National Institute for Health and Clinical Excellence (NICE)
Healthcare professionals should consider enteral tube feeding in people who are malnourished or at risk of malnutrition as defined in respectively, and have:
nadequate or unsafe oral intake, anda functional, accessible gastrointestinal tract.
Enteral tube feeding should not be given to people unless they meet the criteria or they are taking part in a clinical trial.
National Institute for Health and Clinical Excellence (NICE)
Healthcare professionals should recognise that people with acute and chronic neurological conditions and those who have undergone surgery or radiotherapy to the upper aero-digestive tract are at high risk of developing dysphagia.
When managing people with dysphagia, healthcare professionals with relevant skills and training in the diagnosis, assessment and management of swallowing disorders should consider:
the risks and benefits of modified oral nutrition support and/or enteral tube ...
National Institute for Health and Clinical Excellence (NICE)
Healthcare professionals should review the indications, route, risks, benefits and goals of nutrition support at regular intervals. The time between reviews depends on the patient, care setting and duration of nutrition support. Intervals may increase as the patient is stabilised on nutrition support.
People having nutrition support in hospital should be monitored by healthcare professionals with the relevant skills and training in nutritional monitoring.
National Institute for Health and Clinical Excellence (NICE)
For people who are not severely ill or injured, nor at risk of refeeding syndrome, the suggested nutritional prescription for total intake[7] should provide all of the following:
25–35 kcal/kg/day total energy (including that derived from protein[9],[10])
0.8–1.5 g protein (0.13–0.24 g nitrogen)/kg/day
30–35 ml fluid/kg (with allowance for extra losses from drains and fistulae, for example, and extra input from other sources – for example, intravenous drugs)
adequate electrolytes, ...
National Institute for Health and Clinical Excellence (NICE)
Nutrition support should be considered in people at risk of malnutrition who, as defined by any of the following:
have eaten little or nothing for more than 5 days and/or are likely to eat little or nothing for the next 5 days or longer
have a poor absorptive capacity, and/or have high nutrient losses and/or have increased nutritional needs from causes such as catabolism.
Healthcare professionals should consider using oral, enteral or parenteral nutrition support, alone or in combination, for ...