| Knowledge
Objectives: Medical Students |
- Compare
and contrast energy and substrate metabolism in postprandial,
well-fed, short-term and long-term starvation states.
- Define
malnutrition; describe its environmental and biological
causes and clinical consequences.
|
| Knowledge
Objectives: Residents |
- Differentiate
between the indications for enteral and parenteral nutrition
support as well as the indications for potential delivery
sites for each type of support.
- Give
six examples of drug-nutrient interactions or incompatibilities
that commonly occur among patients receiving either enteral
or parenteral nutrition support.
- Identify
at least three measures used to monitor patients for complications
of enteral and parenteral nutrition support; describe when
each is appropriate.
- Explain
the refeeding syndrome, identify the type of patient at
risk for this syndrome, and outline the most appropriate
feeding strategy to minimize metabolic complications.
- Summarize
the potential metabolic consequences that result from overfeeding
calories, fat, carbohydrate, or protein to enterally and
parenterally fed patients.
- Identify
the medical and social services necessary to provide effective
home nutrition support, and outline at least four factors
that should be considered before discharging a patient on
nutrition support.
|
| Knowledge
Objectives: Specialists |
- Explain
how neuro-endocrine and immunologic factors mediate the
hypermetabolic injury response, and explain how catabolic
stress affects organ and whole body nutrient utilization.
|
| Practice
Behavior Skills: Residents |
- Given
a patient diagnosis, nutritional regimen, and on-going laboratory
data, evaluate the effectiveness of the current nutritional
treatment and appropriately manage the delivery of enteral
or parenteral nutrition support.
- Given
the results of a detailed history and physical examination
of a hospitalized patient, assess the patient’s nutritional
status and ability to take nutrition by mouth to determine
the need for enteral or parenteral support.
- Accurately
interpret information from a wide variety of medical and
lay literature related to commonly available commercial
products for nutrition support, and apply that knowledge
appropriately to the care of patients.
|
| Attitude
Objectives: All Learners |
- Recognize
the adverse impacts of malnutrition on disease and the associated
benefits of providing appropriate nutritional support.
- Recognize
the importance of correcting any malnutrition in patients
before surgery.
- Carefully
attend to the ethical issues involved in the provision of
nutritional support in palliative care and in settings where
patients cannot provide consent.
- Demonstrate
a commitment to utilizing a multi-disciplinary team approach
to the management of patients receiving enteral or parenteral
nutrition.
|
