Malnutrition is common in critically ill patients and is associated with poor outcomes for patients and increased health care spending. Enteral nutrition is the method of choice for nutrition delivery. Enteral nutrition delivery practices vary widely, and underfeeding is widespread in critical care. Interruptions in enteral nutrition due to performance of procedures, positioning, technical issues with feeding accesses, and gastrointestinal intolerance contribute to underfeeding. Strategies such as head-of-bed positioning, use of prokinetic agents, tolerance of higher gastric residual volumes, consideration of postpyloric feeding access, and use of a nutrition support protocol may decrease time spent without nutrition.
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ARTICLE| August 01 2014
Interruptions in Enteral Nutrition Delivery in Critically Ill Patients and Recommendations for Clinical Practice
Melissa L. Stewart, RN, DNP, MSN, CCNS, CCRN
Melissa Stewart is a staff nurse in the medical intensive care unit at the University of Kentucky Chandler Medical Center in Lexington.
Corresponding author: Melissa Lottes Stewart, rn, dnp, msn, ccns, ccrn, Medical Intensive Care Unit, University of Kentucky Chandler Medical Center, 800 Rose St, Lexington, KY 40536 (e-mail: firstname.lastname@example.org).
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Crit Care Nurse (2014) 34 (4): 14–22.
Melissa L. Stewart; Interruptions in Enteral Nutrition Delivery in Critically Ill Patients and Recommendations for Clinical Practice. Crit Care Nurse 1 August 2014; 34 (4): 14–22. doi: https://doi.org/10.4037/ccn2014243
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