Enteral nutrition practice recommendations

Robin Bankhead, Joseph Boullata, Susan Brantley, Mark Corkins, Peggi Guenter, Joseph Krenitsky, Beth Lyman, Norma A. Metheny, Charles Mueller, Sandra Robbins, Jacqueline Wessel

Research output: Contribution to journalReview article

316 Citations (Scopus)

Abstract

The complexity of EN feedings cannot be underestimated. All healthcare professionals should be vigilant in continous surveillance of high risk practices, products and systems as they relate to the enterally fed patient. Recognition of ordering, administration, and monitoring teps of EN delivery which may increase risk of complications to the enterally fed patient is essential. While the intent of this document was to provide the clinician with sufficient evidence to optimally provide EN, it was evident prior to initiating this project that there was a lack of evidence-based research to support several practice guidelines. The reader may find that some practice recommendations, such as the ordering and labeling of enteral products, are based on consensuses of expert opinion. On the other hand, the evidence is much more conclusive in water and enteral formula safety, patient positioning, and medication administration. Some general conclusions, however, can be made. There is the need for further research and documentation of effectiveness of these practice guidelines and how they effect patient outcomes. Also, there is a need for a multidisciplinary approach in providing EN to such a diverse patient population across various settings, whether as a formal nutrition support service or as teams of caregivers coming together within the practice setting.

Original languageEnglish (US)
Pages (from-to)122-167
Number of pages46
JournalJournal of Parenteral and Enteral Nutrition
Volume33
Issue number2
DOIs
StatePublished - Mar 10 2009

Fingerprint

Enteral Nutrition
Practice Guidelines
Small Intestine
Product Labeling
Patient Positioning
Expert Testimony
Research
Documentation
Caregivers
Delivery of Health Care
Safety
Water
Population

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Bankhead, R., Boullata, J., Brantley, S., Corkins, M., Guenter, P., Krenitsky, J., ... Wessel, J. (2009). Enteral nutrition practice recommendations. Journal of Parenteral and Enteral Nutrition, 33(2), 122-167. https://doi.org/10.1177/0148607108330314

Enteral nutrition practice recommendations. / Bankhead, Robin; Boullata, Joseph; Brantley, Susan; Corkins, Mark; Guenter, Peggi; Krenitsky, Joseph; Lyman, Beth; Metheny, Norma A.; Mueller, Charles; Robbins, Sandra; Wessel, Jacqueline.

In: Journal of Parenteral and Enteral Nutrition, Vol. 33, No. 2, 10.03.2009, p. 122-167.

Research output: Contribution to journalReview article

Bankhead, R, Boullata, J, Brantley, S, Corkins, M, Guenter, P, Krenitsky, J, Lyman, B, Metheny, NA, Mueller, C, Robbins, S & Wessel, J 2009, 'Enteral nutrition practice recommendations', Journal of Parenteral and Enteral Nutrition, vol. 33, no. 2, pp. 122-167. https://doi.org/10.1177/0148607108330314
Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J et al. Enteral nutrition practice recommendations. Journal of Parenteral and Enteral Nutrition. 2009 Mar 10;33(2):122-167. https://doi.org/10.1177/0148607108330314
Bankhead, Robin ; Boullata, Joseph ; Brantley, Susan ; Corkins, Mark ; Guenter, Peggi ; Krenitsky, Joseph ; Lyman, Beth ; Metheny, Norma A. ; Mueller, Charles ; Robbins, Sandra ; Wessel, Jacqueline. / Enteral nutrition practice recommendations. In: Journal of Parenteral and Enteral Nutrition. 2009 ; Vol. 33, No. 2. pp. 122-167.
@article{a49fd074487f49feb59b389bac6eea15,
title = "Enteral nutrition practice recommendations",
abstract = "The complexity of EN feedings cannot be underestimated. All healthcare professionals should be vigilant in continous surveillance of high risk practices, products and systems as they relate to the enterally fed patient. Recognition of ordering, administration, and monitoring teps of EN delivery which may increase risk of complications to the enterally fed patient is essential. While the intent of this document was to provide the clinician with sufficient evidence to optimally provide EN, it was evident prior to initiating this project that there was a lack of evidence-based research to support several practice guidelines. The reader may find that some practice recommendations, such as the ordering and labeling of enteral products, are based on consensuses of expert opinion. On the other hand, the evidence is much more conclusive in water and enteral formula safety, patient positioning, and medication administration. Some general conclusions, however, can be made. There is the need for further research and documentation of effectiveness of these practice guidelines and how they effect patient outcomes. Also, there is a need for a multidisciplinary approach in providing EN to such a diverse patient population across various settings, whether as a formal nutrition support service or as teams of caregivers coming together within the practice setting.",
author = "Robin Bankhead and Joseph Boullata and Susan Brantley and Mark Corkins and Peggi Guenter and Joseph Krenitsky and Beth Lyman and Metheny, {Norma A.} and Charles Mueller and Sandra Robbins and Jacqueline Wessel",
year = "2009",
month = "3",
day = "10",
doi = "10.1177/0148607108330314",
language = "English (US)",
volume = "33",
pages = "122--167",
journal = "Journal of Parenteral and Enteral Nutrition",
issn = "0148-6071",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Enteral nutrition practice recommendations

AU - Bankhead, Robin

AU - Boullata, Joseph

AU - Brantley, Susan

AU - Corkins, Mark

AU - Guenter, Peggi

AU - Krenitsky, Joseph

AU - Lyman, Beth

AU - Metheny, Norma A.

AU - Mueller, Charles

AU - Robbins, Sandra

AU - Wessel, Jacqueline

PY - 2009/3/10

Y1 - 2009/3/10

N2 - The complexity of EN feedings cannot be underestimated. All healthcare professionals should be vigilant in continous surveillance of high risk practices, products and systems as they relate to the enterally fed patient. Recognition of ordering, administration, and monitoring teps of EN delivery which may increase risk of complications to the enterally fed patient is essential. While the intent of this document was to provide the clinician with sufficient evidence to optimally provide EN, it was evident prior to initiating this project that there was a lack of evidence-based research to support several practice guidelines. The reader may find that some practice recommendations, such as the ordering and labeling of enteral products, are based on consensuses of expert opinion. On the other hand, the evidence is much more conclusive in water and enteral formula safety, patient positioning, and medication administration. Some general conclusions, however, can be made. There is the need for further research and documentation of effectiveness of these practice guidelines and how they effect patient outcomes. Also, there is a need for a multidisciplinary approach in providing EN to such a diverse patient population across various settings, whether as a formal nutrition support service or as teams of caregivers coming together within the practice setting.

AB - The complexity of EN feedings cannot be underestimated. All healthcare professionals should be vigilant in continous surveillance of high risk practices, products and systems as they relate to the enterally fed patient. Recognition of ordering, administration, and monitoring teps of EN delivery which may increase risk of complications to the enterally fed patient is essential. While the intent of this document was to provide the clinician with sufficient evidence to optimally provide EN, it was evident prior to initiating this project that there was a lack of evidence-based research to support several practice guidelines. The reader may find that some practice recommendations, such as the ordering and labeling of enteral products, are based on consensuses of expert opinion. On the other hand, the evidence is much more conclusive in water and enteral formula safety, patient positioning, and medication administration. Some general conclusions, however, can be made. There is the need for further research and documentation of effectiveness of these practice guidelines and how they effect patient outcomes. Also, there is a need for a multidisciplinary approach in providing EN to such a diverse patient population across various settings, whether as a formal nutrition support service or as teams of caregivers coming together within the practice setting.

UR - http://www.scopus.com/inward/record.url?scp=61549095522&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=61549095522&partnerID=8YFLogxK

U2 - 10.1177/0148607108330314

DO - 10.1177/0148607108330314

M3 - Review article

VL - 33

SP - 122

EP - 167

JO - Journal of Parenteral and Enteral Nutrition

JF - Journal of Parenteral and Enteral Nutrition

SN - 0148-6071

IS - 2

ER -