Standards for Nutrition Support: Adult Hospitalized Patients

Abstract

The American Society for Parenteral and Enteral Nutrition defines standards as benchmarks representing a range of performance of competent care that should be provided to assure safe and efficacious nutrition care in most circumstances. Standards are documents that define the structure needed to provide competent care. These Standards for Nutrition Support for Adult Hospitalized Patients are an update of the 2010 Standards. These practice-based standards are intended for use by healthcare professionals charged with the care of adult hospitalized patients receiving nutrition support therapy in any hospital with or without a formal nutrition support service or team. These Standards address professional responsibilities as they relate to patient assessment,

Parenteral Nutrition Utilization After Implementation of Multidisciplinary Nutrition Support Team Oversight

“…‐ 6 Moreover, the Joint Commission on Accreditation of Health Care Organizations recommends that hospitals employ “interdisciplinary and collaborative care” to establish and maintain nutrition support plans 20 . Finally the American Society for Parenteral and Enteral Nutrition recommends that a nutrition support team coordinates nutrition management in all adult hospitals 21 . Given proven effectiveness and the recommendations of national organizations, established multidisciplinary nutrition review should be included as one of the metrics for hospital quality assessment.…”

“…20 Finally the American Society for Parenteral and Enteral Nutrition recommends that a nutrition support team coordinates nutrition management in all adult hospitals. 21 Given proven effectiveness and the recommendations of national organizations, established multidisciplinary nutrition review should be included as one of the metrics for hospital quality assessment. Although our data show that an overall reduction in PN utilization occurred, there was a surprising uptrend in both the number of patients started on PN and short-duration PN use in the ICUs for the final year of our study (2009)(2010).…”

Supplemental Parenteral Nutrition: Review of the Literature and Current Nutrition Guidelines

“…SPN could simply be thought of as the addition of PN to EN (tube feeding or oral) to meet energy and protein goals. Published articles have referred to SPN as “parenteral nutrition added to EN when EN alone is insufficient.” Another definition is “step‐up approach when full enteral support is not possible or fails to meet caloric targets.” SPN may also be referred to as “Top‐Up” nutrition or bridge therapy. Whether the patient being treated is malnourished before initiation of SPN therapy should also be considered.…”

“…Published articles have referred to SPN as "parenteral nutrition added to EN when EN alone is insufficient." [17][18][19] Another definition is "step-up approach when full enteral support is not possible or fails to meet caloric targets." 17 SPN may also be referred to as "Top-Up" nutrition 16 or bridge therapy.…”

Creation of a Virtual Nutrition Support Team to Improve Quality of Care for Patients Receiving Parenteral Nutrition in a Multisite Healthcare System

“…5,6 The American Society for Parenteral and Enteral Nutrition (ASPEN) recommended in 2010 Standards for Nutrition Support that patients receiving PN have a nutrition support team (NST) managing the care of the patient. 7 An NST is made up of clinicians with specialty training in nutrition and can include physicians, dietitians, pharmacists, and nurses. 8 The multidisciplinary team approach has been supported for its ability to assess a patient's nutrition status, prescribe the appropriate macronutrients and micronutrients, and decrease the incidence of metabolic complications through regular monitoring.…”