Nutritionens betydelse för akut traumatiskt hjärnskadade patienter
The aim of the literature review was to illuminate the importance of nutritional management to patients who have sustained a traumatic brain injury (TBI) and describe nurses responsibility and meaningful function in the nutritional support. TBI patients tend to be associated with hypermetabolism and hypercatabolism, resulting in negative nitrogen balances. The results reveal increased energy expenditure and assessments of needs energy requirements at the TBI patients. This study determining the route of feeding: enteral versus parenteral nutrition. Furthermore describes complications associated with enteral feeding. Many times nurses are the first to identify nutrional risks and complications because they are closest the patients. Nurses are in a position to be able to influence the nutritional support providing to TBI patients, but additional knowledge are necessary in nutrition and to do nutritional status. Conclusion: TBI patients are in an instabil situation. Early nutrition may prevent malnutrition, reduce septic complications, increase survival and disability for these patients. Balancing to providing the nutrient necessary requirement can be difficult