{"product_id":"nutrition-isbn-9780470061312","title":"Nutrition","description":"This book provides a comprehensive look at all aspects of nutrition from roles and responsibilities to caring for a patient with specific nutritional needs. It is aimed primarily at nurses and addresses some of the issues they will encounter when caring for patients nutritional needs in a hospital setting. It also highlights the benefits of a hospital based Nutrition Team providing a multidisciplinary approach to nutrition. It includes a number of case studies to clarify some of the issues discussed and concludes by examining issues that need to be considered before discharging a patient home from hospital into the community.  \u003ci\u003eContributors.\u003c\/i\u003e  \u003cp\u003e\u003ci\u003ePreface.\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003e\u003ci\u003eIntroduction.\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 National and European Initiatives to Improve Standards of Nutritional Care\u003c\/b\u003e \u003ci\u003e(Carolyn Best).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eNational and European initiatives 1990–2007.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Malnutrition\u003c\/b\u003e \u003ci\u003e(Harriet Gordon and Helen Hitchings).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eWhat is malnutrition?\u003c\/p\u003e \u003cp\u003eSigns and consequences of malnutrition.\u003c\/p\u003e \u003cp\u003eSpecific vitamin and mineral deficiencies.\u003c\/p\u003e \u003cp\u003eManagement of malnutrition.\u003c\/p\u003e \u003cp\u003eNutrition support.\u003c\/p\u003e \u003cp\u003eRecognising and managing malnutrition in obese patients.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Nutrition Screening and Assessment\u003c\/b\u003e \u003ci\u003e(Helen Hitchings).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eNutrition screening.\u003c\/p\u003e \u003cp\u003eNutrition assessment.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eScreening tools.\u003c\/p\u003e \u003cp\u003eDocumentation.\u003c\/p\u003e \u003cp\u003eWhen to refer to a dietitian.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 The Nursing Role in Maintaining Patients’ Oral Nutritional Intake\u003c\/b\u003e \u003ci\u003e(Carolyn Best).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eIdentifying the problems.\u003c\/p\u003e \u003cp\u003eRegistered nurse responsibilities in patient nutrition.\u003c\/p\u003e \u003cp\u003eThe responsibilities of the healthcare assistant.\u003c\/p\u003e \u003cp\u003eRoles and responsibilities of other individuals involved in patient nutrition.\u003c\/p\u003e \u003cp\u003eThe patient in hospital.\u003c\/p\u003e \u003cp\u003eRecommendations to improve patient intake.\u003c\/p\u003e \u003cp\u003eSafety considerations when assisting a patient to eat.\u003c\/p\u003e \u003cp\u003eHelping the dysphagic patient to eat.\u003c\/p\u003e \u003cp\u003eEffects of dementia on oral nutritional intake.\u003c\/p\u003e \u003cp\u003eRed trays.\u003c\/p\u003e \u003cp\u003eProtected mealtimes.\u003c\/p\u003e \u003cp\u003eRecording food intake.\u003c\/p\u003e \u003cp\u003eUse of specialised equipment.\u003c\/p\u003e \u003cp\u003eEducating healthcare workers to assist patients with their meals.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 Enteral Nutrition\u003c\/b\u003e \u003ci\u003e(Carolyn Best, Helen Hitchings, Joanna Boult and Harriet Gordon).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eOral nutrition support.\u003c\/p\u003e \u003cp\u003eOptions for enteral tube feeding: short-term feeding.\u003c\/p\u003e \u003cp\u003eOptions for enteral tube feeding: long-term feeding.\u003c\/p\u003e \u003cp\u003eEnteral tube feeds.\u003c\/p\u003e \u003cp\u003eDrug administration through an enteral feeding tube.\u003c\/p\u003e \u003cp\u003eFlushing enteral feeding tubes.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Parenteral Nutrition\u003c\/b\u003e \u003ci\u003e(Carolyn Best, Helen Hitchings, Joanna Boult and  Harriet Gordon).\u003cbr\u003e \u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eIndications of parenteral nutrition.\u003c\/p\u003e \u003cp\u003eClinical assessment of the patient requiring parenteral nutrition.\u003c\/p\u003e \u003cp\u003eRoutes for intravenous access\u003c\/p\u003e \u003cp\u003eTypes of central venous catheter.\u003c\/p\u003e \u003cp\u003eNon-central access options.\u003c\/p\u003e \u003cp\u003eMulti-lumen vs single-lumen catheters.\u003c\/p\u003e \u003cp\u003eConfirming central venous catheter tip position.\u003c\/p\u003e \u003cp\u003eUsing a previously used central venous catheter.\u003c\/p\u003e \u003cp\u003eAftercare of line and insertion site.\u003c\/p\u003e \u003cp\u003eDressing changes.\u003c\/p\u003e \u003cp\u003eObservations.\u003c\/p\u003e \u003cp\u003eFlushing following insertion.\u003c\/p\u003e \u003cp\u003eEstimating nutritional requirements.\u003c\/p\u003e \u003cp\u003eBiochemical and haematological assessment.\u003c\/p\u003e \u003cp\u003ePreparations available.\u003c\/p\u003e \u003cp\u003eNutritional content of parenteral nutrition.\u003c\/p\u003e \u003cp\u003eAllergies to components of parenteral nutrition.\u003c\/p\u003e \u003cp\u003eDrug therapy that may affect nutrition support.\u003c\/p\u003e \u003cp\u003eCare of parenteral nutrition before administration.\u003c\/p\u003e \u003cp\u003eMode of delivery: continuous or cyclical administration.\u003c\/p\u003e \u003cp\u003eAdministration of medication through a central venous catheter.\u003c\/p\u003e \u003cp\u003eShould an in-line filter be used?\u003c\/p\u003e \u003cp\u003eMaintaining catheter patency.\u003c\/p\u003e \u003cp\u003ePatient monitoring.\u003c\/p\u003e \u003cp\u003eComplications associated with the administration of parenteral nutrition.\u003c\/p\u003e \u003cp\u003eDiscontinuing parenteral nutrition.\u003c\/p\u003e \u003cp\u003eRemoval of a central venous catheter.\u003c\/p\u003e \u003cp\u003eThe role of non-medical prescribing in parenteral nutrition.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Re-feeding Syndrome\u003c\/b\u003e \u003ci\u003e(Helen Hitchings and Harriet Gordon).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eThe process of starvation.\u003c\/p\u003e \u003cp\u003eIncidence of re-feeding syndrome.\u003c\/p\u003e \u003cp\u003eImpact on the patient.\u003c\/p\u003e \u003cp\u003eSummary of electrolyte disturbances.\u003c\/p\u003e \u003cp\u003eReducing the risk of re-feeding syndrome.\u003c\/p\u003e \u003cp\u003eWard checklist for re-feeding syndrome.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Ethics and Commitment to Feed\u003c\/b\u003e \u003ci\u003e(Carolyn Best).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eBenefits vs burden.\u003c\/p\u003e \u003cp\u003eInformed consent.\u003c\/p\u003e \u003cp\u003eDecision-making in the competent patient.\u003c\/p\u003e \u003cp\u003eDecision-making in the non-competent patient.\u003c\/p\u003e \u003cp\u003eBest interests.\u003c\/p\u003e \u003cp\u003eAdvanced directives.\u003c\/p\u003e \u003cp\u003ePower of attorney.\u003c\/p\u003e \u003cp\u003ePercutaneous endoscopic gastrostomy feeding in advanced dementia.\u003c\/p\u003e \u003cp\u003ePersistent vegetative state.\u003c\/p\u003e \u003cp\u003eWithdrawing nutrition support.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 The Role of a Hospital Nutrition Support Team\u003c\/b\u003e \u003ci\u003e(Carolyn Best, Helen Hitchings, Joanna Boult and Harriet Gordon).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eRoles within the team.\u003c\/p\u003e \u003cp\u003eIndividual roles within the core team.\u003c\/p\u003e \u003cp\u003eGetting started: developing the Nutrition Support Team.\u003c\/p\u003e \u003cp\u003eAgreeing the referral process.\u003c\/p\u003e \u003cp\u003eDeveloping skills within the Nutrition Support Team.\u003c\/p\u003e \u003cp\u003eMaintaining momentum.\u003c\/p\u003e \u003cp\u003eAgreeing standards for practice.\u003c\/p\u003e \u003cp\u003eProving the worth of the Nutrition Support Team.\u003c\/p\u003e \u003cp\u003eThe role of the Nutrition Steering Committee.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Transfer of Care from Hospital to Community\u003c\/b\u003e\u003ci\u003e(Carolyn Best and Helen Hitchings).\u003cbr\u003e \u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003ePlanning discharge.\u003c\/p\u003e \u003cp\u003eEducation.\u003c\/p\u003e \u003cp\u003eTraining required.\u003c\/p\u003e \u003cp\u003eEquipment required for discharge.\u003c\/p\u003e \u003cp\u003eThe review process.\u003c\/p\u003e \u003cp\u003ePotential problems.\u003c\/p\u003e \u003cp\u003eFurther reading.\u003c\/p\u003e \u003cp\u003eSupport group details.\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 Case Studies\u003c\/b\u003e \u003ci\u003e(Harriet Gordon, Carolyn Best, Helen Hitchings and Joanna Boult).\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003eEnteral nutrition.\u003c\/p\u003e \u003cp\u003eCombined enteral\/parenteral nutrition.\u003c\/p\u003e \u003cp\u003eParenteral nutrition.\u003c\/p\u003e \u003cp\u003eReferences.\u003c\/p\u003e \u003cp\u003e\u003ci\u003eGlossary and Abbreviations.\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003e\u003ci\u003eIndex.\u003c\/i\u003e\u003c\/p\u003e \u003cb\u003eCarolyn  Best\u003c\/b\u003e is a Nutrition Nurse Specialist at Royal Hampshire County Hospital, Winchester, UK.  Good nutrition underpins good clinical nursing care. Nutrition: A Handbook for Nurses aims to raise awareness and address some of the issues that nurses ill encounter when caring for patients' nutritional needs in a hospital setting. It also highlighted the benefits of a hospital based Nutrition Support Team in providing a multidisciplinary approach to nutrition.  \u003cp\u003eThis accessible and practical book explores issues including: malnutrition, nutrition screening and assessment, the nursing role in maintaining patients' oral nutritional intake, enteral and parental nutrition, and the surrounding legal and ethical issues. It will be essential reading for all nurses working in hospital settings.\u003c\/p\u003e","brand":"Wiley","offers":[{"title":"Default Title","offer_id":47989705572581,"sku":"NP9780470061312","price":65.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780470061312.jpg?v=1761785180","url":"https:\/\/k12savings.com\/products\/nutrition-isbn-9780470061312","provider":"K12savings","version":"1.0","type":"link"}