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Clinical Nutrition Blog
Articles explore topics including digestive health, metabolic conditions, malnutrition and expert witness work in clinical nutrition cases.
Latest Articles


Refeeding Syndrome Negligence: When Is It Foreseeable and Preventable?
Refeeding syndrome is frequently alleged in hospital malnutrition litigation. However, biochemical disturbance alone does not establish negligence. The legal analysis turns on whether risk was identifiable, whether preventative measures were taken and whether monitoring was appropriate. Refeeding syndrome negligence depends on foreseeability, documentation and whether the metabolic disturbance materially contributed to harm.


Failure to Weigh Negligence: Why Weight Trends Matter in Hospital Malnutrition Cases
When does failure to weigh a patient become negligence? A dietetic expert witness explains how weight trends influence foreseeability and breach analysis.


Starvation Ketoacidosis Negligence: When Metabolic Collapse Becomes a Legal Issue
Ketone meter showing elevated ketone levels illustrating starvation ketoacidosis and metabolic acidosis risk in hospital patients.


Hospital Malnutrition Negligence: The 5 Most Common Documentation Failures That Lead to Claims
Hospital malnutrition negligence claims often arise from poor documentation. Learn the five most common failures in hospital nutrition records reviewed by dietitian expert witnesses.


Discharge Nutrition After Brain Injury: Risks, Responsibilities and Continuity of Care
Learn why discharge nutrition after brain injury is critical, including risks, planning requirements, and medico-legal considerations.


Refeeding Syndrome After Brain Injury: Risks, Recognition and Prevention
Learn about refeeding syndrome after brain injury, including risks, symptoms, prevention, and clinical management.


Inadequate Nutritional Intake After Brain Injury: When Is It a Concern?
Learn how patients may be eating but still not meeting nutritional needs after brain injury, and how this impacts recovery and clinical outcomes.


Failure to Start Feeding After Brain Injury: When Is It a Problem?
Learn when delayed feeding after brain injury becomes a concern, the risks involved, and how it may impact recovery and clinical outcomes.


Weight Loss After Brain Injury: When Is It a Red Flag?
Learn when weight loss after brain injury becomes a concern, including causes, risks, and when it may indicate inadequate nutritional care.


How Is Nutritional Status Monitored After Brain Injury (and What Gets Missed?)
Learn how nutritional status is monitored after brain injury and the common failures that lead to missed malnutrition and delayed intervention.


Malnutrition After Brain Injury in Hospital: When Does It Become Negligence?
Learn when malnutrition after brain injury may be considered negligence, including failures in nutritional care, feeding delays, and dysphagia management.


Can Malnutrition Materially Contribute to Death?
Malnutrition in hospital patients may become legally significant when analysing whether nutritional decline materially contributed to death.


Hospital Malnutrition in Children: When Does It Become Negligence?
Hospital malnutrition can occur when children’s nutritional needs are not recognised during admission. Learn when hospital nutrition care becomes legally significant


Refeeding Syndrome Negligence: When failure to prevent it becomes a breach of duty
Refeeding syndrome is a preventable complication of severe malnutrition. Learn when failure to follow NICE nutrition guidelines may constitute clinical negligence.


MUST Score Negligence in Hospital Care: When Does Legal Risk Arise?
Malnutrition Universal Screening Tool (MUST) used in hospital nutrition screening to assess risk of malnutrition based on BMI, weight loss and acute disease effect.


Paediatric Malnutrition: The Dietitian’s Role in Negligence Cases
Paediatric malnutrition can occur in UK healthcare settings when nutritional care is inadequate. Learn when it becomes negligence and the role of a dietitian expert witness.


When Does Malnutrition Become Clinical Negligence? A Case Every Solicitor Should Read
When nutrition is overlooked, duty of care is breached. Expert Witness Rick Miller explains how early dietetic action prevents litigation.


GLP-1 Weight-Loss Drugs and Malnutrition: What You Need to Know
GLP-1 drugs like Wegovy and Mounjaro are transforming weight loss, but can also lead to malnutrition without proper monitoring. Learn the risks, the legal context, and why expert nutrition evidence matters.
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