By Stroud, M etal
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A client consultant to picking among foods and drinks strategies, and the way to prevent events the place you'll remorse what you ate.
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E. it was a review or a clinical paper). • The analysis was not incremental and was not described adequately to allow incremental analysis (so studies reporting only average cost-effectiveness ratios [the cost for one treatment divided by the health outcome] were excluded unless they provided data to allow the calculation of incremental costeffectiveness ratios [the change in cost divided by the change in health outcome]). Only incremental cost-effectiveness ratios can inform us about value for money.
11When using parenteral nutrition is it often necessary to adjust total energy values listed on the manufacturer’s information which may not include protein energy values. 7Reference INTRODUCTION AND METHODS People at high risk of developing refeeding problems (Box 1) should be cared for by healthcare professionals who are appropriately skilled and trained and have expert knowledge of nutritional requirements and nutrition support. [D(GPP)] The prescription for people at high risk of developing refeeding problems should consider: • starting nutrition support at a maximum of 10 kcal/kg/day, increasing levels slowly to meet or exceed full needs by 4–7 days • using only 5 kcal/kg/day in extreme cases (for example, BMI less than 14 kg/m2 or negligible intake for more than 15 days) and monitoring cardiac rhythm continually in these people and any others who already have or develop any cardiac arrythmias • restoring circulatory volume and monitoring fluid balance and overall clinical status closely • providing immediately before and during the first 10 days of feeding: oral thiamin 200–300 mg daily, vitamin B co strong 1 or 2 tablets, three times a day (or full dose daily intravenous vitamin B preparation, if necessary) and a balanced multivitamin/trace element supplement once daily.
People who are obese. This will be covered by the NICE obesity guidelines expected to be published in 2007. • The general indications for nutrition support together with ethical and legal considerations that may arise. • Guidance on the process and special considerations required to prescribe nutrition support and details information on the important parameters to monitor for patients receiving nutrition support. • Detailed guidance on the administration of oral, enteral and parenteral nutrition including; the appropriate types of access for enteral and parenteral nutrition and the optimum mode of delivering these.