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A step-wise approach to calculating modular feedings.
1Clinical Nutrition Services, Geisinger Medical Center, Danville, Pennsylvania 17822.
Journal of the American Dietetic Association
|October 1, 1989
Summary
This study presents a step-wise method for calculating individualized modular enteral feedings using conventional products. This approach helps manage costs while meeting specialized patient nutritional needs effectively.
Area of Science:
- Clinical Nutrition
- Dietetics
- Medical Feeding Modalities
Background:
- Enteral alimentation is crucial for treating and preventing nutritional deficiencies.
- Specialized commercial formulas are often costly, leading institutions to use conventional products.
- There's a need for individualized enteral feeding solutions within budget constraints.
Purpose of the Study:
- To present a method for calculating individualized modular enteral feedings.
- To demonstrate how to use conventional commercial formulas and enteral modules for specialized feeding.
- To provide a practical approach for dietitians unfamiliar with modular feeding calculations.
Main Methods:
- A step-wise calculation approach is detailed for creating modular enteral feedings.
- Limiting factors for the feeding are identified and addressed sequentially.
- Patient-specific requirements for energy, protein, and micronutrients are considered.
Main Results:
- Individualized modular feedings can be created using standard commercial formulas and modules.
- The method accounts for patient nutritional needs and potential limiting factors.
- Evaluation of vitamin-mineral supplementation, formula stability, and osmolality is included.
Conclusions:
- A practical, step-wise method enables the creation of individualized modular enteral feedings.
- This approach allows for cost-effective, specialized nutritional support using conventional products.
- Dietitians can effectively tailor enteral nutrition to meet unique patient requirements.