By Stroud, M etal
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Additional info for Nutrition Support in Adults - Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition
Chapter 5] • Healthcare professionals should consider using oral, enteral or parenteral nutrition support, alone or in combination, for people who are either malnourished or at risk of malnutrition, as defined above. Potential swallowing problems should be taken into account. 2 Key organisational priorities • All healthcare professionals who are directly involved in patient care should receive education and training, relevant to their post, on the importance of providing adequate nutrition. [Chapter 3] • Healthcare professionals should ensure that all people who need nutrition support receive coordinated care from a multidisciplinary team .
16 At risk of malnutrition: eaten little or nothing for more than 5 days and/or likely to eat little or nothing for the next 5 days or longer or poor absorptive capacity, and or high nutrient losses and or increased nutritional needs from causes such as catabolism. 48 NUTRITION SUPPORT IN ADULT S People who are malnourished17 or at risk of malnutrition18 and have; inadequate or unsafe oral intake and a functional, accessible gastrointestinal tract, with upper gastrointestinal dysfunction (or an inaccessible upper gastrointestinal tract) should be considered for post-pyloric (duodenal or jejunal) feeding.
The patient should be monitored carefully for any signs of nausea or vomiting. 7 Enteral tube feeding in hospital and the community In this guideline, enteral tube feeding refers to the delivery of a nutritionally complete feed (as specified in Chapter 9) via a tube into the stomach, duodenum or jejunum. 15 Malnourished: • a functional, accessible gastrointestinal tract. [D(GPP)] Enteral tube feeding should not be given to people unless they are malnourished15 or at risk of malnutrition16 and have; inadequate or unsafe oral intake and a functional, accessible gastrointestinal tract, or they are taking part in a clinical trial.