Every physician has to care their patients in the holistic way, it means that you have to even think of what your patients' minds have but they do not shout it out. Nutrition support is one thing that you have to reconsider when you are looking after someone who is either be able to eat by themselves or they just cannot help themselves.
In surgical patients, some may tell you that they are so thirsty and would like to have something to moisten their dried mouth, but you cannot help them because they are not allowed to do so because it is in the middle of NPO period/ order, they are prone to have a high risk for aspiration because they are just recovered from anaesthetics or whatever the causes would be.
In another end of perioperative care, surgical patients may have a history of weight loss due to cancer of somewhere inside their body, they need a time period to feed them so that they are not too much thin, and their body functions in many organ system are harm, such as the wound healing process delayed, the risk for infection in postoperative course, the haemodynamics changes due to inability to pull water to stay within the vascular tree, and also their metabolic disturbances.
Nutrition also can be a harm to your patient if you do not realise how much your patient need energy/ food/ fluid in each day, if you feed them less than it should be, it should be still OK, because they can take most of what you give, but the other way round, if you load them too much energy than they can take, you are creating some problems in them. Fat can interfere the laboratory testing if you do not stop them long enough, protein can have bad particle to the kidney and the nitrogen waste products would harm them, and carbohydrate, Carbo = Carbon, if you give them too much energy, you have to realise how much carbon dioxide you are loading or doping to your patient, you may have your patient facing a weaning failure for ventilator discontinuation.
Feed them less, the Less is More, just make it right.
How we can feed our patients? Enteral or Parenteral nutrition can be your answers.
In surgical patients, some may tell you that they are so thirsty and would like to have something to moisten their dried mouth, but you cannot help them because they are not allowed to do so because it is in the middle of NPO period/ order, they are prone to have a high risk for aspiration because they are just recovered from anaesthetics or whatever the causes would be.
In another end of perioperative care, surgical patients may have a history of weight loss due to cancer of somewhere inside their body, they need a time period to feed them so that they are not too much thin, and their body functions in many organ system are harm, such as the wound healing process delayed, the risk for infection in postoperative course, the haemodynamics changes due to inability to pull water to stay within the vascular tree, and also their metabolic disturbances.
Nutrition also can be a harm to your patient if you do not realise how much your patient need energy/ food/ fluid in each day, if you feed them less than it should be, it should be still OK, because they can take most of what you give, but the other way round, if you load them too much energy than they can take, you are creating some problems in them. Fat can interfere the laboratory testing if you do not stop them long enough, protein can have bad particle to the kidney and the nitrogen waste products would harm them, and carbohydrate, Carbo = Carbon, if you give them too much energy, you have to realise how much carbon dioxide you are loading or doping to your patient, you may have your patient facing a weaning failure for ventilator discontinuation.
Feed them less, the Less is More, just make it right.
How we can feed our patients? Enteral or Parenteral nutrition can be your answers.
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