This fully updated 4th edition continues to illustrate how nutrition assessment is a critical first step in the Nutrition Care Process. An expanded chapter on implementing the Nutrition Care Process includes characteristics and diagnosis of malnutrition and a case study to bring the Nutrition Care Process to life. Nutrition screening is addressed with sample screening tools and steps for documenting the need for nutrition assessment and intervention. Chapters detailing the five domains of nutrition assessment cover practical guidance for: Food and nutrition-related history Anthropometric measurements Nutrition-focused physical assessment Biochemical tests, medical data, and procedures, and client history A chapter is dedicated to evidence-based guidance on measuring, estimating, and interpreting energy, protein, and micronutrient requirements. A glossary includes definitions of more than 400 terms and abbreviations used in this pocket guide.

ASPEN Enteral Nutrition Handbook, Second Edition is a comprehensive resource on how to safely, effectively, and confidently care for patients receiving tube feeding. The clinician will find everything needed for positive patient outcomes, including step-by-step techniques based on a wide variety of practical tools to save time and boost quality of care. The handbook’s best practices format, multidisciplinary perspective, and training expertise offers something for everyone from novice to the advanced practitioner. The first edition of the EN handbook was released in Feb 2010. Since then, ASPEN has developed numerous clinical guidelines, such as Safe Practices for Enteral Nutrition Therapy, now incorporated in this book. Key new features include: - Chapter on preparation, labeling, and dispensing of enteral nutrition - Separate chapters on adult and pediatric/infant formulas - Illustrated information on use of ENFit® devices for tube feeding and enteral medication - Updated guidance on nutrition assessment (characteristics of malnutrition in adults and children) - Broadened information across the healthcare settings, eg, home care - Expanded coverage of the use of blenderized tube feedings - Best-practice tips (eg, patient discharge, patient education) based on ASPEN’s clinical guidelines and other resources

This guide covers the application of the Nutrition Care Process to enteral nutrition; indications and contraindications for enteral nutrition; assessment and patient selection; short-term and long-term enteral access; initiation, advancement, and transition of feedings; formula types; monitoring and evaluation; complications; and home enteral nutrition. Evidence-based information from the Academy, A.S.P.E.N. and other organizations is used throughout.