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Patients who require nutrition therapy but have contraindications for or cannot tolerate enteral nutrition are appropriate candidates for parenteral nutrition. In the geriatric population, it is indicated if oral or enteral nutrition is impossible for 3 days or when oral or enteral nutrition is likely insufficient for more than 7 to 10 days.
There are dozens of conditions that may require tube feeding (enteral nutrition) to prevent or treat malnutrition. Conditions that necessitate feeding tubes include prematurity, failure to thrive (or malnutrition), neurologic and neuromuscular disorders, inability to swallow, anatomical and post-surgical malformations of the mouth and esophagus, cancer, Sanfilippo syndrome, and digestive ...
Clinical nutrition centers on the prevention, diagnosis, and management of nutritional changes in patients linked to chronic diseases and conditions primarily in health care. Clinical in this sense refers to the management of patients, including not only outpatients at clinics and in private practice, but also inpatients in hospitals.
The neonatal dietitian performs clinical assessment of patients, designs nutrition protocols and quality improvement initiatives with the medical team, develops enteral and parenteral regimens, helps establish and promote lactation/breastfeeding guidelines and often oversees the management of infection prevention in the handling, storage, and ...
Enteral nutrition/feeding refers to any method of nutrition through the whole gastrointestinal tract including oral feeding. Parenteral nutrition/feeding refers to nutrition through non-enteral route e.g. intravenous.
The American Society for Parenteral and Enteral Nutrition (ASPEN) is a US-based professional organization. Its members include dieticians, nurses, pharmacists, physicians and scientists who are involved in providing clinical nutrition to patients. [5] ASPEN was founded on June 5, 1975. [6] It was officially incorporated on November 30, 1976. [7]
The parenteral route is any route that is not enteral (par-+ enteral). Parenteral administration can be performed by injection, that is, using a needle (usually a hypodermic needle) and a syringe, [16] or by the insertion of an indwelling catheter. Locations of application of parenteral administration include: Central nervous system:
European Parenteral and Enteral National Societies support ESPEN in the form of block members, e.g. the British, [4] German, [5] French, [6] and Austrian societies. [7] Under the umbrella of ESPEN, many ongoing projects are supported by its members, such as NutritionDay, [8] Home Artificial Nutrition, and Fight Against Malnutrition. [9]
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