ENSURE PLUS ADVANCE CASE STUDY: MRS. SMITH

The patient

Mrs. Smith is an 85-year-old lady living in her own home. She has a grown up daughter near by.

Patient’s situation

Mrs Smith was active and living independently at home, cooking for herself with occasional help from her daughter with everyday activities of living such as shopping, when she caught COVID-19 and pneumonia. This led to a reduced dietary intake due to a poor appetite. During this time, Mrs Smith spilled a boiling hot cup of tea on her thigh and buttock, causing a 40 cm x 20 cm, extremely painful combination of superficial and full thickness burn.

The local Burns Unit assessed Mrs. Smith and made a routine appointment for her with the plastic surgery team, as they felt the wound may not heal on its own. She was then discharged into community care, to be seen by both community and tissue viability nurses for wound management, including daily dressing changes.

When Hayley, TVN, first met Mrs. Smith, she was very concerned about her nutritional status. Mrs Smith already had a poor dietary intake due to COVID-19, then the pain caused by the burn impacted her appetite further, as well as her ability to mobilise and cook. The burn affected Mrs Smith’s mental health, and she reported she felt very depressed. Dressing changes very difficult to the point that the patient was in tears due to the pain. Hayley was also concerned with the high amount of wound exudate, as it was likely Mrs Smith would be losing nutrients, particularly protein, through the exudate too.

Nutritional Intervention

2 bottles Ensure Plus Advance daily.

Nutritional Intervention Goals
  • Support wound healing
  • Maintain body mass index (22kg/m2)
  • Improve quality of life and ability to do activities of daily living
Patient Outcomes

After 11 days of taking Ensure Plus Advance, the wound was starting to retract and show signs of healing, so the dressing changes were reduced to 3 times a week rather than daily, much to Mrs. Smith's relief, as she found them very painful. Hayley reports she herself was ‘amazed at how quickly the wound started to heal and so pleased the patient was no longer in so much pain’. Within 3 weeks, the wound had halved in size and Mrs. Smith was starting to get back to activities of daily living, mobilising and cooking again. In 7 weeks the wound had healed completely, leaving no scarring. The referral to plastic surgery was cancelled as no longer required.

Mrs. Smith is ‘so happy to be back to her normal self’. Her food intake started to improve after a month of taking Ensure Plus Advance and she was eating so well after 9 weeks, that her ONS prescription was stopped accordingly. Mrs. Smith is back to being as independent as she was previously.

Economic impact outcomes

Hayley feels certain that nutritional intervention with Ensure Plus Advance led to fewer nursing visits and fewer dressings which would have a positive impact on NHS economic outcomes.

In addition:

  • Cost of Ensure Plus Advance for 9 weeks: £291*
  • Potential reduction in nursing visits: ~20 (at a total cost of £1,260)ϯ
  • Potential cost saving of plastic surgeon consultation: £143ϯ
  • Potential cost savings of £1,112 (excluding dressing costs)

*Costings based on 2 servings Ensure Plus Advance a day for 9 weeks. Price as of October 2023. MIMs October 2023. Accessed October 2023:| MIMS online .

Ϯ Based on Unit Costs of Health and Social Care 2022 Manual. Accessed October 2023: Unit Costs of Health and Social Care programme (2022 – 2027) | The new home for the Unit Costs of Health and Social Care report (pssru.ac.uk)

 

RELATED CONTENT

Ensure Plus Advance

Main Image

Tag Name
ADULT
Heading

Ensure Plus Advance

Product Description

Ensure Plus Advance is a 220 ml, ready-to-drink, oral nutritional supplement (ONS) formulated specifically for older adults who have, or are at risk of, malnutrition. It’s our most advanced ONS yet, with each bottle providing 330 kcal (1.5 kcal/ml), 20 g of protein, 13 μg of vitamin D (500 IU), 499 mg of calcium and 1.5g of CaHMB (calcium-β-hydroxy-β-methylbutyrate).

Ensure Plus Advance is available in 5 delicious flavours: banana, chocolate, coffee, strawberry and vanilla.

Sample Available
true
Content Reference
/content/an/hcpproconnect/uk/en/home/adult/products/Ensure-Plus-Advance
Sample Available Text
Sample Available

The Power of HMB

Main Image

The Power of HMB

Tagname
ARTICLE
title
The Power of HMB
Content Reference
/content/an/hcpproconnect/uk/en/home/adult/resources/public/the-power-of-HMB
Abstract

This article discusses the impact of muscle loss to both adult patients and the NHS

Publish Date:

Ensure Plus Advance Case Study: Martin

Martin is a 74-year-old retired gentleman with a grown-up daughter. He is currently living in his own home in Rochdale with the support of his daughter and daily carers for his hygiene needs.

Main Image

Tagname
CASE STUDY
title
Ensure Plus Advance Case Study: Martin
Abstract

Martin is a 74-year-old retired gentleman with a grown-up daughter. He is currently living in his own home in Rochdale with the support of his daughter and daily carers for his hygiene needs.

Publish Date:
August 2020 | 5 min
Content Reference
/content/an/hcpproconnect/uk/en/home/adult/resources/public/ensure-plus-advance-cs-martin-v2

 

UK-N/A-2300483 | November 2023

Order ID: #12345
Order Date: 01/05/2024
Product Product Flavour Product Quantity
Click here to add this page to your bookmarks.

This page has been added to your bookmark. To access your bookmark list, Click here

Loading...

SESSION TIMEOUT

Your session is about to expire in {min} minutes and you will be logged out. Do you wish to stay logged in?
UK-N/A-2400058 (V8) | October 2024

You have now gained access to ProConnect for a limited time. We will now verify your details before your account becomes fully active.

You are now able to freely access all resources and education during this visit to the ProConnect website. An email will be sent to you within 2 working days to activate your account which will complete your registration process.

UK-N/A-2400058 (V8) | October 2024

JOIN ABBOTT'S GROWING NETWORK OF HEALTHCARE PROFESSIONALS

Sign up to receive marketing and medical communications from Abbott

Fields marked with an asterisk (*) are mandatory.   

Please enter a valid first name Please enter a first name Please do not add space or special characters on the field
Please enter a valid last name Please enter a last name Please do not add space or special characters on the field
Please enter a valid contact number starting with +44 Please enter a contact number Please enter a valid contact number starting with +44
Please enter a valid email address Please enter an email address Please enter a valid email address
Please enter a valid email address Please confirm your email address Please enter a valid email address
Please enter a valid email address Please enter a valid email address
Please enter a valid email address Please enter a valid email address
 
Please select an area of specialty
Only Select a UK place of work. If unable to select/locate one, please fill in manually in Place of Work/Trust. Please enter a valid postcode using the correct format (see information icon above). Please enter a postcode Please enter a valid postcode using the correct format (see information icon above).
Please enter a place of work/trust Please enter a place of work/trust Please enter valid work / trust. Do not use special characters in this box.
Please enter valid address Please enter a street Please enter valid street. Do not use special characters in this box.
Please enter valid city Please enter a city Please enter valid city. Do not use special characters in this box.
Please enter valid county Please enter a county Please enter valid county. Do not use special characters in this box.
Password does not follow password guidelines Please enter a password Password must have at least 8 characters, 1 number, and 1 special character

Password Requirements

Password must match Please confirm your password

Abbott would like to use your personal data to send to you emails on scientific and educational information, invitations to events, surveys and other relevant communications from Abbott (the “Purpose”). Abbott will not sell or transfer your personal information. Unless you have expressly consented, Abbott will not use it for any other purpose other than the Purpose. To be removed from the Abbott mailing list, you may unsubscribe at any time by managing your preferences in the 'my account' section. Access Abbott's Privacy Policy to learn more about how your data is managed.

 
Please agree to the site's terms of use

Have an account? Login Here

Success or error message

Sorry there has been an error in your registration, please contact our customer service team email: abbott.customerservices@nhs.net
Sorry there has been an error in your registration, please contact our customer service team email: abbott.customerservices@nhs.net
You have registered for an account using abc@gmail.com, however you have not yet activated your account. Please check your inbox for an email from proconnect@abbott.com to activate your account
You might already have an account with ProConnect. abc@gmail.com. Please try and login.
You might already have an account with ProConnect, abc@gmail.com. Please try and login.
UK-N/A-2400058 (V8) | October 2024

Added to Bag

ENSURE PLUS

1 x 220 ml

Flavor: Apple

UK-N/A-2400058 (V8) | October 2024

1,5 kcal / ml

Nutrition Information

Energy
 UnitPer {ml-col-1} mlPer {ml-col-2} ml
 
Vitamins
 UnitPer {ml-col-1} mlPer {ml-col-2} ml
 
Minerals
 UnitPer {ml-col-1} mlPer {ml-col-2} ml
 

footnotes

Product details not available.