Answer to Question 1
Enteral nutritional support via a gastroduodenal tube or a J-tube to continue feeding the gut and maintaining the integrity of the intestinal lining and immunological function.
Parenteral nutrition should only be considered if other gastrointestinal problems (e.g. high-output fistulas) exist and enteral nutrition is contraindicated
Answer to Question 2
Recommend nutrition support if solid food consumption is inadequate - if oral consumption is too low, adequate nutriture (energy and protein) should be provided via nutrition support
Consume 5-6 small meals per day - smaller meals may alleviate the feelings of discomfort/pain from large meals and allow for quicker gastric emptying of the meal (due to the lower volume)
Encourage activity after eating (not lying down) - keeping the upper body in an upright position can allow gravity to assist in the movement of the gastric contents towards the pylorus
Select foods low in fiber and fat - fiber can thicken the gastric contents and slow their passage into the small intestine; fat will stimulate cholecystokinin and hence inhibit gastric emptying
Provide nutrition education to minimize symptoms of malabsorption/maldigestion - educating the client to consume foods consisting of high energy, protein, and micronutrient content can prevent nutritional inadequacies
The Type C killer whale
Przewalski's Horse, the only remaining type of "wild" horse that has never been domes
Building competency in patient centered care
All messages must be documented and placed in the patient's chart.
A patient with goiter due to iodine deficiency.
High stress, by household type (age-standardized), age 18+, Canada, 1994-1995