scholarly journals Evaluation the Role of Nutrition Support Team for Monitoring the Types, Complication, Nutrients and Drugs Provision in the Parenteral Nutrition

2021 ◽  
Vol 8 (12) ◽  
pp. 454-462
Author(s):  
Aisha Alshikhy ◽  
Hanaa Almasallati ◽  
Marwa Abu Saif
Keyword(s):  
Parenteral Nutrition ◽  
Medical Center ◽  
Nutritional Therapy ◽  
Intervention Programs ◽  
Nutrition Support ◽  
Support Teams ◽  
Support Team ◽  
Macro And Micronutrients ◽  
Unconscious Patients

Parenteral nutrition (PN) is a form of administering nutrients, include water, macro and micronutrients and is one of widely used mode of therapy used in patients who are unable to tolerate oral or enteral feeding. Therefore, the success of nutritional therapy depends chiefly on nutrition support teams. The aim of the present work to evaluation the provision of parenteral nutrition in the Benghazi medical center. A total of 86 patients were involved in the study and numbers of questions were answered from nutrition support team at the hospital. The result revealed that PPN (IV drip) most common used and mixture of dextrose and sodium chloride were highly provision in the hospital. Furthermore the Doctors at the ward were shown have fully responsibility for provided PN but there were neglected role of dietitian and pharmacist. Patients monitoring were not carried out routinely. Most drug delivered by PN found NSAIDs and insulin. Dextrose and sodium chlorides commonly used in the hospital for delivery medication. The present study also demonstrated that, PN did not fulfill the patients requirement and there were no patients monitoring. PN found to be used most frequently in some condition were where in real need such as pulmonary disease, GIT disorder and renal disease. Furthermore, TPN provided for the admitted patients include in emergencies, therapeutic and for unconscious patients. There were reported a number of complication in patient received PN due to lack of monitoring and prolong replacements of PN drainage. PPN (Iv drips) were the most common uses at the hospital and longer duration was proved which might led to patients burden in the hospital. Furthermore, due to the uses of PPN for longer times this could contribute for patients malnutrition. Our data suggested that, comprehensive nutrition support team and provision of intervention programs in order to increased quality and reduced patients burden and also the result of our study needed to be validated in large sample to know the real role of dietitian and pharmacist for ordered of drugs and nutrients and nutrients drug interactions. Keywords: Nutrients, Provision, TPN, PN, complication, medications.

scholarly journals Report on the first year of applying initial assessment of nutritional status in hospital inpatients

2015 ◽  
Vol 125 (4) ◽  
pp. 211-214
Author(s):  
Beata Babiarczyk ◽  
Danuta Sternal
Keyword(s):  
Nutritional Status ◽  
Medical Records ◽  
Nutritional Therapy ◽  
Nutrition Support ◽  
Medical Documentation ◽  
Initial Assessment ◽  
First Year ◽  
Support Teams ◽  
Status Assessment ◽  
Support Team

Abstract Introduction. Since 2012, Polish hospitals are recommended to implement the assessment of the nutritional status and appoint nutrition support teams. Aim. To evaluate the application of initial assessment of inpatients’ nutritional status in the first year of its implementation in clinical practice. Material and methods. A retrospective analysis of medical documentation of patients admitted to hospital in the year 2012 was conducted. The research sample included one in ten medical records. Results. A total of 433 medical records was analyzed. In 5.3% medical records a lack of duly completed Subjective Global Assessment questionnaires was revealed. In 81.8% cases a calculated Body Mass Index (BMI) was not found. No instances of renewed calculation of BMI were recorded. In 49.7% cases no information on diet recommended to the inpatient was found. With the exception of the internal medicine ward, in 87% of the cases the diets were not recommended in writing by a physician or included in the medical orders documentation. The inpatients classified as undernourished were usually recommended a diet containing 2000 kcal + additional 300 kcal as second breakfast and afternoon snack. Information on cooperation with the nutrition support team and on inpatient’s nutrition was not included in the nursing documentation. Conclusions. During the first year when the obligatory patient nutritional status assessment was introduced in Polish hospitals, the awareness of its significance, nutritional therapy planning and monitoring of the results were insufficient. The assessment of nutritional status seems to be another dead letter in patient medical documentation.

Role of a nutrition support team in reducing the inappropriate use of parenteral nutrition

2004 ◽  
Vol 23 (3) ◽  
pp. 437 ◽  
Author(s):  
Marie-Astrid Piquet ◽  
Pauline Coti Bertrand ◽  
Michel Roulet
Keyword(s):  
Parenteral Nutrition ◽  
Nutrition Support ◽  
Inappropriate Use ◽  
Support Team

scholarly journals Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition

2019 ◽  
Vol 11 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Ashley Bond ◽  
Paul Chadwick ◽  
Trevor R Smith ◽  
Jeremy M D Nightingale ◽  
Simon Lal
Keyword(s):  
Parenteral Nutrition ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Nutrition Support ◽  
Central Venous ◽  
Short Term ◽  
Qualitative And Quantitative ◽  
Central Venous Catheter Removal ◽  
Support Team

Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team is to have a CRBSI rate of less than 1 per 1000. The diagnosis of CRBSI is suspected clinically by a temperature shortly after setting up a feed, general malaise or raised blood inflammatory markers. It is confirmed by qualitative and quantitative blood cultures from the catheter and peripherally. Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate.

Anorexia nervosa and the gastrointestinal tract

2021 ◽  
pp. flgastro-2021-101857
Author(s):  
Wisam Jafar ◽  
James Morgan
Keyword(s):  
Anorexia Nervosa ◽  
Healthcare Professionals ◽  
Signs And Symptoms ◽  
Nutritional Therapy ◽  
Nutrition Support ◽  
Multidisciplinary Teams ◽  
High Morbidity ◽  
Support Teams ◽  
Life Threatening ◽  
Acute Admissions

Anorexia nervosa (AN) is a complex eating disorder associated with a high morbidity and mortality, however, there is a lack of dedicated training for healthcare professionals outside of mental health specialities. There has been a reported increase in acute admissions of patients with AN, which may have been precipitated by the isolation and loss of support networks created by the COVID-19 pandemic. The purpose of this review is to highlight that AN can present with a wide variety of signs and symptoms relating to both the hollow and solid organs of the gastrointestinal (GI) tract some of which may even be life threatening. The overlap of symptoms with several other functional and organic GI diseases makes diagnosis challenging. Gastroenterologists and allied healthcare professionals need to be aware of the wide array of possible GI manifestations not only to help rationalise investigations but to also facilitate early involvement of the relevant multidisciplinary teams. Many of the GI manifestations of AN can be reversed with careful nutritional therapy under the guidance of nutrition support teams.

Informational Constraints of Remote Technical Support Environments: Implications for the Design of Support Systems

1996 ◽  
Vol 40 (7) ◽  
pp. 410-414
Author(s):  
Karen S. Wilson
Keyword(s):  
Consumer Satisfaction ◽  
Technical Support ◽  
Support Teams ◽  
Support Domain ◽  
Support Team ◽  
Design Requirements ◽  
Future Direction ◽  
Transfer Of Information ◽  
Performance Behavior

Effective remote technical support is a competitive factor in consumer satisfaction. This paper reports the analysis of the remote support domain with respect to the agents, their information requirements, the issues relevant to the transfer of information from one agent to another, and the technology and tools that are currently used. The goal of this work was to understand the current environment with respect to the future direction of such environments and to understand the issues that afflict that environment so that the design of any support system would incorporate the appropriate design requirements. The factors contributing to performance behavior in the remote support task include the problem solving nature of the task, the restricted perceptual context, the distributed knowledge of the remote support team, and the role of communicating to remotely located agents. Research in these issues leads to the conclusion that tools designed to support the collaboration of remote technical support teams must maintain the interactivity of the team member dialogues that are used to define, test, and respond to the problem. But the tools must also be developed to facilitate behaviors exhibited in effective teamwork.

Sign in / Sign up

Export Citation Format

Share Document