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World Nutrition 2018
J u n e 1 8 - 1 9 , 2 0 1 8
P a r i s , F r a n c e
Page 28
Journal of Clinical Nutrition & Dietetics
ISSN 2472-1921
W o r l d C o n g r e s s o n
Nutrition and Dietetics
M
alnutrition can be both over nutrition, in the form of obesity and non-
communicable diseases, and under nutrition. This may be present inside
and outside the hospital set-up. Based on the World Health Organization’s
Global status report on non-communicable diseases (NCD) 2010, NCD deaths
are projected to increase by 15% globally between 2010 and 2020. These
deaths are due principally to cardiovascular diseases, diabetes, cancer and
chronic respiratory diseases. In the study done by Baker, et al on hospital
malnutrition, the prevalence of malnutrition in the hospital acute setting
has been widely documented in the literature to be between 20% and 50%
depending on the patient population, definition and criteria used for diagnosis.
With the increasing incidence of malnutrition, the importance of nutrition and
lifestyle interventions are given priority to control these diseases; however
a realization that these interventions are not only for those who are already
diagnosed with NCDs and those that are hospitalized but rather nutrition and
lifestyle modifications are also for healthy individuals as well. Prevention
of NCDs and malnutrition through behavioural modifications are vital to
alleviate the increasing risk of people developing these disease conditions
and malnutrition. In the hospital set-up, screening is important to determine
those who are at risk of malnutrition. The earlier the detection and diagnosis,
the earlier the treatment plan is prescribed, therefore the chances of patient
recovery increases. These patients at risk should be thoroughly assessed.
Reviewing the anthropometric, biochemical, clinical and dietary assessment
results would lead to the determination of the nutritional status of the patient,
hence a proper nutrition prescription and medical nutrition therapy be made to
fit the patient’s condition and needs. There are no more excuses for providing
the patients the nutrition that they need. To still provide nutritional needs even
if the oral access fails or seems impossible, enteral access may be used. It is
vital that a Clinical Nutritionist-dieticians should be familiar with the benefits,
indication and contraindication; the access and formula selection for enteral
nutrition to be able to come-up with the proper enteral prescription that would
fit to the patient’s diagnosis. Clinical nutritionist- dietician’s should familiarize
themselves on the risks present for enteral nutrition and learn how to lessen
those risks for proper patient care. Knowledge on how to administer and
other considerations in the administration should be made clear. Monitoring
and reassessment of patient’s condition is also a must, to help determine the
progression of the feeding access and nutritional status of the patient. The
management of nutrition is a team approach, be an active member and deliver
nutrition the best way possible, to ensure that holistic management is provided
for the patient.
Biography
Franz Josephine Ilustre Ferrer completed her Bachelor’s Degree
in Nutrition and Dietetics from the University of Santos Tomas
in 2008 and has taken up 36 units under the Master’s in Clinical
Nutrition program of the Philippine Women’s University. She
has been practicing as a licensed Nutritionist-Dietician in the
Philippines for ten years and is currently the pioneer of nutrition
and unit head of the Supreme Court of the Philippines Medical
Services Nutrition Unit. She is also a trained Diabetes Educator
whograduatedasvaledictorianofherbatch inthe2015Diabetes
Educator’s Training Program of the Philippine Association
of Diabetes Educators. Her other affiliations includes active
membership in the Nutritionist-Dietician’s Association of the
Philippines, Philippine Association of Diabetes Educators, and
Philippine Society for Parenteral and Enteral Nutrition. Franz
also spent two years as a Clinical dietician in the Nutrition
Support team of Our Lady of Lourdes Hospital, Philippines and
two years as a contributor writer for the nutrition section of the
Philippine HealthCare Magazine.
franzjosephineferrer@gmail.comClinical foundations of Nutrition Support: An overview on
Enteral Nutrition
Franz Josephine Ilustre Ferrer, RND
Supreme Court of the Philippines Medical Services, Philippines
Franz Josephine Ilustre Ferrer, J Clin Nutr Diet 2018 Volume: 4
DOI: 10.4172/2472-1921-C1-002