Clinical Nutrition 2 Lecture 1

Clinical Nutrition 2 Lecture 1

• The lecture is presented by Dr. Alzahraa Motawei, a lecturer in Food Sciences & Nutrition at the Faculty of Agriculture, Mansoura University.
• The course aims to provide the methodology and timing of nutritional assessment.
• Learning objectives include understanding nutritional principles for specific diseases, using nutritional assessment parameters, and knowing feeding routes, regimens, and timing of enteral nutrition (EN) initiation.
• The course also covers monitoring feeding, managing complications from EN and parenteral nutrition (PN) feeding, and creating individualized nutritional plans.
• Obtaining adequate nutrition is essential for survival.
• Malnutrition in hospital settings is a significant issue. 30-60% of patients are malnourished and 10-25% experience worsening conditions while hospitalized.
• Malnutrition leads to high morbidity, prolonged hospital stays, and higher mortality rates.

Clinical Nutrition (Medical Nutrition Therapy)

• The medical purpose of clinical nutrition is achieving or maintaining a good nutritional status.

The Nutrition Care Process

• The nutrition care process involves five steps.
• Assess nutritional status.
• Analyze data to determine nutrient requirements.
• Develop a nutrition care plan meeting patient needs.
• Implement the care plan.
• Evaluate care plan effectiveness through ongoing follow-up, reassessment, and modifications.

Patient Care Team

• A team approach to patient care is interdisciplinary.
• The team involves physicians, registered dietitians, registered nurses, pharmacists, occupational therapists, and social workers.

Patient Participation

• Patients should be active participants in their care process.

Assessing Nutritional Status

• Assessing nutritional status involves historical information, physical examination, anthropometric data, and laboratory analysis.

Nutritional Treatment Options

• Treatment options include oral diets, supplemental liquid diets, enteral tube feeding, partial parenteral nutrition (PPN), and total parenteral nutrition (TPN).

Monitoring Nutritional Status

• Monitoring nutritional status involves body weight (BW), clinical assessments, and blood chemistry tests.
• Monitoring nutrition response is vital.

Dietetics' Services

• Dietetics' support includes counseling hours, open intervention sessions, call centers, nutrition education, website browsing, email support, printed booklets, and printouts.