ESPEN Guidelines on Parenteral Nutrition: geriatrics

Sobotka, L; Schneider, S M; Berner, Y N; Cederholm, T; Krznaric, Z; Shenkin, A; Stanga, Z; Toigo, G; Vandewoude, M; Volkert, D (2009). ESPEN Guidelines on Parenteral Nutrition: geriatrics. Clinical nutrition, 28(4), pp. 461-6. Amsterdam: Elsevier 10.1016/j.clnu.2009.04.004

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Older subjects are at increased risk of partial or complete loss of independence due to acute and/or chronic disease and often of concomitant protein caloric malnutrition. Nutritional care and support should be an indispensable part of their management. Enteral nutrition is always the first choice for nutrition support. However, when patients cannot meet their nutritional requirements adequately via the enteral route, parenteral nutrition (PN) is indicated. PN is a safe and effective therapeutic procedure and age per se is not a reason to exclude patients from this treatment. The use of PN should always be balanced against a realistic chance of improvement in the general condition of the patient. Lower glucose tolerance, electrolyte and micronutrient deficiencies and lower fluid tolerance should be assumed in older patients treated by PN. Parenteral nutrition can be administered either via peripheral or central veins. Subcutaneous administration is also a possible solution for basic hydration of moderately dehydrated subjects. In the terminal, demented or dying patient the use of PN or hydration should only be given in accordance with other palliative treatments.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine

UniBE Contributor:

Stanga-Nodari, Zeno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0261-5614

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:13

Last Modified:

01 Oct 2020 12:40

Publisher DOI:

10.1016/j.clnu.2009.04.004

PubMed ID:

19464772

Web of Science ID:

000269364400011

URI:

https://boris.unibe.ch/id/eprint/32417 (FactScience: 197590)

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