(Ebook) Nutrition Support in Adults Oral Nutrition Support Enteral Tube Feeding and Parenteral Nutrition 1st Edition by the National Collaborating Centre for Acute Care at The Royal College of Surgeons of England ISBN 9780954976026 0954976029

(Ebook) Nutrition Support in Adults Oral Nutrition Support Enteral Tube Feeding and Parenteral Nutrition 1st Edition by the National Collaborating Centre for Acute Care at The Royal College of Surgeons of England ISBN 9780954976026 0954976029

(Ebook) Nutrition Support in Adults Oral Nutrition Support Enteral Tube Feeding and Parenteral Nutrition 1st Edition by the National Collaborating Centre for Acute Care at The Royal College of Surgeons of England - Ebook PDF Instant Download/Delivery: 9780954976026, 0954976029
Full download (Ebook) Nutrition Support in Adults Oral Nutrition Support Enteral Tube Feeding and Parenteral Nutrition 1st Edition after payment

Product details:

ISBN 10: 0954976029
ISBN 13: 9780954976026
Author: the National Collaborating Centre for Acute Care at The Royal College of Surgeons of England

Malnutrition is both a cause and a consequence of ill-health. It is surprisingly common in the UK, especially in those who are unwell. Many older people and those with any long-term medical or psycho-social problems are chronically underweight and so are vulnerable to acute illness. Even people who are well-nourished eat and drink less if they are ill or injured and although this may only be short-lived as part of an acute problem, if it persists the person can become undernourished to an extent that may impair recovery or precipitate other medical conditions.
The consequences of malnutrition include vulnerability to infection, delayed wound healing, impaired function of heart and lungs, decreased muscle strength and depression. People with malnutrition consult their general practitioners more frequently, go to hospital more often and for longer, and have higher complication and mortality rates. Surgical patients, who have malnutrition for example, have around three times as many postoperative complications and four times greater risk of death than well nourished patients having similar operations. If poor dietary intake or complete inability to eat persists for weeks, the resulting malnutrition can be life-threatening in itself.
The provision of normal food and drink along with physical help to eat if necessary, when unwell will often suffice. However, if this fails, is impractical or is unsafe, measures to provide nutrition support may be indicated. These include, either alone or in combination: extra oral intake such as extra food and special drinks ; feeding via a tube into the gastro-intestinal tract (enteral tube feeding - ETF); or giving nutrients intravenously (parenteral nutrition -
PN). Choosing the most effective and safest route is essential, yet current knowledge of nutrition support amongst most UK health professionals is poor.
The need for nutrition support is essentially absolute if patients are unable to meet the majority of their nutrient needs for prolonged periods (e.g. in complete dysphagia or intestinal failure). However, when nutritional intakes are closer to meeting needs, or when the likely period of inadequate intake is uncertain, decisions are more complex, especially as providing nutrition support is not without risk. Oral supplementation can cause pneumonia in dysphagic patients, while ETF and PN can cause gastrointestinal problems, infections, metabolic upset and trauma. ‘These risks will need to be discussed with patients and even in those instances where they are able to provide informed consent, difficult clinical and ethical issues can arise particularly where such patients do not want to ‘artificially’ prolong their life. Likewise with patients who are unable to express a wish either because they are unconscious and thus unable to communicate but in need of immediate nutritional support or because they lack capacity to provide informed consent, in which case clinicians will need to act in accordance with what they determine to be in the best interests of the patient.’

(Ebook) Nutrition Support in Adults Oral Nutrition Support Enteral Tube Feeding and Parenteral Nutrition 1st Edition Table of contents:

1. Introduction and Methods

1.1 The Need for Guidelines in Nutrition Support
1.2 What Is a Guideline?
1.3 Remit of the Guideline
1.4 What the Guideline Covers
1.5 What the Guideline Does Not Cover
1.6 Who the Guideline Is For
1.7 Who Developed the Guideline?
1.8 Methodology
1.9 Hierarchy of Clinical Evidence
1.10 Health Economics Methods
1.11 Forming and Grading the Recommendations
1.12 Specific Problems with Evidence Relating to the Development of Nutrition Support Guidelines
1.13 Patient-Centred Care
1.14 Summary of the Recommendations
1.14.3 Research Recommendations

2. Malnutrition and the Principles of Nutrition Support

2.1 Introduction
2.2 The Causes of Malnutrition
2.3 The Effects of Malnutrition
2.4 The Prevalence of Malnutrition
2.5 Principles Underlying Intervention

3. Organisation of Nutrition Support in Hospital and the Community

3.1 Introduction
3.2 Nutrition Support in the Community
3.3 Nutrition Support in Hospital
3.4 Methods
3.5 Clinical Evidence
3.6 Cost-Effectiveness Evidence
3.7 Conclusion
3.8 Recommendations for Clinical Practice
3.9 Research Recommendations

4. Screening for Malnutrition and the Risk of Malnutrition in Hospital and the Community

4.1 Nutritional Assessment
4.2 Why and How to Screen
4.3 Methods
4.4 Studies Considered for this Review
4.5 Clinical Evidence
4.6 Cost-Effectiveness Evidence
4.7 Consensus Development Methods
4.8 Impact of Nutritional Assessment on the Patient
4.9 Recommendations for Clinical Practice
4.10 Research Recommendations

5. Indications for Nutrition Support

5.1 Introduction
5.2 Methodology
5.3 Appropriate Nutrition Support and Ethical/Legal Issues
5.4 Rationale for Recommendations
5.4.1 Recommendations for Clinical Practice
5.5 Algorithms

6. What to Give in Hospital and the Community

6.1 Background
6.2 General Principles
6.3 Calculating Requirements
6.4 Concerns with Prescribing Levels
6.5 Recommendations for Clinical Practice
6.6 Re-feeding Problems
6.7 Recommendations for Research

7. Monitoring of Nutrition Support in Hospital and the Community

7.1 Introduction
7.2 Methods
7.3 Recommendations for Clinical Practice
7.4 Research Recommendations

8. Oral Nutrition Support in Hospital and the Community

8.1 Introduction
8.2 Oral Nutritional Support vs. Standard Care in Malnourished Patients
8.3 Dietary Advice vs. Standard Care
8.4 Oral Nutritional Supplements vs. Dietary Advice
8.5 Recommendations for Clinical Practice
8.6 Oral Nutrition Support in Surgical Patients
8.7 Recommendations for Clinical Practice
8.8 Oral Nutrition Support in Pancreatitis Patients
8.9 Oral Multivitamin and Mineral Supplementation in Malnourished Patients
8.10 Nutrition Support in Patients with Dysphagia
8.11 Recommendations for Clinical Practice
8.12 Research Recommendations

9. Enteral Tube Feeding in Hospital and the Community

9.1 Introduction
9.2 General Indications for Enteral Tube Feeding
9.3 Recommendations for Clinical Practice
9.4 Enteral Tube Feeding vs. Standard Care
9.5 Recommendations for Clinical Practice
9.6 Enteral Tube Feeding Routes of Access
9.7 Recommendations for Clinical Practice
9.8 PEG vs. NG Feeding
9.9 Recommendations for Clinical Practice
9.10 Commencing Enteral Tube Feeding After PEG Insertion
9.11 Recommendations for Clinical Practice
9.12 Types of Enteral Feeds
9.13 Mode of Delivering Enteral Tube Feeding
9.14 Recommendations for Clinical Practice
9.15 Motility Agents
9.16 Recommendations for Clinical Practice
9.17 Complications of Enteral Tube Feeding
9.18 Recommendations for Clinical Practice
9.19 Research Recommendations

10. Parenteral Nutrition in Hospital and the Community

10.1 Introduction
10.2 PN vs. No PN
10.2.3 Elective PN in Surgical Patients
10.3 Recommendations for Clinical Practice
10.4 Parenteral vs. Enteral Tube Feeding
10.5 Recommendations for Clinical Practice
10.6 Venous Access for PN
10.7 Recommendations for Clinical Practice
10.8 Peripheral PN vs. Central PN
10.9 PN via a Tunnelled vs. Non-Tunnelled Catheter
10.10 Tailored vs. Standard PN Preparations
10.11 Recommendations for Clinical Practice
10.12 Cyclical vs. Continuous PN Delivery
10.13 Recommendations for Clinical Practice
10.14 Complications from PN
10.15 Recommendations for Clinical Practice
10.16 Research Recommendations

11. Supporting Patients in the Community

11.1 Home Enteral Tube Feeding
11.2 Recommendations for Clinical Practice
11.3 Home Parenteral Nutrition
11.4 Recommendations for Clinical Practice
11.5 Working in Partnership with Patients, Families, and Carers
11.6 Recommendations for Clinical Practice
11.7 Research Recommendations

People also search for (Ebook) Nutrition Support in Adults Oral Nutrition Support Enteral Tube Feeding and Parenteral Nutrition 1st Edition:

is nutrition assistance food stamps
    
is nutrition a social science
    
why is nutrition important in older adults
    
is nutrition important
    
nutrition support team

Tags: the National Collaborating Centre for Acute Care at The Royal College of Surgeons of England, Nutrition Support