Management

Oral and enteral nutrition products can play a key role in delivering nutrients needed to manage some acute or chronic diseases or conditions.

Delivering Therapeutic Nutrition to Patients With Acute or Chronic Conditions

There are established relationships between good nutrition and good health–especially when it comes to managing some acute or chronic diseases or conditions. At Abbott Nutrition, we work to advance the science of nutrition so we can provide you with the resources that enable your patients to obtain optimal nutrition.

In this Therapeutic Nutrition Center, you'll find product information that addresses specific disease states and conditions. You'll also find educational content and tools to inform you as you manage  patients who could benefit from specialized nutrition therapy. A growing body of evidence shows that for illnesses and conditions with a strong nutrition component, timely, adequate, and appropriate nutrition intervention may help:

  • Improve patients' clinical outcomes1-12
  • Improve patients' quality of life13-19
  • Reduce health care costs1,4,11,20-25

Identifying At-Risk Patients

So who are the patients who can benefit from specialized therapeutic nutrition intervention? They are patients who could be:

  • Preparing for surgery
  • Recovering from surgery
  • Hospitalized for acute or chronic diseases or conditions
  • Staying in short- or long-term care residential facilities
  • Experiencing involuntary weight loss
  • Overweight
  • Living with impaired glucose tolerance
  • Frail and at risk for protein-energy malnutrition (PEM)
  • Requiring additional immune support
  • Metabolically stressed
  • Recovering from anorexia, stress, trauma, or burns
  • Living with kidney disease or chronic obstructive pulmonary disease

The following PDFs provide science-based analyses of specialized therapeutic nutritional care.

PDF imageImproving Outcomes in Chronic Diseases With Specialized Nutrition Intervention (309 KB)

PDF imageMalnutrition: A Hidden Cost in Health Care (7.03 KB)

Products for Nutritional Intervention

At Abbott Nutrition, we provide nutrition products that are designed specifically to help you meet the nutritional needs of your patients with a variety of conditions.

Some of our products are for oral use, some for enteral feeding. Some products are for supplemental nutrition, while others are created to provide sole source nutrition. Most are medical foods and intended for use only under medical supervision.

To help you gain quick access to detailed information about Abbott Nutrition therapeutic solutions, we've organized our products into the following disease states and conditions:

Cancer
Celiac Disease
Critical Care
Diabetes
Gastrointestinal
HIV/AIDS
Inherited Metabolic Disorders
Kidney Disease
Osteoporosis
Wound Care

References


1. Lawson RM, Doshi MK, Baron JR, Cobden I: The effect of unselected post-operative nutritional supplementation on nutritional status and clinical outcome of orthopaedic patients. Clin Nutr 2003;22:39-46.
2. Austrums E, Pupelis G, Snippe K: Postoperative enteral stimulation by gut feeding improves outcomes in severe acute pancreatitis. Nutrition 2003;19:487-491.
3. Lesourd BM: Nutrition and immunity in the elderly: Modification of immune responses with nutritional treatments. Am J Clin Nutr 1997;66:478S-484S.
4. Gianotti L, Braga M, Nespoli L, et al: A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer. Gastroenterology 2002;122:1763-1770.
5. Smedley F, Bowling T, James M, et al: Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care. Br J Surg 2004;91:983-990.
6. Stratton RJ, Ek AC, Engfer M, et al: Enteral nutritional support in prevention and treatment of pressure ulcers: A systematic review and meta-analysis. Ageing Res Rev 2005;4:422-450.
7. Collins CE, Kershaw J, Brockington S: Effect of nutritional supplements on wound healing in home-nursed elderly: A randomized trial. Nutrition 2005;21:147-155.
8. Akner G, Cederholm T: Treatment of protein-energy malnutrition in chronic nonmalignant disorders. Am J Clin Nutr 2001;74:6-24.
9. Potter J, Langhorne P, Roberts M: Routine protein energy supplementation in adults: Systematic review. Br Med J 1998;317:495-501.
10. Potter JM, Roberts MA, McColl JH, Reilly JJ: Protein energy supplements in unwell elderly patients?A randomized controlled trial. JPEN 2001;25:323-329.
11. Delmi M, Rapin CH, Bengoa JM, et al: Dietary supplementation in elderly patients with fractured neck of the femur. Lancet 1990;335:1013-1016.
12. Persson CR, Johansson BB, Sj?den PO, Glimelius BL: A randomized study of nutritional support in patients with colorectal and gastric cancer. Nutr Cancer 2002;42:48-58.
13. Stratton RJ, Elia M: Are oral nutritional supplements of benefit to patients in the community? Findings from a systematic review. Curr Opin Clin Nutr Metab Care 2000;3:311-315.
14. Davidson W, Ash S, Capra S, Bauer J: Weight stabilisation is associated with improved survival duration and quality of life in unresectable pancreatic cancer. Clin Nutr 2004;23:239-247.
15. Moses AW, Slater C, Preston T, et al: Reduced total energy expenditure and physical activity in cachectic patients with pancreatic cancer can be modulated by an energy and protein dense oral supplement enriched with n-3 fatty acids. Br J Cancer 2004;90:996-1002.
16. Moses A, Slater C, Barber M, et al: An experimental nutrition supplement enriched with n-3 fatty acids and antioxidants is associated with an increased physical activity level in patients with pancreatic cancer cachexia. Clin Nutr 2001;20(suppl 3):S21.
17. Payette H, Boutier V, Coulombe C, Gray-Donald K: Benefits of nutritional supplementation in free-living, frail, undernourished elderly people: A prospective randomized community trial. J Am Diet Assoc 2002;102:1088-1095.
18. Isenring EA, Capra S, Bauer JD: Nutrition intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area. Br J Cancer 2004;91:447-452.
19. Beattie AH, Prach AT, Baxter JP, Pennington CR: A randomised controlled trial evaluating the use of enteral nutritional supplements postoperatively in malnourished surgical patients. Gut 2000;46:813-818.
20. Arnaud-Battandier F, Malvy D, Jeandel C, et al: Use of oral supplements in malnourished elderly patients living in the community: A pharmaco-economic study. Clin Nutr 2004;23:1096-1103.
21. Smith PE, Smith AE: High-quality nutritional interventions reduce costs. Healthc Financ Manage 1997;51:66-69.
22. Brugler L, DiPrinzio MJ, Bernstein L: The five-year evolution of a malnutrition treatment program in a community hospital. Jt Comm J Qual Improve 1999;25:191-206.
23. Hospital finds nutrition care pays off on all counts, cutting costs, complications, mortality. Clin Resourc Manag 2000;1:183-186.
24. Mack LA, Kaklamanos IG, Livingstone AS, et al: Gastric decompression and enteral feeding through a double-lumen gastrojejunostomy tube improves outcomes after pancreaticoduodenectomy. Ann Surg 2004;240:845-851.
25. Fearon KC, Luff R: The nutritional management of surgical patients: Enhanced recovery after surgery. Proc Nutr Soc 2003;62:807-811.