Enteral and Parenteral Nutrition

摘要: Malnutrition is more common in geriatric population because of higher incidence chronic disability and disease, but the principles nutritional support are same as those for any adult. Nutrition should be implemented a step-wise fashion, starting with dietary consultation nutritionist recommendations change or supplementation. If this fails, nasogastric feeding considered. In presence anatomic changes upper gastrointestinal tract, distal postpyloric tube Intestinal failure only absolute indication parenteral feeding, initial PN supplementation may necessary critically ill depleted patient while awaiting enteral (EN). vast majority patients, simple low-cost polymeric formula will meet EN requirements. Extra care taken elderly terminal to avoid long-term “forced feeding,” whether it EN, PN, via gastrostomy, these interventions associated poor outcomes actually impair remaining quality life.