RESUMEN
Home care continues to expand. With this growth are opportunities for registered dietitians (RDs) to demonstrate the vital role that they play not only in providing optimal nutrition care, but also in contributing to each patient's quality of life. Home care nutrition services range from individual patient counseling to managing and monitoring parenteral nutrition. RDs' knowledge of nutrition, reimbursement, and new technologies position them to improve care and control costs. Current roles and responsibilities along with emerging areas of professional growth give RDs a multitude of options to provide and expand their services and value in home care.
Asunto(s)
Dietética/tendencias , Servicios de Atención de Salud a Domicilio/tendencias , Adolescente , Adulto , Estudios de Cohortes , Análisis Costo-Beneficio , Dietética/economía , Femenino , Infecciones por VIH/terapia , Servicios de Atención de Salud a Domicilio/economía , Humanos , Cobertura del Seguro/economía , Seguro de Salud/economía , Masculino , Medicaid , Medicare/economía , Persona de Mediana Edad , Cuidados Paliativos/métodos , Cuidados Paliativos/normas , Nutrición Parenteral en el Domicilio/normas , Grupo de Atención al Paciente , Calidad de Vida , Estudios Retrospectivos , Cuidado Terminal/métodos , Cuidado Terminal/normas , Estados UnidosRESUMEN
Obesity has become an epidemic in the United States, with other western countries also reporting increases in incidence of obesity. With many associated comorbidities, it is the most common nutritional disorder facing the medical team. However, the assessment of macronutrient needs for nutrition support regimens in obese adults is controversial. This review summarizes existing research on popular predictive approaches, including the Harris-Benedict equation, kilocalories per kilogram, and the Ireton-Jones equations. Complications including special considerations for patients who have undergone bariatric surgeries and current evidence on hypocaloric regimens are also discussed.
