Paula Ravasco *

Autora invitada por SIIC

NUTRIÇÃO CLÍNICA EM PORTUGAL: QUAL A REALIDADE PRÁTICA

Objectivos: 1) Avaliar a realidade da prática corrente da nutrição clínica em hospitais e centros de saúde comunitários em Portugal; 2) Identificar instituições sensibilizadas para a necessidade de educação e receptivas para treino especializado em nutrição. conclusões: 1) A prática da nutrição clínica é maioritariamente unidisciplinar/uniprofissional; 2) Nas instituições de saúde, é conceptualmente errada a composição dos grupos de nutrição multiprofissionais, com deficiente integração e subutilização; 3) Iniciativas que promovam a educação e treino especializado em nutrição são consideradas essenciais.

*Paula Ravasco
describe para SIIC los aspectos relevantes de su trabajo
SURVEY ON THE CURRENT PRACTICE OF NUTRITIONAL THERAPY IN PORTUGAL
Institución principal de la investigación
*Faculdade de Medicina da Univer, Lisboa, Portugal
Imprimir nota

Comprar este artículo
Otros artículos escogidos

Referencias bibliográficas
1. James WPT. Nutritional science. In: Garrow JS, James WPT, Ralph A, editors. Human nutrition and dietetics. Edinburgh: Churchill Livingstone; 2000. p. 3-12.2. Bastow MD, Rawlings J, Allison SP. Benefits of supplementary tube feeding after fractured neck of femur: a randomised controlled trial. Brit Med J 1983;287:1589-1592.3. Powers D, Brown P, Cowan G, Luther R, Sutherland D, Drexler P. Nutritional support team vs non-team management of enteral nutritional support in a Veterans Administration Medical Centre Teaching Hospital. JPEN 1986;10:635-638.4. Rana S, Bary J, Menzies-Gow N. Short term benefits of post-operative oral dietary supplements in elderly patients with fractured neck of the femur. Clin Nutr 1992;11:337-344.5. Green CJ. Existence, causes and consequences of disease-related malnutrition in the hospital and the community, and clinical and financial benefits of nutritional intervention. Clin Nutr 1999;18:3-28.6. Tucker H, Miguel S. Cost containment through nutrition intervention. Nutr Rev 1996;54:111-121.7. Ochoa J, Magnuson B, Swintowsky M. Long-term reduction in the cost of nutritional intervention achieved by a nutrition support service. Nutr Clin Prac 2000;15:174-180.8. Joint Commission on Accreditation of Healthcare Organisations. A new approach to JCAHO accreditation standards. Jt Comm Perspect 2002;22:4-5.9. Council of Europe. European forum-food and nutritional care in hospitals: acting together to prevent undernutrition. Strasbourg; 2001.10. King's Fund Centre. A positive approach to nutrition as treatment. London: King's Fund Centre; 1992.11. Nightingale JMD, Reeves J. Knowledge about the assessment and management of undernutrition: a pilot questionaire in a UK teaching hospital. Clinical Nutrition 1999;18(1):23-27.12. Howard J, Jonkers C, Lochs H, Lerebours E, Meier R, Messing B, et al. Survey to establish the current status of artificial nutritional support in Europe. Clin Nutr 1999;18:179-188.13. Moreno J, Shaffer J, Staun M, Hébuterne X, Bozzetti F, Pertkiewicz M, et al. Survey on legislation and funding of Home Artificial Nutrition in different european countries. Clin Nutr 2001;20:117-123.14. ESPEN-Home Artificial Nutrition Working Group: Van Gossum A, Bakker H, Bozzetti F, Staun M, Leon-Sanz M, et al. Home parenteral nutrition in adults: a European multicentre survey in 1997. Clin Nutr 1999;18:135-140.15. Senkal M, Dormann A, Stehle P, Shang E, Suchner U. Survey on structure and performance of nutrition-support teams in Germany. Clin Nutr 2002;21:329-335.16. Payne James J, de Gara C, Grimble G, Silk D. Artificial nutritional support in hospitals in the United Kingdom-1944: third national survey. Clin Nutr 1995;14:329-335.17. Elia M, Russel C, Shaffer J. Report of the British Artificial Nutritional Survey 1998 (BANS), British Association for Parenteral and Enteral Nutrition; 1999.18. Howard J. Organizational aspects of starting and running an effective nutritional support service. Clin Nutr 2001;20:367-374.19. Burnham R, Barton S. The role of a nutritional support team. In: Payne James J, Grimble G, Silk D, editors. Artificial nutrition support in clinical practice. London: GMM; 2001. p. 241-253.20. Beck A, Balknas U, Camilo M, Furst P, Gentile M, Hasunen K, et al. Practices in relation to nutritional care and support--report from the Council of Europe. Clin Nutr 2002;21:351-354.21. Howard J, Jonkers-Schuitema C, Kyle U. The role of the nutritional support dietician in Europe. Clin Nutr 1999;18:379-383.22. Jonkers C, Prins F, Van Kempen A, Sauerwein HP. Towards the implementation of optimum nutrition and better clinical nutrition support. Clin Nutr 2001;20:361-366.23. Duggan C, Rizzo C, Cooper A, Klavon S, Fuchs V, Gura K, et al. Effectiveness of a clinical practice guideline for parenteral nutrition: a 5-year follow-up study in a pediatric teaching hospital. JPEN 2002;26:377-381.

Otros artículos de Paula Ravasco

Ravasco P, Camilo M E, Gouveia de Oliveira A, Adam S, Brum G. A critical approach to nutritional assessment in critically ill patients. Clinical Nutrition 2002; 21(1):73-77.Ravasco P, Camilo M E. The impact of fluid therapy on nutrient delivery: a prospective evaluation of practice in respiratory intensive care. Clinical Nutrition 2003; 22(1): 87-92.Ravasco P, Monteiro Grillo I, Camilo M E. Does nutrition influence Quality of Life in cancer patients undergoing radiotherapy Radiotherapy & Oncology 2003; 67: 213-220.Castro R, Rivera I, Ravasco P, Jakobs C, Blom HJ, Camilo ME e Tavares de Almeida I. 5,10-methylenetetrahydrofolate reductase (MTHFR) 677C-T and 1298A-C mutations are genetic determinants of elevated homocysteine. Quarterly Journal of Medicine 2003; 96: 297-303.Ravasco P, Monteiro Grillo I, Marques Vidal P, Camilo M E. Nutritional deterioration in cancer: the role of disease and diet. Clinical Oncology 2003; 15 (8): 443-450. Castro R, Rivera I, Struys EA, Jansen EEW, Ravasco P, Camilo ME, Blom HJ, Jakobs C and Tavares de Almeida I. Increased homocysteine and S-adenosylhomocysteine concentrations and DNA hypomethylation in vascular disease. Clinical Chemistry 2003; 49: 1292-1296. Ravasco P, Martins P, Ruivo A, Camilo M E. Survey on the current practice of nutritional therapy in Portugal. Clinical Nutrition 2004; 23: 113-119. Ravasco P, Camilo M E. Tube feeding in mechanically ventilated critically ill patients: a prospective clinical audit. Nutrition in Clinical Practice 2003; 18 (5): 427-433. Mouro F, Amado A, Ravasco P, Marques Vidal P, Camilo ME. Nutritional risk and status assessment in surgical patients: a challenge amidst plenty. Nutricion Hospitalaria 2004; 19: 83-88. Ravasco P, Monteiro-Grillo I, Marques Vidal P, Camilo ME.Cancer: disease and nutrition are key determinants of patients: Quality of Life. Supportive Care in Cancer 2004; 12: 246-252.Castro R, Rivera I, Ravasco P, Camilo ME, Jakobs C, Blom HJ, Tavares de Almeida I. 5,10-methylenetetrahydrofolate reductase (MTHFR) 677C-T and 1298A-C mutations are associated with DNA hypomethylation. Journal of Medical Genetics 2004; 41: 454-458.Ravasco P, Monteiro-Grillo I, Marques Vidal P, Camilo ME. Dietary counseling improves patient-outcomes: a prospective randomized controlled trial in colorectal cancer patients undergoing radiotherapy (em revisao para re-submissao ao Journal of Clinical Oncology).Ravasco P, Marques Vidal P, Monteiro Grillo I, Camilo M E. Nutritional risks and colorectal cancer in a Portuguese population (submitted). Ravasco P, Camilo M E. Correspondence: reply to Dr. Piquet et al letter on the article - Survey on the current practice of nutritional therapy in Portugal. Clinical Nutrition 2004; 23: 23: 438.Ravasco P e Camilo M E. Alimentaçao e incidéncia de cancro. Revista da Faculdade de Medicina de Lisboa, Serie III vol. 5, Novembro/Dezembro 2000: 345-351.Proena V, Ravasco P, Camilo M E, Monteiro Grillo I. Caracterizaçao do estado nutricional em doentes submetidos a Radioterapia. Revista da Faculdade de Medicina de Lisboa, Serie III vol. 6, nº 4 Julho/Agosto 2001: 201-207.Raimundo P, Ladeira N, Ravasco P, Camilo M E. Insuficiçencia renal crónica e hemodiálise: implicaçoes nutricionais e na Qualidade de Vida. Revista da Faculdade de Medicina de Lisboa, Serie III vol. 7, nº 1 Janeiro/Fevereiro 2002: 5-13.Ravasco P, Monteiro Grillo I, Camilo M E. Cancro colorectal e factores de risco numa populaçao portuguesa: estudo de caso-controlo. Jornal Portugués de Gastrenterologia 2002; 9: 311-320.

Para comunicarse con Paula Ravasco mencionar a SIIC como referencia:
p.ravasco@fm.ul.pt

---

Acerca del trabajo completo

NUTRIÇÃO CLÍNICA EM PORTUGAL: QUAL A REALIDADE PRÁTICA

Título original en castellano
INQUÃRITO SOBRE A PRATICA DA NUTRIÇÃO CLiNICA EM PORTUGAL

Autores
Paula Ravasco¹, Maria Ermelinda Camilo²
1 Assistant Professor, Researche, Unidade de Nutrição e Metabolismo, Instituto de Medicina Molecular, Faculdade de Medicina
2 Unidade de Nutrição e Metabolismo, Instituto de Medicina Molecular, Faculdade de Medicina

Acceso a la fuente original
Clinical Nutrition
http://www.harcourt-international.com/journals/clnu/

El artículo se relaciona estrictamente con las especialidades de siicsalud
El artículo se conecta secundariamente con las especialidades