Malnutrition in hospitals is often overlooked, underdiagnosed, and untreated. Malnourished patients have increased risk for infection and pressure injuries, longer duration of mechanical ventilation, anemia, depressed cardiac and respiratory functions, and an overall higher risk for mortality. These complications contribute to longer hospital stays and higher health care costs. The benefits of early nutritional support in hospitals may be enhanced by use of a new nutrition care bundle that addresses all aspects of nutrition assessment and intervention. The bundle has 6 main components: assessment of malnutrition, initiation and maintenance of enteral nutrition, reduction of aspiration, implementation of enteral feeding protocols, avoiding the use of gastric residual volumes, and early initiation of parenteral nutrition when enteral feedings cannot be initiated. Implementing the nutrition bundle can help ensure that patients receive adequate nutrition during their hospital stay, thereby reducing adverse outcomes.
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Feature| June 01 2018
New Nutrition Guidelines: Promoting Enteral Nutrition via a Nutrition Bundle
Ashleigh VanBlarcom, DNP, RN, AGACNP-BC;
Ashleigh VanBlarcom is an acute care nurse practitioner in the thoracic-cardiovascular intensive care unit, University of Virginia Health System, Charlottesville, Virginia.
Corresponding author: Ashleigh VanBlarcom, dnp, rn, agacnp-bc, University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22903 (email: firstname.lastname@example.org).
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Mary Anne McCoy, PhD, RN, ACNP-BC
Crit Care Nurse (2018) 38 (3): 46–52.
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Ashleigh VanBlarcom, Mary Anne McCoy; New Nutrition Guidelines: Promoting Enteral Nutrition via a Nutrition Bundle. Crit Care Nurse 1 June 2018; 38 (3): 46–52. doi: https://doi.org/10.4037/ccn2018617
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