Impact of a pharmacist-based consult service on nutritional rehabilitation of nonambulatory patients with severe developmental disabilities

Rex O. Brown, Roland Dickerson, Emily B. Hak, J. Barret Matthews, Lawrence J. Hak

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

A pharmacist consult service was developed to evaluate the appropriateness of enteral feeding through a permanent ostomy in 24 nonambulatory patients with severe developmental disabilities. Several problems with enteral nutrition were identified. Policies to improve them were instituted, and several educational presentations were made. Pharmacists' actions were implemented, including assessment of energy needs by indirect calorimetry and rearrangement of enteral feeding schedules to achieve optimal nutrition support and pharmacotherapy administration. By the fourth month of the consult service, body weight in these patients increased from 101 ± 6% of baseline to 109 ± 7% (p<0.05). Weight continued to increase through the seventh month of the consult service to 116 ± 12% of baseline (p<0.0001). Measured resting energy expenditure for the group was 889 ± 170 kcal/day compared with the predicted 1055 ± 163 kcal/day.

Original languageEnglish (US)
Pages (from-to)796-800
Number of pages5
JournalPharmacotherapy
Volume17
Issue number4
StatePublished - Jul 1 1997

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Developmental Disabilities
Enteral Nutrition
Pharmacists
Rehabilitation
Ostomy
Indirect Calorimetry
Needs Assessment
Energy Metabolism
Appointments and Schedules
Body Weight
Weights and Measures
Drug Therapy

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

Cite this

Impact of a pharmacist-based consult service on nutritional rehabilitation of nonambulatory patients with severe developmental disabilities. / Brown, Rex O.; Dickerson, Roland; Hak, Emily B.; Matthews, J. Barret; Hak, Lawrence J.

In: Pharmacotherapy, Vol. 17, No. 4, 01.07.1997, p. 796-800.

Research output: Contribution to journalArticle

Brown, Rex O. ; Dickerson, Roland ; Hak, Emily B. ; Matthews, J. Barret ; Hak, Lawrence J. / Impact of a pharmacist-based consult service on nutritional rehabilitation of nonambulatory patients with severe developmental disabilities. In: Pharmacotherapy. 1997 ; Vol. 17, No. 4. pp. 796-800.
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