ESPEN Guidelines on Parenteral Nutrition: Geriatrics

Sobotka L, Schneider SM, Berner YN, Cederholm T, Krznaric Z, Shenkin A, Stanga Z, Toigo G, Vandewoude M, Volkert D (2009)

Publication Status: Published

Publication Type: Journal article

Publication year: 2009

Journal

Clinical Nutrition Elsevier

Publisher: CHURCHILL LIVINGSTONE

Book Volume: 28

Pages Range: 461-466

Journal Issue: 4

DOI: 10.1016/j.clnu.2009.04.004

Abstract

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. (C) 2009 European Society for Clinical Nutrition and Metabolism. All rights reserved.

Authors with CRIS profile

Dorothee Volkert Professur für Klinische Ernährung im Alter

Involved external institutions

Univerzita Karlova v Praze / Charles University in Prague CZ Czech Republic (CZ) Zagreb University Hospital Centre / Klinički bolnički centar Zagreb (KBC) HR Croatia (HR) Università degli Studi di Trieste IT Italy (IT) University of Nice Sophia Antipolis / Université Nice Sophia Antipolis FR France (FR) Tel Aviv University IL Israel (IL) The University of Liverpool GB United Kingdom (GB) Inselspital, Universitätsspital Bern CH Switzerland (CH) Uppsala University SE Sweden (SE) University of Antwerp / Universiteit Antwerpen BE Belgium (BE)

How to cite

APA:

Sobotka, L., Schneider, S.M., Berner, Y.N., Cederholm, T., Krznaric, Z., Shenkin, A.,... Volkert, D. (2009). ESPEN Guidelines on Parenteral Nutrition: Geriatrics. Clinical Nutrition, 28(4), 461-466. https://dx.doi.org/10.1016/j.clnu.2009.04.004

MLA:

Sobotka, Lubos, et al. "ESPEN Guidelines on Parenteral Nutrition: Geriatrics." Clinical Nutrition 28.4 (2009): 461-466.

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