With the development of specialized nutrition support, an interdisciplinary approach was essential to translating this medical breakthrough from the laboratory to the bedside. As this new innovation was adopted, interdisciplinary nutrition support teams were created to optimize the effectiveness and safety of this therapy. The impact of standardization and the use of an interdisciplinary team t...

The critically ill patient very often presents with systemic evidence of infection including tachypnea, tachycardia and hypo-hyperthermia; this may lead to sepsis syndrome and subsequent multisystem organ failure. In order to manage this clinical condition, nutritional supportive therapy is very often required. The choice between enteral and parenteral nutrition is not always straightforward. E...

A clinical nutrition support pharmacist training program, in collaboration with the Spanish Foundation of Hospital Pharmacy, Spanish Society of Clinical Nutrition, Abbott Nutrition International, University of Tennessee, College of Pharmacy and Regional One Health, is described. Nutrition support pharmacists from Spain were selected to participate in a one-month training program with an experie...

BACKGROUND Informatics can help the development of home enteral nutrition therapy (HENT). By using an electronic protocol with an electronic database it is possible to organize, structure and manage, information. AIM To develop an electronic protocol for data collection on treatment of patients with home enteral nutrition. METHOD After a review in theoretical material about home enteral nut...

AIMS Metabolic acidosis is a common problem after infusion with chloride-based parenteral nutrition. However, it is unknown whether the occurrence of metabolic acidosis is related to this regimen of therapy or to patient-specific risk factors. METHODS Patients receiving parenteral nutrition from July to December 2003 at this hospital were included for a retrospective study. Patients were excl...

Malnutrition and sarcopenia often occur in rehabilitation settings. The prevalence of malnutrition and sarcopenia in older patients undergoing rehabilitation is 49-67 % and 40-46.5 %, respectively. Malnutrition and sarcopenia are associated with poorer rehabilitation outcome and physical function. Therefore, a combination of both rehabilitation and nutrition care management may improve outcome ...

All individuals have a fundamental human right to nutrition. However, it is well known that undernourishment common and major health issue among elderly across the globe. Nutritional documentation helps guarantee correct nutritional care therapy. Research on medical nursing home staff's of in hospitals between facilities homes scarce. The evidence presently offered points unsatisfactory documen...

PURPOSE A medical center's implementation of adult and pediatric parenteral nutrition (PN) algorithms and other strategies for managing PN ingredient shortages are described. SUMMARY In response to nationwide shortages of amino acids and other PN ingredients in 2010, a large Massachusetts teaching hospital undertook a quality-improvement initiative to ensure appropriate patient selection for ...

Nutrition support should be considered optional when this therapy is not in congruence with an individual's wishes based on quality of life goals, during the end-of-life period. Ethical dilemmas, dealing with nutrition therapy, are often due to lack of early communication between individuals, their family, and healthcare providers. Landmark young adult ethical court cases, dealing with nutritio...

Nutritional therapy in the critically ill patient in the intensive care unit (ICU) is an important part of the total care of the patient. Nutrition can be given through parenteral nutrition or enteral nutrition therapy. Parenteral nutrition has been limited recently, but not exclusively, to patients who, for a variety of reasons, cannot be fed enterally. Although the debate concerning parentera...