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Nörolojik Bilimler Hemşireliği: Kanıta Dayalı Uygulamalar
Neuroscience Nursing: Evidence-Based Practice
amacıyla enteral beslemeye devam edilmelidir (Wheshould be continued in order to maximise nutritional
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Neuroscience Nursing: Evidence-Based Practice
lan et al., 2006; Wiesen et al., 2006).
support (Whelan et al., 2006; Wiesen et al., 2006).
should be continued in
Parenteral beslenme order to maximise nutritional
Parenteral nutrition
support (Whelan et al., 2006; Wiesen et al., 2006).
Parenteral nutrition sadece an option only after yönParenteral beslenme becomes enteral beslenme enteral
nutritional methods
temlerinin uygun olmadığına karar verildikten sonra
Parenteral nutrition have been considered as not being
viable. The decision to move to parenteral nutrition is
düşünülen bir seçenektir. Parenteral beslenmeye geçiş
Parenteral nutrition becomes an option only after enteral
usually made on the basis that the patient is
kararı genellikle hastanın oral ve/veya as not receiving
nutritional methods have been considered enteral yolla
being
inadequate or unsafe oral and/or enteral nutritional intake,
yetersiz veya güvensiz besin almasına bağlı olarak ya
viable. The decision to move to parenteral nutrition is
or when the patient has a non-functional, inaccessible or
da hasta fonksiyonlarını yerine getiremiyorsa, hastayla
usually made on the basis that the patient is receiving
perforated gastrointestinal tract (NICE, 2006).
iletişim kurulamıyorsa veya gastrointestinal yol kesininadequate or unsafe oral and/or enteral nutritional intake,
The decision to commence parenteral
teye uğramışsa alınır (NICE, 2006). inaccessible or
or when the patient has a non-functional, nutrition requires
the benefits to be weighed against the alınırken ya perforated gastrointestinal tract (NICE, 2006).
Parenteral beslenmeye başlama kararı risks. Parenteral
nutrition requires the önünde of a central venous catheter
The ve riskleri göz placementbulundurulmalıdır. Pararları decision to commence parenteral nutrition requires
thein longtstermbe weighed is therefore risks. kateter tabenefi to use and it against the associated with
renteral beslenme uzun süreli santral venöz Parenteral an
increased risk of infection and impairment of bağışıklığın
nutrition requires the placement of a bağırsak gut catheter
kılmasını gerektirir; bu nedenle, central venous -associated
in immunity (as a resultitof bypassing associated with an
long term use and is therefore atlanması sonucu)
yitirilmesi (gastrointestinal yolun the GI tract) (Mestecky,
2006). Peripherally and impairment gut-associated
increased risk of infectioninserted centralofcatheters (PICC)
ve yüksek enfeksiyon riski ile ilişkilendirilir (Mestecky,
are associated with yerleştirilen santral (Mestecky,
immunity (as a result ofless risk of infection but can only be
2006). Periferal olarak bypassing the GI tract) kateterlerde
used for short term administration catheters (PICC)
2006). Peripherally inserted central of parenteral nutrition
(PICC – Peripherally Inserted Central Catheters) enfeksiareand when with less risk of infection but can only be
associated the supplement feed is deemed suitable
yon riski daha az olmakla birlikte, bunlar sadece kısa dö(NICE, 2006). Parenteral nutrition is costly as nutrition be
used for short term administration of parenteral it has to
nemli parenteral beslenme için ve hastanın uygun olduğu
prepared on
and when the an individual basis under strict sterile
düşünüldüğünde supplement feed is deemed suitable
kullanılabilir (NICE, 2006). Parenteconditions. The nurse must ensure that it solution
(NICE, 2006). Parenteral nutrition is costly asthe has to be is
ral beslenme, son derece steril koşullar altında bireysel
prepared on from light, as it may affect some of the microprotected an individual basis under strict sterile
bazda hazırlanması gerektiğinden, yüksek maliyetlidir.
conditions. The nurse must technique must be maintained
nutrients. Strict aseptic ensure that the solution is
Hemşire solüsyonu ışıktan korumalıdır; ışık bazı mikro
protectedattaching andas it may affect some of