Abbott Company Sponsored Workshop on ""Managing the Critically ill: Can Nutrition play a significant role in improving outcomes?" by Dr. Ashwin Dabhi, Counseling and Consulting Physician in Metabolic and Nutritional Disorder, Sujivan Hospital, Ahmedabad, : 無料・フリー素材/写真
Abbott Company Sponsored Workshop on ""Managing the Critically ill: Can Nutrition play a significant role in improving outcomes?" by Dr. Ashwin Dabhi, Counseling and Consulting Physician in Metabolic and Nutritional Disorder, Sujivan Hospital, Ahmedabad, / IAPEN Activities
| ライセンス | クリエイティブ・コモンズ 表示-改変禁止 2.1 |
|---|---|
| 説明 | “A slender and restricted diet is always dangerous not only in chronicdiseases but also in acute diseases.” Hippoctates 400B.C. Nutrition supportin critically ill is obligatory and least prioritized till date in this part of world. Butthere has been a revolutionary change across the globe in last few yearssince nutrition care is an essential and integral part of first line ICU protocol.Nutrition care in the ICU presents several challenges because the usualcontrol mechanisms such as hunger and thirst may be missing. Despite thehuge body of evidence that Nutrition support is essential in ICU we face lotsof impediments to provide early and optimal Nutrition support. ThroughoutICU course patients and attending doctors faces cascades of challenges which more complicates the already fragile issues relating demands Vs. supply. Now a days it is notuncommon to encounter patients who spend days and months in ICU struggling multidisciplinaryapproaches. Most of well designed studies have suggested that both under and over feedings aredangerous in critically ill hence the need to develop nutrition care plan which should be dynamic andflexible enough to take care of all subsequent challenges.Nutrition screening and assessmentThe first step in providing appropriate nutrition therapy is to identify patients at risk and diagnosenutritional problems. Nutritional screening and assessment are fundamental to an effective nutritiontherapy program. These should be routinely undertaken by appropriately trained and skilled nutritionspecialist. Screening and assessment have similar goals: to identify patients at risk of malnutrition orpatients who are malnourished. The first step in identifying risk factors for malnutrition is to observeand interview patients. Questions that are commonly asked during screening should be easy andinclude information about body weight changes within a given time frame and amount of oral intake .By consensus and validations there is an urgent need to roll down our own assessment tool with anIndian perspective.Nutrition supportThere are lots of myths about Nutrition support in ICU such as bowel sounds are absent , largegastric residuals , diarrhea , proteins are restricted in ARF and so on. There are plenty of unmetneeds and there is an urgent need to change the dogmatic picture. Many a times critically ill patientsreceive even less than half of the actual caloric needs.Since there is no true biomarker of adequacy of nutritional status we solely rely on tools andclinical skills. There is no doubt that starvations is bad for both community dwellers and criticallyill patients.Even well nourished critically ill patients passes through cascades of metabolic andimmunological events which ultimately affects host defense and both short and long termoutcome.“ We can’t solve problems by using same kind of thinking we used them when we created them.”- Albert Einstein |
| 撮影日 | 2013-02-23 15:33:06 |
| 撮影者 | IAPEN Activities |
| 撮影地 | |
| カメラ | NIKON D200 , NIKON CORPORATION |
| 露出 | 0.006 sec (1/160) |
| 開放F値 | f/4.5 |
| 焦点距離 | 44 mm |