Official guidance from #ESPEN about nutritional management of #COVIDー19 clinicalnutritionjournal.com/article/S0261-…
A useful summary of nutrition/malnutrition, immune function and critical care.
But in reality, #ICU is different... FWIW a personal interpretation of limited experience thus far.. Assume every patient with #COVID19 is at high risk of malnutrition, whether co-morbidities exist, or not. Difficulties in breathing (DIB) compromises oral intake whether or not non-invasive ventilation (NIV) is used. Plus patients are being admitted well along the disease pathway

THIS picture of an elderly man in an Epsom supermarket this week mol.im/a/8126263 via @MailOnline....

Professionally and personally I find it harrowing.
You find yourself creating a narrative ...
<thread> #coronavirus #stockpiling #panicbuyinguk 1/10 I don't know this man. I don't know his situation. But I recognise the posture. It's defeated.
As if staring at the list will generate some semblance of order as to what item to look for next. Which is likely to be a futile search in 🇬🇧 #supermarkets at the moment 2/

Truly, if you are an individual who insists on calling this hospital sandwich 'ultraprocessed junk' you really need to a) learn how to interpret a food label, b) read up on ingredients c) stop commentating in public on matters on which you have little knowledge or understanding Well, this tweet certainly has brought *interesting* replies. So many carefully trying to explain their food prejudices with emotive justification. A few, to a person with no nutritional qualification to their name, being just plain rude. Pretty normal food-fight behaviour