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The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients
Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management of patients rec...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019598/ https://www.ncbi.nlm.nih.gov/pubmed/31936271 http://dx.doi.org/10.3390/nu12010172 |
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author | Vlug, Lotte E. Nagelkerke, Sjoerd C. J. Jonkers-Schuitema, Cora F. Rings, Edmond H. H. M. Tabbers, Merit M. |
author_facet | Vlug, Lotte E. Nagelkerke, Sjoerd C. J. Jonkers-Schuitema, Cora F. Rings, Edmond H. H. M. Tabbers, Merit M. |
author_sort | Vlug, Lotte E. |
collection | PubMed |
description | Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management of patients receiving PN: nutrition support teams (NSTs). In this review we aim to discuss the historical aspects of IF management and NST development, and the practice, composition, and effectiveness of multidisciplinary care by NSTs in patients with IF. We also discuss the experience of two IF centers as an example of contemporary NSTs at work. An NST usually consists of at least a physician, nurse, dietitian, and pharmacist. Multidisciplinary care by an NST leads to fewer complications including infection and electrolyte disturbances, and better survival for patients receiving short- and long-term PN. Furthermore, it leads to a decrease in inappropriate prescriptions of short-term PN leading to significant cost reduction. Complex care for patients receiving PN necessitates close collaboration between team members and NSTs from other centers to optimize safety and effectiveness of PN use. |
format | Online Article Text |
id | pubmed-7019598 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-70195982020-03-09 The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients Vlug, Lotte E. Nagelkerke, Sjoerd C. J. Jonkers-Schuitema, Cora F. Rings, Edmond H. H. M. Tabbers, Merit M. Nutrients Review Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management of patients receiving PN: nutrition support teams (NSTs). In this review we aim to discuss the historical aspects of IF management and NST development, and the practice, composition, and effectiveness of multidisciplinary care by NSTs in patients with IF. We also discuss the experience of two IF centers as an example of contemporary NSTs at work. An NST usually consists of at least a physician, nurse, dietitian, and pharmacist. Multidisciplinary care by an NST leads to fewer complications including infection and electrolyte disturbances, and better survival for patients receiving short- and long-term PN. Furthermore, it leads to a decrease in inappropriate prescriptions of short-term PN leading to significant cost reduction. Complex care for patients receiving PN necessitates close collaboration between team members and NSTs from other centers to optimize safety and effectiveness of PN use. MDPI 2020-01-08 /pmc/articles/PMC7019598/ /pubmed/31936271 http://dx.doi.org/10.3390/nu12010172 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Vlug, Lotte E. Nagelkerke, Sjoerd C. J. Jonkers-Schuitema, Cora F. Rings, Edmond H. H. M. Tabbers, Merit M. The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients |
title | The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients |
title_full | The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients |
title_fullStr | The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients |
title_full_unstemmed | The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients |
title_short | The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients |
title_sort | role of a nutrition support team in the management of intestinal failure patients |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019598/ https://www.ncbi.nlm.nih.gov/pubmed/31936271 http://dx.doi.org/10.3390/nu12010172 |
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