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.
journal_name
Pharmacotherapyjournal_title
Pharmacotherapyauthors
Brown RO,Dickerson RN,Hak EB,Matthews JB,Hak LJsubject
Has Abstractpub_date
1997-07-01 00:00:00pages
796-800issue
4eissn
0277-0008issn
1875-9114journal_volume
17pub_type
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