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What Type Of Diet Is Better Neurosurgical Patients?
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i am bariatric nutritionist and clinical dietetian and i worked in multispecialist hospital i have some of my patients on RT feed out of them some are recovring very wel but some is not responding properly so please kindly suggest me for neurosurgical patients continious feed is better or bolus feed?
i am bariatric nutritionist and clinical dietetian and i worked in multispecialist hospital i have some of my patients on RT feed out of them some are recovring very wel but some is not responding properly so please kindly suggest me for neurosurgical patients continious feed is better or bolus feed?
Wed, 28 Dec 2016
Welcome to HCM,
To answer this question in a general manner would not due the patient justice. Every patient needs an individual assessment,diagnosis, intervention and plan meaning a general answer is not possible. For example, I would need to know where the port was - g tube, J tube, nasal. With a j tube you want to run continuous as the jejunum does not act like a stomach and does not tolerate bolus feedings. For a g tube you can do bolus or continuous, but then you need to know if a neurologically induced gastroparesis is present then you must deliver slowly and use a product with no fiber in it. What works well for one patient may not work well at all for another patient. It is your assessment of multiorgan function that should guide you to the answer to this question for every individual patient.
It might help to get some recent textbooks in this area to guide your decision making.
Best of luck, Kathy J. Shattler, MS,RDN
To answer this question in a general manner would not due the patient justice. Every patient needs an individual assessment,diagnosis, intervention and plan meaning a general answer is not possible. For example, I would need to know where the port was - g tube, J tube, nasal. With a j tube you want to run continuous as the jejunum does not act like a stomach and does not tolerate bolus feedings. For a g tube you can do bolus or continuous, but then you need to know if a neurologically induced gastroparesis is present then you must deliver slowly and use a product with no fiber in it. What works well for one patient may not work well at all for another patient. It is your assessment of multiorgan function that should guide you to the answer to this question for every individual patient.
It might help to get some recent textbooks in this area to guide your decision making.
Best of luck, Kathy J. Shattler, MS,RDN
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