Department of Gastroenterology, Nutrition Team, Erasme University Hospital, Brussels, Belgium.
Clin Nutr. 2009 Oct;28(5):492-6. doi: 10.1016/j.clnu.2009.07.011. Epub 2009 Aug 22.
Undernutrition in home care and care home settings has been acknowledged as a situation with various causes and significant consequences on both an individual and social level. A review article exposing this problem has been recently published. Consequently, scientific experts and other stakeholders were involved in formulating recommendations to tackle undernutrition and sensitize political authorities. The forum held in Brussels and its proceedings were considered as a baseline to interview stakeholders involved in care homes and home care in order to propose solutions on different levels. A full report including guidelines was sent and accepted by the Council of Europe, and can be used as a basis for implementing strategies on a national and international level. A multidisciplinary approach is important to successfully tackle malnutrition on multiple levels: the patients, the health care workers (medical and non-medical), the public, policy makers and society stakeholders. Awareness for patients and caregivers is important; this can be obtained by information and appropriate training. Care home management and kitchen staff activities can be modified in order to promote nutrition. Policy makers should create legal frameworks to confront malnutrition as being a public health concern. Undernutrition in home care and care home settings is a considerable problem and confrontation involves a multidisciplinary approach.
居家护理和养老院环境中的营养不足已被认为是一种存在多种原因且对个人和社会层面都有重大影响的情况。最近发表了一篇评论文章揭示了这一问题。因此，科学专家和其他利益相关者参与制定了建议，以解决营养不足问题，并引起政治当局的重视。在布鲁塞尔举行的论坛及其议事情况被视为对参与养老院和居家护理的利益相关者进行访谈的基础，以便在不同层面提出解决方案。一份包括指南的完整报告已发送并被欧洲委员会接受，可作为在国家和国际层面实施战略的基础。多学科方法对于成功解决多个层面的营养不良问题至关重要：患者、医疗保健工作者（医疗和非医疗）、公众、政策制定者和社会利益相关者。提高患者和护理人员的认识很重要；这可以通过信息和适当的培训来实现。可以修改养老院管理和厨房工作人员的活动，以促进营养。政策制定者应制定法律框架，将营养不足问题作为公共卫生问题来解决。居家护理和养老院环境中的营养不足是一个相当大的问题，需要多学科方法来应对。
