Barrocas A, Craig L D, Foltz M B
Nutrition Institute of Louisiana, Pendleton Memorial Methodist Hospital, New Orleans 70127.
Prim Care. 1994 Mar;21(1):149-73.
Nutrition support in acute, chronic, or home care settings can be implemented successfully by the well-informed primary care physician, who often is the first to identify poor nutritional health in his or her patients. Using established protocols for the identification or of risk factors and indicators of malnutrition, specific alerts to the need for nutrition support are presented. The logical approach to nutrition support interventions through four stages representing the gradual increase in complexity and cost, paralleling the progressive inability to use regular foods and the gastrointestinal tract are discussed. Specific, practical measures that can be recommended and implemented by the primary care physician managing the older person are presented. The ethical, legal, and home health aspects of nutrition support in the care of the older American by the primary care physician are also reviewed.
在急性、慢性或家庭护理环境中，知识渊博的初级保健医生能够成功实施营养支持，这些医生通常是最先发现患者营养健康状况不佳的人。利用既定的营养不良风险因素和指标识别方案，会提示营养支持需求的具体警示信息。文中讨论了通过四个阶段进行营养支持干预的合理方法，这四个阶段代表着复杂性和成本的逐渐增加，与使用常规食物及胃肠道功能逐渐丧失的情况并行。还介绍了负责照顾老年人的初级保健医生可以推荐和实施的具体实用措施。同时也回顾了初级保健医生在美国老年人护理中进行营养支持时涉及的伦理、法律和家庭健康方面的问题。
