Impact of a pharmacist-based consult service on nutritional rehabilitation of nonambulatory patients with severe developmental disabilities.
Annual meeting of the American College of Clinical Pharmacy. Nashville, Tenessee (USA), 1996/08/06.
A pharmacist consult service was developed to evaluate the appropriateness of enteral feeding through a permanent ostomy in 24 nonambulatory patients with severe developmental disabilities.
Several problems with enteral nutrition were identified.
Policies to improve them were instituted, and several educational presentations were made.
Pharmacists'actions were implemented, including assessment of energy needs by indirect calorimetry and rearrangement of enteral feeding schedules to achieve optimal nutrition support and pharmacotherapy administration.
By the fourth month of the consult service, body weight in these patients increased from 101 ± 6% of baseline to 109 ± 7% (p<0.05).
Weight continued to increase through the seventh month of the consult service to 116 ± 12% of baseline (p<0.0001).
Measured resting energy expenditure for the group was 889 ± 170 kcal/day compared with the predicted 1055 ± 163 kcal/day.
Mots-clés Pascal : Alimentation, Voie entérale, Nutrition, Trouble développement, Pharmacien, Consultation, Hospitalisation, Homme, Recommandation, Optimisation, Consommation alimentaire, Consommation, Médicament, Poids corporel
Mots-clés Pascal anglais : Feeding, Enteral administration, Nutrition, Developmental disorder, Chemist, Consultation, Hospitalization, Human, Recommendation, Optimization, Food intake, Consumption, Drug, Body weight
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0405996
Code Inist : 002B30A02A. Création : 19/12/1997.