PhilSPEN Online Journal of Parenteral and Enteral Nutrition

Back to Total Names Codes

(Article 115 | POJ_0109)

Submitted Abstracts

PENSA 2017 Congress

Submitted: October 2, 2017

Abstract ID = 79 | Classification: (7) - Nutrition team including nutrition care process

Title: The clinical nutrition service program – report from a nutrition team in a private tertiary care hospital in the Philippines from January to August 2017

Author(s): Karna Igasan MD, Gail Turalba MD, Precy Gem Calamba MD, Melissa Sy MD, Julie T. Cajayon RND, and Butch Navarette RND

Institution where study was conducted: Clinical Nutrition Service, St. Luke’s Medical Center (SLMC), Quezon City, Philippines

Keywords: Nutrition team, critical care, regular, clinical, service, hospital, dietitian, physician, enteral, parenteral, oral, hospital

Background: Nutritionally high risk patients need optimum nutrition care and this can only be provided by a multidisciplinary clinical nutrition service which is designed to give appropriate nutrition care to these patients. The multidisciplinary team is usually composed of a physician, dietitian, nurse and pharmacist and the Clinical Nutrition Service of SLMC was organized to provide this specialized form of patient care.

Objectives: To report on the profile of patients seen and clinical nutrition service delivered to regular care and critical care patients by the nutrition team in a private tertiary care hospital in the Philippines

Methods: All patients seen by the service undergo nutrition assessment and nutrition care plan design on admission; delivery and monitoring of the patient response is done for the first three days on admission or on referral to the team. These are the collected data: number of regular and critical care patients seen; nutrition given like: oral, enteral or parenteral nutrition.

Results: Adult/elderly: 2520 (94.4%) mean age: 63y, pediatrics: 147 (5.5%). Seen by dietitians: 438/2667 (16.4%), seen by physicians (fellows): 2196/2667 (82.3%). Type of care: Total critical care seen: 973/2667 (36%), Total regular care seen: 1694/2667 (64%). Regular care patients seen by dietitians: 421/1694 (24.8%), seen by physicians: 1246/1694 (73.5%). Critical care seen by dietitians: 17/973 (1.2%), seen by physicians: 950/973 (98.8%) Critical care nutrition delivery: per orem: 365/1014 (36%), enteral nutrition: 447/1014 (44%), parenteral nutrition: 202/1014 (20%); Regular nutrition care delivery: per orem: 1143/2022 (56.5%), enteral nutrition: 351/2022 (17.4%), parenteral nutrition: 528/2022 (26.1%).

Conclusion: The nutrition team is able to deliver full nutrition care to regular care and critical care patients in the hospital setting