For each of the PES statements you have written, establish an ideal goal (based on the signs and symptoms) and an appropriate intervention (based on the etiology)

What will be an ideal response?


• Increased nutrient needs
- Provides rationale for the nutrition prescription that determines the goal rate for nutrition support and regaining of lost weight; however, based on the risk for refeeding syndrome, parenteral nutrition should be provided at a slower rate and gradually advanced to meet increased nutrient needs.
- Ideal Goal: Provide adequate nutriture for an expedited recovery without experiencing refeeding syndrome.
- Intervention: Slowly introduce PN.
• Inadequate oral food/beverage intake
- Provides rationale for the initiation of nutrition support; also identifies a contributing etiology of malnutrition.
• Increased energy expenditure
- Ideal Goal: Weight stabilization and reduction in CRP.
- Intervention: Initiate enteral/parenteral nutrition.
•• Involuntary weight loss
- Ideal Goal: Similar to that of protein-energy malnutrition
- Intervention: Provide adequate energy and protein via nutrition support and then advance to oral foods and beverages.

Nutritional Science

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