The EAL is seeking RDNs and NDTRs who work with patients, clients, or the public to treat children and adolescents living with type 1 diabetes, for participation in a usability test and focus group. Interested participants should email a professional resume to by July 15, 2024.

Recommendations Summary

CI: Monitoring and Evaluation of Critically Ill Adults 2012

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  • Recommendation(s)

    CI: Monitoring and Evaluation of Critically Ill Adults

    Following the nutrition intervention, to check progress, the Registered Dietitian (RD) should monitor and evaluate at each visit the nutrient intake of critically ill adult patients and compare to desired individual outcomes relevant to the nutrition diagnosis and intervention. This may include, but is not limited to the following:

    Food/Nutrition-Related History:

    • Adequacy and appropriateness of nutrient intake/nutrient delivery
    • Actual daily intake from enteral nutrition (EN) and parenteral nutrition (PN) and other nutrient sources
    • Bioactive substances (prebiotics/probiotics, antioxidants, glutamine).

    Anthropometric Measurements:

    • Weight
    • Weight change.

    Biochemical Data, Medical Tests and Procedures:

    • Biochemical indices (glucose, electrolytes, others as warranted by clinical condition)
    • Implications of diagnostic tests and therapeutic procedures [indirect calorimetry measurements, radiography for confirmation of feeding tube placement, other gastrointestinal (GI) diagnostic tests].

    Nutrition-Focused Physical Findings:

    • Nutrition-focused physical examination that includes, but is not limited to: Fluid assessment, functional status, wound status,  clinical signs of malnutrition/overnutrition and/or nutrient deficiencies
    • Intake and output (I's and O's) including stool and fistula output, wound drainage  
    • Existing or potential access sites for delivery of nutrition support therapy
    • Abdominal exam
    • Fluid status (edema, ascites, dehydration)
    • Vital signs.

    Client History:

    • Clinical status
    • Medications.

    Monitoring and evaluation of the above factors is needed to correctly diagnose nutrition problems that should be the focus of further nutrition interventions. Inability to achieve optimal nutrient intake may contribute to poor outcomes.

    Rating: Consensus