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- Title
Safety and quality of parenteral nutrition: Areas for improvement and future perspectives.
- Authors
Monczka, Jessica; Ayers, Phil; Berger, Mette M.; Wischmeyer, Paul E.
- Abstract
Purpose: This article is based on presentations and discussions held at the International Safety and Quality of Parenteral Nutrition (PN) Summit (held November 8-10, 2021, at Charleston, SC, and Bad Homburg, Germany) and aims to raise awareness concerning unresolved issues associated with the PN process and potential future directions, including a greater emphasis on patients' perspectives and the role of patient support. Summary: Ensuring that every patient in need receives adequate PN support remains challenging. It is important to have a standardized approach to identify nutritional risk and requirements using validated nutritional screening and assessment tools. Gaps between optimal and actual clinical practices need to be identified and closed, and responsibilities in the nutrition support team clarified. Use of modern technology opens up opportunities to decrease workloads or liberate resources, allowing a more personalized care approach. Patient-centered care has gained in importance and is an emerging topic within clinical nutrition, in part because patients often have different priorities and concerns than healthcare professionals. Regular assessment of health-related quality of life, functional outcomes, and/or overall patient well-being should all be performed for PN patients. This will generate patient-centric data, which should be integrated into care plans. Finally, communication and patient education are prerequisites for patients' commitment to health and for fostering adherence to PN regimes. Conclusion: Moving closer to optimal nutritional care requires input from healthcare professionals and patients. Patient-centered care and greater emphasis on patient perspectives and priorities within clinical nutrition are essential to help further improve clinical nutrition.
- Subjects
PATIENT compliance; PATIENT education; MEDICAL protocols; PARENTERAL feeding; PATIENT safety; MEDICAL quality control; MALNUTRITION; HEALTH attitudes; NUTRITIONAL assessment; NUTRITIONISTS; FUNCTIONAL assessment; PATIENT-centered care; QUALITY of life; NUTRITIONAL status; COMMUNICATION; QUALITY assurance; MEDICAL screening; WELL-being; HEALTH care teams; EMPLOYEES' workload; PATIENTS' attitudes
- Publication
American Journal of Health-System Pharmacy, 2024, Vol 81, pS121
- ISSN
1079-2082
- Publication type
Article
- DOI
10.1093/ajhp/zxae077