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Research Article Open access CC BY 4.0

Recognition and Prevention of Hospitalised Malnutrition: A Case Report

Salima Elfagi, Faiza Nouh, Esra Boshofa

International Journal of Medical and Pharmaceutical Case Reports · pp. 5–17 · Published 20 Jan 2024

10.9734/ijmpcr/2024/v17i1361

Abstract

Rationale: Poly-trauma post road traffic accident often induces a state of malnutrition due to the pathological changes and the insufficient protein and caloric intake for long time. If left unmanaged, malnutrition will have negative consequences on rehabilitation. Nutritional intervention provides caloric requirements and the nutritional support necessary to cover the daily nutritional needs and help contrast hospitalised infections. Our hypothesis is that integration of organised and continuous nutritional assessment and management can enhance prevent the state of malnutrition and increase rehabilitation outcomes. Patient Concerns: We present the case of an adult man with Poly-trauma post caused by road traffic. The patient underwent tracheostomy and percutaneous endoscopic gastrostomy (PEG) procedures, had severe consciousness disorder. Diagnosis: He has severe consciousness disorder that necessitated the tracheostomy and the PEG. Interventions: Our approach included regular nutritional assessment and caloric calculation and implementation of as well as the gradual introduction of diet from NPO to clear liquid, as well as using of supplements and enteral formulas. Outcomes: The patient was followed for seven months during which the metabolic/nutritional pattern and the blood tests improved, normal weight restored, and consciousness regained. Conclusion: Nutritional intervention integrated has prevented drastic loss in weight, a better recovery, and the stabilization of the metabolic-nutritional framework. Nutritional approach used has contributed to the reduction of recovery times, making the therapeutic path more effective and applicable.

Nutritional assessment PEG traumatic brain injury

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