Related Experiment Video
Updated: Aug 4, 2026
04:53
A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
Nutrition Support Protocols: Enhancing Delivery of Enteral Nutrition
Colleen O'Leary-Kelley1,2, Karen Bawel-Brinkley3,4
1Colleen O'Leary-Kelley is a professor, The Valley Foundation School of Nursing, and director of the Clinical Simulation Laboratory, San Jose State University, San Jose, California. colleen.oleary-kelley@sjsu.edu.
Critical Care Nurse
|April 3, 2017
Summary
Malnutrition in critical care worsens patient outcomes. Early enteral nutrition (EN) delivery, guided by protocols and nursing evaluation, is essential for improving patient recovery and reducing complications.
Area of Science:
- Critical Care Medicine
- Clinical Nutrition
- Nursing Practice
Background:
- Malnutrition significantly impairs patient response to treatment in critical care settings.
- Enteral nutrition (EN) counteracts critical illness-related metabolic changes, reducing complications and improving outcomes.
- Underfeeding and inadequate nutrition support remain prevalent in intensive care units (ICUs).
Purpose of the Study:
- To highlight the importance of early enteral nutrition delivery in critical care.
- To emphasize the effectiveness of nutrition support protocols in achieving nutritional goals.
- To underscore the vital role of nurses in optimizing nutritional outcomes through protocol utilization and evaluation.
Main Methods:
- Review of recent studies on nutrition support protocols in intensive care.
- Analysis of the impact of enteral nutrition on metabolic changes and clinical outcomes.
- Exploration of nursing roles in implementing and assessing nutrition support.
Main Results:
- Nutrition support protocols have demonstrated effectiveness in achieving nutritional goals for diverse ICU populations.
- Early and adequate enteral nutrition delivery is crucial for improved patient outcomes.
- Nurses are key stakeholders in enhancing the delivery and effectiveness of nutrition support.
Conclusions:
- Implementing effective nutrition support protocols is vital for critical care patients.
- Optimizing enteral nutrition delivery through protocols can mitigate negative impacts of critical illness.
- Nurses play a pivotal role in ensuring optimal nutritional status and outcomes for critically ill patients.
Related Concept Videos
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:18Drug Delivery: Enteral Route
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
Drugs in...
Drugs in...
01:28Chronic Kidney Disease III: Interprofessional Care
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...