Nutrition support team

Nutrition support pharmacy addresses the care of patients receiving specialized parenteral or enteral nutrition. The nutrition support pharmacist is responsible for promoting restoration and maintenance of optimal nutritional status and designing and modifying treatment in accordance with patient needs. These specialists have responsibility for direct patient care and often function as members of multidisciplinary nutrition support teams. 

This chapter describes the activities performed by the pharmacist as a member of the nutritional support team, which involve a range of tasks from indications, assessment of nutritional state, and the preparation of artificial nutrition for adults and children to concepts on basic dietetics and mother-infant nutrition. Drug-nutrient interaction analysis is another duty. 

Hassell JT, Games AD, Shaffer B, Harkins LE. Nutrition support team management of enterally fed patients in a community hospital is cost-beneficial. J Am Diet Assoc 1994 94 993-998. 

Wesley JR. Nutrition support teams Past, present and future. Nutr Clin Pract 1995 10 219-228. 

Clinical Assistant Professor, Department of Pharmacy Practice, University of Florida, Clinical Assistant Professor, Department of Pharmacy Practice, Nova Southeastern College of Pharmacy, Coordinator, Nutrition Support Team, H. Lee Moffltt Cancer Center and Research Institute, Tampa, Florida Chapter 137... 

Chnical Associate Professor, University of Wisconsin Schools of Pharmacy and Medicine, Nutrition Support Team Coordinator, Uiuversity of Wisconsin Hospital and Clinics,... 

Study Team 9 (1977) Nutrition. "Supporting Papers World... 

Experienced nurse in PMV leads weekly multidisciplinary conferences, ensures communication between team members, execution of care plan, uniformity of policy and procedure, moniUns protocol adherence Nutrition support... 

Adequate nutritional support in the ICU is very important and guidelines for these nutritional interventions have been published (47,48). The interdisciplinary team formulates the nutritional care plan to include monitoring, the most appropriate route of administration, the method of nutritional access, the duration of therapy, and educational objectives. Figure 1 shows the algorithm for the decision to initiate specialized nutritional support. A variety of delivery routes and nutritional formulation components are available. 

The company has always been noted for its commitment to education in a recent "Visions and Values" statement, education has a significant role and is viewed as a priority for the company worldwide. This commitment can also be shown by the organization of BP s new corporate center in London, where educational affairs is a function coordinated by a small team of dedicated individuals responsible only to the COO and CEO and supporting the Managing Directors of the four business streams — BP Exploration and Production, BP Chemicals, BP Oil, and BP Nutrition. 

The clinical outcome and lifespan of patients with PROP and MMA have improved with advances in nutrition management, adjunct therapies, and aggressive treatment during metabolic crises. However, many questions remain about optimal treatment in both chronic and acute settings. Research is needed to better determine the nutritional needs of this group and improve methods to monitor treatment decisions. For patients undergoing transplantation, continued support from a metabolic team is needed to assure optimal long-term outcomes. 

At our facility, the Temple University Hospital, which is one of four HCFA Chronic Ventilator-Demonstration sites, the complex and diverse problems of PMV patients are treated by a diverse team comprises pulmonologists, respiratory nurses, nutritionists, psychologists, physical therapists, speech therapists, and a social worker (Fig. 2). This unit emphasizes rehabilitation and restoration of functional status despite requirements for prolonged ventilation. Special needs of patients that require PMV addressed in this unit include evaluation of the optimum form of ventilator support, special attention to swallowing dysfunction, impaired communication skills, psychological dysfunction, nutritional repletion, respiratory muscle and whole body reconditioning, as well as close attention to new or changing medical conditions. 

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