ESPEN Guidelines on Parenteral Nutrition: Geriatrics

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Sobotka L, Schneider SM, Berner YN, Cederholm T, Krznaric Z, Shenkin A, Stanga Z, Toigo G, Vandewoude M, Volkert D
Zeitschrift: Clinical Nutrition
Verlag: CHURCHILL LIVINGSTONE
Jahr der Veröffentlichung: 2009
Band: 28
Heftnummer: 4
Seitenbereich: 461-466
ISSN: 0261-5614


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.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter


Einrichtungen weiterer Autorinnen und Autoren

Inselspital, Universitätsspital Bern
Tel Aviv University
The University of Liverpool
Università degli Studi di Trieste
Université Nice Sophia Antipolis / University of Nice Sophia Antipolis
University Hospital Centre Zagreb
University of Antwerp / Universiteit Antwerpen
Univerzita Karlova v Praze / Charles University in Prague
Uppsala University


Zitierweisen

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.

BibTeX: 

Zuletzt aktualisiert 2018-05-11 um 15:23