References

Baldwin K, Bartges J, Buffington T AAHA nutritional assessment guidelines for dogs and cats. J Am Anim Hosp Assoc. 2010; 46:(4)285-96 https://doi.org/10.5326/0460285

Chambrier C, Sztark F. Société Francophone de nutrition clinique et métabolisme (SFNEP); Société française d'anesthésie et réanimation (SFAR). French clinical guidelines on perioperative nutrition. Update of the 1994 consensus conference on perioperative artificial nutrition for elective surgery in adults. J Visc Surg. 2012; 149:(5)e325-e336 https://doi.org/10.1016/j.jviscsurg.2012.06.006

Chan DL. Nutritional requirements of the critically ill patient. Clin Tech Small Anim Pract. 2004; 19:(1)1-5. doi https://doi.org/10.1053/S1096-2867(03)00079-3

Critical patients: Nutritional Management in cats and dogs. 2012. https://www.vettimes.co.uk/article/critical-patients-nutritional-management-in-cats-and-dogs (accessed 12 December, 2019)

Wet versus dry and other factors when choosing an optimum diet. 2014. https://www.vettimes.co.uk/app/uploads/wp-post-to-pdf-enhanced-cache/1/wet-versus-dry-and-other-factors-when-choosing-an-optimum-diet.pdf (accessed 23 January, 2020)

Collins S. The importance of nutrition in the post-operative recovery of cats and dogs. Veterinary Nursing Journal. 2016; 31:(8)233-236 https://doi.org/1 0.1080/17415349.2016.1194637

Assisted feeding techniques for the hospitalised canine. 2012. https://www.vettimes.co.uk/app/uploads/wp-post-to-pdf-enhanced-cache/1/assisted-feeding-techniques-for-the-hospitalised-canine.pdf (accessed 23 January, 2020)

Corbee RJ, Kerkhoven WJSV. Nutritional Support of Dogs and Cats after Surgery or Illness. Open J Vet Med. 2014; 04:(04)44-57 https://doi.org/10.4236/ojvm.2014.44006

Cote E, Cohn L. Cote's Clinical veterinary advisor: Dogs and cats, Disaster working dog management and health pp266, 4th edition. : Elsevier Health Sciences; 2019

Donoghue S. Nutritional support of hospitalised dogs and cats. Aust Vet J. 1994; 71:(10)332-336 https://doi.org/10.1111/j.1751-0813.1994.tb00912.x

FEDIAF. European Pet food industry, Nutritional Guidelines. 2018. http://www.fediaf.org/self-regulation/nutrition.html (accessed 15 December, 2019)

Freeman L, Becvarova I, Cave N, MacKay C Nutritional assessment Guidelines. J Small Anim Pract. 2011; 52:(7)385-96 https://doi.org/10.1111/j.1748-5827.2011.01079.x

Hewson C. Evidence-based approaches to reducing in-patient stress — Part 3: how to reduce in-patient stress. Veterinary Nursing Journal. 2014; 29:(7)234-6 https://doi.org/10.1111/vnj.12156

JoAnn M. Call to action: how to implement evidence-based nursing practice. Nursing. 2019; 47:(4)36-43

Kathrani A. Nutritional support in the intensive care unit. In Pract. 2016; 4:18-24 https://doi.org/10.1136/inp.i5414

Kogan LR, Schoenfeld-Tacher R, Viera AR. The Internet and health information: differences in pet owners based on age, gender, and education. J Med Libr Assoc. 2012; 100:(3)197-204 https://doi.org/10.3163/1536-5050.100.3.010

Liu DT, Brown DC, Silverstein DC. Early nutritional support is associated with decreased length of hospitalization in dogs with septic peritonitis: A retrospective study of 45 cases (2000-2009). J Vet Emerg Crit Care (San Antonio). 2012; 22:(4)453-9 https://doi.org/10.1111/j.1476-4431.2012.00771.x

Lock K. Reflections on designing and implementing a nursing care plan. Vet Nurs. 2011; 2:(5)272-7 https://doi.org/10.12968/vetn.2011.2.5.272

Orpet H, Welsh P. Handbook of Veterinary Nursing, 2nd ed. Oxford: Wiley-Blackwell; 2011

Pilgrim AL, Robinson SM, Sayer AA, Roberts HC. An overview of appetite decline in older people. Nurs Older People. 2015; 27:(5)29-35 https://doi.org/10.7748/nop.27.5.29.e697

Quimby J. Clinical manifestations of chronic kidney disease. In: Polzin D, Cowgill L (eds). : Elsevier; 2016

Schiffman SS. Influence of medications on taste and smell. World Journal of Otorhinolaryngology - Head and Neck Surgery. 2018; 4:(1)84-91 https://doi.org/10.1016/j.wjorl.2018.02.005

Thatcher C, Hand M, Remillard R. An Iterative Process, 5th ed. In: Hand M, Thatcher C, Remillard R, Roudebush P, Novotny B (eds). USA: Mark Morris Institute; 2010

Wells JL, Dumbrell AC. Nutrition and aging: assessment and treatment of compromised nutritional status in frail elderly patients. Clin Interv Aging. 2006; 1:(1)67-79 https://doi.org/10.2147/ciia.2006.1.1.67

Nutritional assessment guidelines. J Small Animal Practice. 2011; 00:(9)1-12

Yura H, Walsh M. The nursing process: assessing, planning, implementing, and evaluating.New York: Catholic University of America Press; 1967

A holistic approach to creating a nutrition plan for hospitalised inpatients

02 April 2020
12 mins read
Volume 11 · Issue 3
Figure 1. Nutritional assessment body condition score tool for use on canine patients in veterinary practice.

Abstract

Proper nutrition ensures adequate intakes of energy, protein, minerals and vitamins and it is essential for dogs and cats to ensure health and longevity. Veterinary nurses play a vital role in educating pet owners about nutrition as well as implementing the majority of nutritional support to hospitalised animals. As part of a holistic approach to delivering nutritional support, nutrition plans can be used successfully. This article will discuss and educate on how to implement and deliver this systematic approach using a basic nursing process of assessment, planning, implementation and evaluation to ensure an organised and more successful method is used to deliver nutritional support to inpatients.

Nursing a variety of patients may present different challenges for veterinary nurses (RVN). An important challenge that the RVN may face, may be understanding the nutritional requirements for that particular patient while hospitalised, specifically canines and felines. Orpet and Welsh (2011) specifically consider nutrition within their Ability Model nursing care plan assessment framework. A nutrition plan should not be overlooked and should be incorporated into the nursing care plan. It can be easier to notice if the patient is eating their required daily amount of food if a plan for nutrition is created. If the patient has not eaten then a change to the patient's care and treatment plan sometimes occurs, possibly including more investigations or diagnostic procedures to determine why the patient is inappetent. A systematic approach of using assessment, planning, implementation and evaluation (APIE) may be applied to every patient which creates a nursing care plan and a holistic approach to nursing.

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