الفهرس | Only 14 pages are availabe for public view |
Abstract Nutritional support in the critically ill patients has gained a higher priority. It maximizes patient’s integrity, promotes patients improvement and minimizes complications inherent during critical illness. Enteral feeding is the most efficient nutritional support method in the ICU. It has gained popularity over other NS methods in terms of promoting patient’s immunity and enhancing better clinical outcomes in addition to its cost effectiveness. Nutritional adequacy during critical illness is a cornerstone concept that requires accurate assessment of timing, route, quantity and quality of nutrients and protocolized feeding. However, delivery of enteral feeding remains inadequate due to interruptions for various reasons, some of which are avoidable. Frequent interruptions may impact provision of calories and proteins and therefore, the clinical outcome. Factors leading to inadequate provision of enteral feeding include GICs, diagnostic and surgical procedures, feeding tube displacement, routine nursing procedures and enteral formula related factors. Multidisciplinary team work is one of the determinants of successful NS. NST should consider nurses’ involvement in decision making regarding NCP steps. Nurse’s role in NS not only confined to administration of nutritional formulas, but also, involves conduction of nutritional screening, assessment, making decision regarding nutritional interventions, monitoring patient’s nutritional status and detection complications as early as possible. They were performing look like a key player to maintain patient’s nutritional status at an optimal level and closer to the nutritional goals. |