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General Therapeutic Principles for Nutritional Support

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Nutrition, Weight, and Digestive Health

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Abstract

In routine clinical care, the process of nutrition support begins by identifying the need for medical nutrition therapy (MNT). Once this need is established, the next steps involve determining the appropriate route of therapy and the setting for initiation of therapy. This is where an individualized approach that incorporates patient preferences, resources, and clinical condition is necessary. After initiation of nutrition support, frequent monitoring is needed to assess tolerance and progress toward goals. The need for MNT should be considered at every clinical encounter to avoid prolonging unnecessary support. Establishing clear goals for MNT at the outset of support will help determine when or whether MNT can be discontinued. Along the way, it is additionally important to anticipate common complications of MNT which can be related to malnutrition in general or to complications specific to the route of MNT.

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  1. Medicine, Gastroenterology, Southeast Louisiana Veterans Health Care System, New Orleans, LA, USA

    Lena B. Palmer

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  1. Division of Gastroenterology, Weill Cornell Medical Center, New York, NY, USA

    Carolyn Newberry

  2. Gastroenterology, Obesity Medicine Nutrition and Bariatric Endoscopist Gut Theory Total Digestive Care, George Washington University Hospital, Washington, DC, USA

    Janese Laster

  3. GI Nutrition, Celiac Disease and Obesity Program, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA

    Octavia Pickett-Blakely

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Palmer, L.B. (2022). General Therapeutic Principles for Nutritional Support. In: Newberry, C., Laster, J., Pickett-Blakely, O. (eds) Nutrition, Weight, and Digestive Health. Springer, Cham. https://doi.org/10.1007/978-3-030-94953-2_4

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