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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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A function is continuous at a point a if three conditions are met: the function is defined at a, the limit of the function as x approaches a exists, and this limit equals the function’s value. Mathematically, this is written asThis definition ensures the graph of the function does not exhibit any breaks, holes, or jumps at that point. Discontinuities occur when any of these conditions fail. A removable discontinuity exists when the two-sided limit exists but the function is either...
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Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
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Continuous or intermittent feeding: pros and cons.

Danielle E Bear1,2,3,4,5, Nicholas Hart3,4,5, Zudin Puthucheary5,6,7

  • 1Department of Nutrition and Dietetics.

Current Opinion in Critical Care
|June 8, 2018
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Summary
This summary is machine-generated.

Intermittent feeding may offer benefits for critically ill adults, potentially improving recovery and survivorship without increasing glucose variability or intolerance. Further research is needed to confirm its impact on muscle wasting.

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Area of Science:

  • Critical care medicine
  • Clinical nutrition

Background:

  • Nutrition support for critically ill adults is shifting towards enhancing recovery and survivorship.
  • Current nutrition support methods, including continuous feeding, are being re-evaluated for optimal patient outcomes.

Purpose of the Study:

  • To review the advantages and disadvantages of intermittent versus continuous feeding in critically ill adults.
  • To evaluate the impact of feeding modalities on muscle wasting, glucose control, and feeding intolerance.

Main Methods:

  • This review discusses existing literature comparing intermittent and continuous feeding strategies.
  • Theoretical benefits and limited study findings are analyzed.

Main Results:

  • Limited studies exist, but intermittent feeding has not demonstrated increased glucose variability or gastrointestinal intolerance.
  • Continuous feeding is often preferred due to concerns about glucose control and tolerance, though evidence is sparse.

Conclusions:

  • While research is limited, intermittent feeding presents theoretical advantages for critically ill patients.
  • Further studies are required to establish the safety and efficacy of intermittent feeding, particularly regarding muscle wasting.
  • Individual patient factors should guide the selection of feeding regimens.