveys were distributed through professional organisation e-mail lists and social media channels. Descriptive data were generated from categorical responses and inductive thematic analysis was applied to free-text responses.
    Results: Data were analysed from 169 respondents (110 hospital, 59 community), representing 99 healthcare organisations. 91 (83%) hospital respondents and 24 (41%) community respondents reported that nutrition screening was performed on all patients with sarcopenia or frailty. The Malnutrition Universal Screening Tool was most commonly used to trigger referral to dietetics teams, but there was considerable variation in management before referral, referral thresholds and referral pathways. Themes derived from free-text responses included the need for training, issues of responsibility and ownership, inadequate resources (time, staff and equipment) and ineffective or inefficient processes for referral and management.
    Conclusions: Current UK nutritional care for older people with sarcopenia and frailty is heterogeneous. There are opportunities for better tools, processes, training and resources to improve current practice and pathways.
    Sprache Englisch
    Erscheinungsdatum 2024-06-01
    Erscheinungsland Greece
    Dokumenttyp Journal Article
    ISSN 2459-4148
    ISSN (online) 2459-4148
    DOI 10.22540/JFSF-09-131
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Content of exercise programmes targeting older people with sarcopenia or frailty - findings from a UK survey.

    Witham, Miles D / Chawner, Melody / Biase, Sarah De / Offord, Natalie / Todd, Oliver / Clegg, Andrew / Sayer, Avan A

    Journal of frailty, sarcopenia and falls

    2020  Band 5, Heft 1, Seite(n) 17–23

    Abstract: Objectives: To establish whether existing exercise programmes offered to people with sarcopenia or frailty adhere to the current evidence base.: Methods: We conducted a national survey of practitioners delivering exercise programmes to older people ... ...

    Abstract Objectives: To establish whether existing exercise programmes offered to people with sarcopenia or frailty adhere to the current evidence base.
    Methods: We conducted a national survey of practitioners delivering exercise programmes to older people with sarcopenia or frailty in the UK. The link to the online survey was distributed through email lists of professional societies, practice networks and social media. Questions covered target population and programme aims, type, duration and frequency of exercise, progress assessment and outcome measures.
    Results: One hundred and thirty-six responses were received. 94% of respondents reported prescribing or delivering exercise programmes to people with sarcopenia or frailty. Most programmes (81/135 [60%]) were primarily designed to prevent or reduce falls. Resistance training was the main focus in only 11/123 (9%), balance training in 61/123 (50%) and functional exercise in 28/123 (23%). Exercise was offered once a week or less by 81/124 (65%) of respondents. Outcome measures suitable for assessing the effect of resistance training programmes were reported by fewer than half of respondents (hand grip: 13/119 [11%]; chair stands: 55/119 [46%]).
    Conclusions: Current UK exercise programmes offered to older people with sarcopenia or frailty lack the specificity, frequency or duration of exercise likely to improve outcomes for this patient group.
    Sprache Englisch
    Erscheinungsdatum 2020-03-01
    Erscheinungsland Greece
    Dokumenttyp Journal Article
    ISSN 2459-4148
    ISSN (online) 2459-4148
    DOI 10.22540/JFSF-05-017
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Fernleihe an ZB MED

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