The Department of Health of the Generalitat de Catalunya has published “Consensus document for the community approach to disease-related malnutrition in people with polymorbidity”. This is one of the tools to address the chronicity strategy included in the 2016-2020 Health Plan.
The document has been coordinated by Dra. Rosa Burgos, coordinator of the Nutritional Support Unit of the Vall d’Hebron University Hospital in Barcelona and member of the Executive Board of the Alianza másnutridos; and Dra. Clara Joaquín Ortiz, coordinator of the Clinical Nutrition and Dietetics Unit of the Germans Trias i Pujol University Hospital in Badalona (Barcelona), and member of the Interterritorial Group of the Alianza másnutridos.
The aim of the document is to detect and improve the nutritional status of people with complex care needs related to polymorbidity and to facilitate, from a multidimensional and interdisciplinary perspective, effective and individualized interventions and responses to these patients. This document is the result of the consensus of multiple professionals and scientific societies, from an evidence-based proposal to this prevalent problem with high impact on health outcomes and patient’s quality of life, as well as with a high economic costs.
The approach will be carried out in 4 stages: screening and diagnosis of malnutrition, multidimensional assessment, intervention plan (in two stages) and registration/monitoring. Figure 1 shows the visual summary of the document for this community-based approach to disease-related malnutrition in chronic patients with polymorbidity and clinical complexity.
Figure 1: Visual summary consensus for the community approach to nutrition in the patients with polimorbidity