Explain about the Nutritional Support Management?
Tube feeding is usually started. If tube feeding is not possible, parenteral nutrition through peripheral vein or through the central vein can be given. Before treatment, foods that are attractive with pleasant aroma can be given. Foods should be of high energy value. We should try our best to increase their total food intake. After treatment, nutritious food formulas can be administered by mouth if the patients are able to swallow. If they find it difficult, nosoesophageal tube feeding can be started. For long-term maintenance of patients requiring such support, gastrostomy tubes should be inserted. Some patients are at serious risk of aspiration of regurgitated food (tendency to vomit). This danger is reduced by placing the tip of the tube in the small bowel and infusing formula by slow drip. Care should be taken to regulate the flow rate. Discharged patients who require long-term liquid feeding at home should be given information about both commercial and homemade fonnulas. Whatever be the type of feed, it should be nutritionally adequate and have sufficient bulk-forming materials to prevent constipation.