Sunday, January 4, 2015

Like Hand in Glove...The Evidence-Based Nutrition Practice Guidelines and NCP go together!!

The Evidence Based Practice Guidelines published on the Evidence Analysis Library are organized by the steps in the Nutrition Care Process.  The specific project on the EAL that discusses critical care is called the Critical Illness project.  

On the introductory page to the project the Executive Summary is available to the public.  The recommendations are organized into Nutrition Assessment, Nutrition Intervention, and Nutrition Monitoring and Evaluation.  

Recommendations that are included in the Nutrition Assessment section include the following topics:
  • Assessment for Critically Ill Patient (identifies the types of data to be collected and evaluated)
  • Reassessment of Critically Ill Adults (identifies the data commonly used in re-assessments)
  • Resting Metabolic Rate Predictive Equations for Non-obese Critically Ill Adults
  • Resting Metabolic Rate Predictive Equations for Obese Critically Ill Adults

Recommendations that are included in the Nutrition intervention section include the following topics:
  • Nutrition Prescription for Critically Ill Adults (identifies what should be included)
  • Enteral vs Parenteral Nutrition (includes when indicated and contra indicated)
  • Use of Promotility Agent (identifies when they are recommended)
  • Enteral Formulas Containing Immune-Modulating Nutrients in Patients without ARDS or Acute Lung Injury
  • Enteral Formulas Containing Immune-Modulating Nutrients in Patients with ARDS or Acute Lung Injury
  • Addition of Fiber to Enteral Nutrition to Reduce Diarrhea
  • Supplemental Enteral Glutamine (summarizes research and identifies one potential target population)

Recommendations that are included in the Nutrition Monitoring and Evaluation Section are: 
  • Monitoring and Evaluation of Critically Ill Adults (includes data  to be used)
If  you are a member of the Academy of Nutrition and Dietetics or if you subscribe to the Evidence Analysis Library, the systematic reviews and other supporting materials are also available.  

BOTTOM LINE:  The Nutrition Care Process steps are used to organize the recommendations for care in the Evidence Based Nutrition Practice Guidelines for Critically Ill Patients.  

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