Enteral nutrition is the recommended route of intake. Human milk is preferred for infants. Marthe J. Moseley Chronic critical illness is a problem in the critical care environment. The ultimate goal in managing care for the chronically critically ill is liberation from mechanical ventilation, leading to improved survival and enhanced quality of life. Clinical Sirolimus price practice guidelines are presented as a framework in providing care for this distinct patient population. Research studies supplement the recommendations to ensure best care guides critical care decisions using the best evidence in the context of patient values and clinical expertise. Jan Powers and Karen Samaan Malnutrition has been identified as a cause for disease as well

as a condition resulting from inflammation associated with acute or chronic disease. Malnutrition is common in acute-care settings, occurring in 30% to 50% of hospitalized patients. Inflammation has been associated with malnutrition and malnutrition has been associated with compromised immune status, infection, and increased intensive care unit (ICU) and hospital lengths of stay. The ICU nurse is in the best position to advocate for appropriate nutritional therapies and Pirfenidone order facilitate the safe delivery of nutrition. Jody Collins Nutrition and care considerations in the overweight

and obese population within the critical care setting are multifaceted. Patients requiring critical care have specialized care management needs that often

times challenge health care providers. When patients are obese, this further complicates the physiologic aspects of healing, thus creating challenges to meeting both the nutritional needs of the individual and hampering treatment. This article reviews the care considerations, physiology of bariatric patients, and challenges of providing safe and quality care, including current evidence-based practice strategies developed to provide optimal support for obese patients during hospitalization and within the critical care setting. Gordana Bosnic This article presents an overview of postoperative check details nutritional requirements and goals following bariatric surgery. It summarizes current diet progression and nutrient intake guidelines geared toward optimizing weight loss and maintaining adequate nutritional status, nutrient absorption, as well as hydration. The article further emphasizes the importance of postoperative follow-up with a bariatric multidisciplinary team for appropriate postoperative care, diet management, and nutrient deficiency screenings. Miranda K. Kelly Enteral nutrition is an important aspect of caring for critically ill patients, yet delays in implementation of guidelines and recommendations occur. Bedside caregivers are in a key position to evaluate current practice and lead change to implement evidence-based practice guidelines. Interdisciplinary teams can use change models, such as Larrabee’s, to provide guidance and support success of practice change projects.