Oral Nutritional Supplements (ONS)

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The following algorithm provides a summary for primary care staff on how to identify and manage patients at risk of malnutrition and to ensure appropriate prescribing of Oral Nutritional Supplements (ONS) in line with the Highland Formulary

All risk categories:
Treat underlying condition and provide help and advice on food choices, eating and drinking when necessary. Record malnutrition risk category and the need for special diets and follow local policy.

Obesity:
Record presence of obesity. For those with underlying conditions, these are generally controlled before the treatment of obesity.

Important information:
1. If any concerns refer immediately to or contact your local Dietitian.
2. Refer to NHS Highland Guidelines on Refeeding Syndrome for patients who are at risk.
3. *Please note these supplements may not be suitable for patients with renal disease, food intolerance or who are vegetarian. Please contact your local Dietitian for advice

Re-assess subjects identified at risk as they move through care settings
See The ‘MUST’ Explanatory Booklet for further details and The ‘MUST’ Report for supporting evidence.

Managing Malnutrition and Prescibing Oral Nutritional Supplements - in Adults (NHS Highland intranet access required)

Managing Malnutrition and Prescibing Oral Nutritional Supplements - First Food Advice (NHS Highland intranet access required)

Managing Malnutrition and Prescibing Oral Nutritional Supplements - in Substance Misuse (NHS Highland intranet access required)

Glossary
Abbreviation Meaning
BMI Body Mass Index
MUST Malnutrition Universal Screening Tool
OTC Over the counter
Editorial Information

Last reviewed: 31 January 2016

Next review: 31 January 2017

Version: 3

Approved By: high-uhb.tam@nhs.net

Reviewer Name(s): Caroline Moir