Nutrition care pathways or interventions for patients recovering from COVID-19 or long COVID
- How can the nutritional management of those recovering from COVID 19 be best supported and managed in the community setting? Is there any published evidence of nutrition care pathways and or specific interventions for patients Post Covid-19 transferring from acute to rehab, community settings?
- What evidence is available about the specific nutritional considerations in the management of long COVID-19, i.e. nutrition care pathways and/or interventions?
- What is the specific role of the dietitian in the management of post-COVID 19 recovery? What evidence supports the specific need for dietitians to be involved in the multi-disciplinary management of COVID-19?
Guidelines make recommendations as to how nutrition in those recovering from COVID-19 can be managed in the community. The guidelines predominantly address how to manage malnutrition during intensive care unit (ICU) stay but increasingly also address nutrition management on movement to acute ward and from hospital discharge to community settings. There is limited evidence of the impact of nutrition management approaches on COVID-19 recovery. The guidelines draw from broader literature and expert consensus. Broader evidence of the impact of nutrition on the immune system and health suggests nutrition is a key aspect of recovery from COVID-19. Furthermore, there is evidence to support the role of nutrition in recovery from respiratory illness and ICU stay.
The guidelines emphasize screening for malnutrition, developing a tailored nutrition care plan and ensuring ongoing nutritional support on discharge. Regular review and monitoring is encouraged to reduce nutritional risk. The nutritional considerations in long COVID-19 are not easily distinguished from the considerations in COVID-19 recovery overall, except that they are prolonged in duration. The findings of long-term effects reinforce the recommendations for continued nutrition support until the nutrition risks have been addressed. Further research is needed to understand the impact of nutrition and dietetics interventions in recovery from COVID-19.
The content of this document is correct as of 31/05/2021.