Review : Enteral feeding: a change in practice

Abstract

■ There is an unacceptably high incidence of malnutrition in PICU.

■ The delivery of nutritional support requires a structured approach.

■ Early enteral feeding has been shown to reduce the stress response.

■ Implementing a change in practice involves identification of resources, objectives and motivation for change.

■ A randomised retrospective audit of the change in practice did demonstrate the value of earlier commencement of enteral feeding.

■ Informal interviews with practitioners suggested improved practice and knowledge.

Keywords

Change Enteral feeding,Malnutrition Nutrition Paediatric intensive care Practice.

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References

Adams SK (1994) Aspects of current research in enteral nutrition in the critically ill Care of the Critically Ill ; 10(6):246-251.

Anderson C. (1998) Naso-gastric feeding in intensive care Paediatric Nursing; 10(5): 20-22.

Briggs D. (1996) What type of naso-gastric tube should we use in the intensive care unit? Intensive and Critical Care Nursing ; 12:102-105.

Burnes B. (1996) Managing Change: A Strategic Approach to Organisational Dynamics [2nd ed] Pitman Publishing.

Greene J. , D'Oliveira M. ( 1998) Learning to Use Statistical Tests in Psychology Milton Keynes: Open University Press.

Huddleston KC , Terraro-McDuffie A. , Wolffe-Small T. (1993) Nutritional support of the critically ill child Critical Care Nursing Clinics of North America ; 5(1): 65-78.

Lehmann S. (1993) Nutritional support in the hypermetabolic patient Critical Care Nursing Clinics of North America ; 5(1):97-103.

McCalman J, Paton RA. (1994) in Torrington and Weightman 1994 p 161

Torrrington D. , Weightman J. (1994) Effective Management: People and Organisation [2nd ed], Prentice Hall International .

10.

Wilson DC (1992) A Strategy for Change London : Routledge.

11.

Zainal G. (1995) Nutritional Demands Nursing Times; 20(91): 38, 57-59.