Nutritional Management of the Surgical Patient

Herausgegeben:Phillips, Mary E.

• Broschiertes Buch

Produktbeschreibung

Nutritional Management of the Surgical Patient

Manage patient diet and nutrition with this comprehensive guide

Nutritional Management of the Surgical Patient provides the first comprehensive evidence-based overview of the nutritional and dietary therapies for surgical patients. It takes clinicians through every stage of surgery, from pre-operative and immediate post-operative care, through to long term recovery and survivorship. This book describes the impact of surgical procedures and their complications and the effect these have on nutritional status as well as the nutritional strategies utilised to manage patients in these settings. The result is a valuable survey of this essential aspect of surgery.

Nutritional Management of the Surgical Patient features case studies which capture both typical patients and the more unusual cases to help clinicians understand the impact of nutrition in both circumstances. The textbook also details a range of surgical procedures to support underpinning knowledge of the mechanism behind nutritional intervention.

Readers will also find:
_ Consideration in each chapter of both short- and long-term nutritional management
_ Discussion of potential long-term complications such as small intestinal bacterial overgrowth, bile acid diarrhoea, micronutrient deficiencies and osteoporosis
_ Questions to support consolidation of knowledge and promote understanding in clinical context

Nutritional Management of the Surgical Patient is a must-have for surgeons, surgical dietitians, trainees and all healthcare professionals involved in the care of surgical patients.

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Produktdetails

• Verlag: Wiley & Sons / Wiley-Blackwell
• Artikelnr. des Verlages: 1W119809090
• 1. Auflage
• Seitenzahl: 272
• Erscheinungstermin: 28. August 2023
• Englisch
• Abmessung: 250mm x 200mm x 12mm
• Gewicht: 660g
• ISBN-13: 9781119809098
• ISBN-10: 1119809096
• Artikelnr.: 66801470

Autorenporträt

Mary E. Phillips, OStJ BSc (Hons), RD DipADP is an Advanced Clinical Practitioner and Senior Specialist Dietitian in Hepato-Pancreatico-Biliary Surgery, Royal Surrey NHS Foundation Trust, Guildford, UK.

Inhaltsangabe

Contributors xv

Section 1 Introduction 1

Chapter 1 Introduction 3

Section 2 Before and During Surgery 5

Chapter 2 Nutrition Screening and Assessment 7
Sara Smith

Overview of Body Composition 8

Nutrition-Related Syndromes 8

Nutrition Screening 8

Nutrition Assessment 12

References 14

Chapter 3 Nutritional Considerations Prior to Surgery 17
Oonagh Griffin

Malnutrition and Sarcopenia 18

Incidence 18

Impact of Malnutrition and Sarcopenia on Surgical Outcomes 19

Malnutrition 19

Sarcopenia and Sarcopenic Obesity 19

Pre-operative Nutritional Treatment Strategies 20

Carbohydrate Loading 20

Liver Shrinkage Diets 20

Priorities For Future Research 21

References 21

Chapter 4 Prehabilitation Programmes and Their Impact on Surgical Outcomes 25
Helen McNamara

A Brief History of Prehabilitation 25

Defining Prehabilitation 26

Stratified Care and Prehabilitation 26

Enhanced Recovery After Surgery and Prehabilitation 27

Holistic and Person-Centred Approaches To Prehabilitation 27

Psychological Preparation 28

Prehabilitation to Support Behaviour Change 28

Frameworks for Prehabilitation 28

Prime Prehabilitation for Surgery at The Royal Surrey Hospital Foundation Trust 28

Interventions of Prime Prehabilitation 29

Group Programmes 29

One-to-One Consultations 29

Home Exercise Programmes 29

Friends and Family 29

Nutritional Support 29

Peer Support 30

Prime Outcome Data 30

Conclusion 30

References 31

Chapter 5 Enhanced Recovery after Surgery 33
Neil Bibby, Rebekah Lord, and Ashleigh Maske

Early Oral Feeding 35

Nutritional Support and Oral Nutrition Supplements 36

Enteral Nutrition 36

Immuno-nutrition 37

References 40

Chapter 6 Surgical Terminology and Pre-operative Considerations: A Guide for Non-Surgeons 42
Rajiv Lahiri

Surgical Descriptors 42

Key Suffixes in Surgical Terminology 42

Terms to Explain Positioning 43

Pre-operative Considerations 43

Prehabilitation 46

Assessing Surgical Risk 46

Emergency Patients 46

High-Risk Patients 47

Intra-operative Risk Assessment 47

Post-operative Complications 48

Fistula 48

Collections 48

Anastomotic Leak 48

Chyle Leak 49

Conclusion 49

Acknowledgements 49

References 49

Chapter 7 Operating on the Malnourished Patient 51
Katy O'Rourke and Chris Jones

Anaemia 51

Electrolyte Abnormalities 53

Sodium 53

Potassium 55

Calcium 55

Magnesium 56

Phosphate 56

Refeeding Syndrome 57

Hyperglycaemia 60

Impact of Body Habitus on Anaesthesia 61

Obesity 61

Consequences of Obesity during Anaesthesia 61

The Underweight Patient 61

Consequences of Malnutrition during Anaesthesia 61

References 64

Section 3 Impact of Surgery 67

Chapter 8 Nutritional Management of the Surgical Patient in Critical Care 69
Nárbhla Donnelly and Anne Langan

Metabolic Response to Stress 70

Feeding The Post-operative Surgical Patient in Critical Care 70

Enteral Nutrition 71

Parenteral Nutrition 72

Feeding While Receiving Inotrope and V

Rezensionen

I was delighted to be able to include the newly published Nutritional Management of the Surgical Patient on our MSc in Nutrition and Dietetics reading list. Not only is it going to be a fantastic resource and evidence-based text to support our dietetic learners during their studies, but for those who progress into clinical and surgical dietetics, I foresee it being a resource that will support their everyday practice.

Joanne Black, Programme Director for MSc Nutrition and Dietetics at the University of Hull