How to Approach Long-term Enteral and Parenteral Nutrition

Hadefi, Alia; Arvanitakis, Marianna

doi:10.1053/j.gastro.2021.09.030

Cited by 7 publications

(9 citation statements)

References 28 publications

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“…On the other hand, 24% of the nurses did not educate the patient and/or family care in the management of HPN, which is carried out in hospital and included care of the central venous access, administration procedures, and monitoring for complications such as pump fault finding and septicemia (Table 5). Table (6) displayed that 90%, 86% & 82% of studied nurses were demonstrated safe use of equipment and pump, demonstrated principles of asepsis when doing procedures and demonstrated safe handling and storage of HPN and recognizing signs and symptoms of hyperglycemia and hypoglycemia, respectively. -----------------------------------------------------------------------------------------------------------------------------------------Figure (2) illustrated that, 16% of studied nurses had competent practice level, while 84% of them had incompetent practice level regarding caring of patients with TPN.…”

Section: Unsatisfactory Satisfactorymentioning

confidence: 98%

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Assessment of Critical Care Nurses’ Knowledge and Practice Regarding Care of Patients Undergoing Total Parenteral Nutrition

Aita¹,

Aboelfetoh²,

Mahmoud³

2022

The Egyptian Journal of Hospital Medicine

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Background: Patients with compromised or non-functioning gastrointestinal tracts (GITs) may be fed through a line implanted in a vein, a procedure known as parenteral nutrition (PN).Objective: This study aimed to assess critical care nurses' knowledge and practices regarding care of patients undergoing total parenteral nutrition. Subjects and methods: A descriptive exploratory design was utilized to achieve the aim of this study. The study was conducted at Intensive Care Unit of Tanta University Hospital. A convenient sample of all available nurses (50 nurses) from both sex were included in the study. Two tools were used in this study: Self-administered interview questionnaire and observational checklist to assess nurses' practice regarding care of patients undergoing total parenteral nutrition (TPN). Results: 52% of the studied nurses their mean age was 31.56 ± 8.56 years. 56 % of the studied nurses attended training courses regarding care of patients with TPN. 82% of them had unsatisfactory level regarding total knowledge level, 84% of them had incompetent practice level regarding caring of patients with TPN. There was statistically significant relation between total level of nurses' knowledge and their gender and there was no statistically significant relation between total level of nurses' practices and their demographic characteristics. Conclusion: A positive and statistically significant relationship was found between nurses' levels of overall knowledge and the level of care they provided to patients.

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Section: Unsatisfactory Satisfactorymentioning

confidence: 98%

“…In the year 2020, the prevalence of adult patients receiving PN was 53.26 per million, representing a 2.99-fold growth over the previous decade and an increasing trend. The percentage of patients aged 18-34 and 45-54 has decreased significantly, while the proportion of those aged 65-74 and above has increased (6) .…”

Section: Significance Of Studymentioning

confidence: 99%

Assessment of Critical Care Nurses’ Knowledge and Practice Regarding Care of Patients Undergoing Total Parenteral Nutrition

Aita¹,

Aboelfetoh²,

Mahmoud³

2022

The Egyptian Journal of Hospital Medicine

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“…The main indications for PN and EN are listed in Table 1 . EN is commonly indicated for neurological diseases and cancer, while PN is recommended for cases of SBS, malabsorption, and mechanical obstruction of the GIT [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Parenteral nutrition: a life–saving intervention for 4 months in short bowel syndrome—a case report and review of the literature

Švagždys,

Smolskaitė,

Vindžigalskytė

2024

J Med Case Reports

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Background Short bowel syndrome (SBS) in adults is defined as having less than 180 to 200 cm of remaining small bowel. Many literature sources do not provide precise epidemiological data, and challenges in estimating the prevalence of SBS include its multifactorial etiology and varying definitions. The most common pathologies leading to SBS include Crohn disease, mesenteric ischemia, radiation enteritis, post-surgical adhesions, and post-operative complications. Case presentation This article presents a clinical case of a 76-year-old Lithuanian patient who underwent parenteral nutrition for four months due to SBS. Before the following diagnosis, the patient had undergone two surgeries. During the hospitalization, life-threatening conditions such as stercoral peritonitis, septic shock, and acute respiratory failure, were observed and treated. As a result of SBS, hypoproteinemia and hypoalbuminemia developed, leading to the prescription of full parenteral nutrition. After correcting the malnutrition, a third surgery was performed, resulting in the discontinuation of parenteral nutrition and the resumption of a regular diet. Conclusions Parenteral nutrition is the sole effective method for preserving the lives of patients with a short segment of the intestine. While on parenteral nutrition, patients can be prepared for reconstructive surgery.

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“…Enteral or parenteral nutritional treatment can be provided both in the short and long terms. The administration of enteral or parenteral nutrition for more than 6 months is defined as long-term medical nutritional therapy [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Oral Health in Long-Term Enteral and Parenteral Nutrition Patients: Significant Aspects of Nursing Care

Terech-Skóra

Kasprzyk-Mazur²,

Leyk-Kolańczak

et al. 2023

IJERPH

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Oral health is an underestimated factor affecting overall human health and quality of life. Long-term enteral or parenteral nutritional treatment requires not only regular assessment of access routes, the patient’s nutritional status, and tolerance to the selected method of nutrition but also of oral health. This article discusses the connections between the influence of chewing function, salivation, and xerostomia on the health of the oral cavity of patients on long-term enteral and parenteral nutrition. In addition, the role of nurses in assessing oral health is presented as well as crucial elements of a comprehensive oral assessment in a nursing care plan. Patients receiving long-term enteral and parenteral nutrition have an increased risk of developing oral diseases. Increasing knowledge about the factors affecting oral health among nurses is crucial to provide appropriate care for patients requiring long-term nutritional treatment with omission of the natural route of food intake. Regular assessment of oral health by nurses should be an important aspect in long-term nutritional treatment recommendations.

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How to Approach Long-term Enteral and Parenteral Nutrition

Cited by 7 publications

References 28 publications

Assessment of Critical Care Nurses’ Knowledge and Practice Regarding Care of Patients Undergoing Total Parenteral Nutrition

Assessment of Critical Care Nurses’ Knowledge and Practice Regarding Care of Patients Undergoing Total Parenteral Nutrition

Parenteral nutrition: a life–saving intervention for 4 months in short bowel syndrome—a case report and review of the literature

Assessment of Oral Health in Long-Term Enteral and Parenteral Nutrition Patients: Significant Aspects of Nursing Care

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