Nutrition Support Protocols: Enhancing Delivery of Enteral Nutrition

Author:

O’Leary-Kelley Colleen1,Bawel-Brinkley Karen2

Affiliation:

1. Colleen O’Leary-Kelley is a professor, The Valley Foundation School of Nursing, and director of the Clinical Simulation Laboratory, San Jose State University, San Jose, California.

2. Karen Bawel-Brinkley is a professor and medical-surgical simulation coordinator, The Valley Foundation School of Nursing, San Jose State University.

Abstract

In critical care, malnutrition has a significant, negative impact on a patient’s ability to respond to medical treatment. Enteral nutrition is known to counteract the metabolic changes associated with critical illness that increase the risk for serious complications and poor clinical outcomes. Inadequate delivery of nutrition support and underfeeding persist in intensive care units despite the availability of guidelines and current research for best practice. Recent studies have shown that nutrition support protocols are effective in promoting nutritional goals in a wide variety of intensive care patients. It is essential to find approaches that enhance early delivery of enteral nutrition that meets requirements and supports improved outcomes. Nurses are in a unique position to take an active role in promoting the best nutritional outcomes for their patients by using and evaluating nutrition support protocols.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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