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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
ESPEN Guidelines on Parenteral Nutrition: geriatrics.
L Sobotka1, S M Schneider, Y N Berner
1Department of Metabolic Care and Gerontology, Medical Faculty, Charles University, Hradec Králové, Czech Republic.
Clinical Nutrition (Edinburgh, Scotland)
|May 26, 2009
Summary
Older adults facing malnutrition can benefit from nutritional support. Parenteral nutrition (PN) is a safe option when enteral nutrition is insufficient, with careful consideration for age-related physiological changes.
Area of Science:
- Geriatrics
- Clinical Nutrition
- Internal Medicine
Background:
- Older adults are susceptible to malnutrition and loss of independence.
- Nutritional support is crucial for managing acute and chronic diseases in the elderly.
- Enteral nutrition is the primary method, but parenteral nutrition (PN) is necessary when needs aren't met.
Purpose of the Study:
- To review the indications and considerations for parenteral nutrition in older patients.
- To highlight the safety and efficacy of PN in geriatric populations.
- To outline specific physiological adaptations and precautions for PN in the elderly.
Main Methods:
- Review of current literature on parenteral nutrition in older adults.
- Analysis of age-related physiological changes impacting nutritional support.
- Discussion of PN administration routes and special patient populations.
Main Results:
- Parenteral nutrition is a safe and effective therapy for older individuals.
- Age alone is not a contraindication for PN.
- Older patients may exhibit reduced glucose tolerance, electrolyte imbalances, and fluid intolerance.
Conclusions:
- Parenteral nutrition should be considered for older patients unable to meet nutritional needs enterally.
- Careful monitoring and adjustment for age-specific factors are essential for successful PN.
- PN in terminal or demented patients should align with palliative care goals.
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