Optimizing Metabolic Status For The Hospitalized Patient

This book is a guide for clinicians seeking to use metabolic approaches in the care of hospitalized patients. Since a nutritional component exists for practically any disease process managed, it is important to properly address the macro- and micronutrient issues that can help facilitate a favourable clinical outcome. Metabolic medicine is a newly recognized speciality that applies proven nutritional approaches to support hospitalized patients within existing standards of care. Optimizing Metabolic Status for the Hospitalized Patient: The Role of Macro- and Micronutrition on Disease Management addresses the gap of nutrition knowledge among physicians who generally care for patients without addressing the nutritional and metabolic perspective. Features: State-of-the-art guidelines for practicing metabolic medicine in the hospital setting “Hands on” guide for day-to-day metabolic management of hospitalized patients Personal insights from one of the field’s leading practitioners, drawing upon decades of experience Historical reviews of key scientific developments This book is written by Dr Michael M. Rothkopf, Clinical Professor of Medicine at Rutgers/New Jersey Medical School. Dr Rothkopf founded the Metabolic Medicine Center at Morristown Medical Center and is the current Metabolic Medicine Consultant for the Heart Transplant, Lung Transplant, Cardiac Surgery and Wound Care Programs at RWJBH/Newark Beth Israel Medical Center. This book is directed at the physician level of hospital care. It provides value to a broad range of physicians regardless of their medical specialty or subspecialty. It will also be useful for medical students and resident physicians in training as well as nurse practitioners and physician assistants working in hospital settings.

Home parenteral nutrition (HPN) is the intravenous administration of nutrients carried out in the patient's home. This book analyses current practices in HPN, with a view to inform best practice, covering epidemiology of HPN in regions including the UK and Europe, USA and Australia, its role in the treatment of clinical conditions including gastrointestinal disorders and cancer, ethical and legal aspects and patient quality of life.

This Surgical Clinics issue is Part 2 of a special two part issue on nutrition and metabolism of the surgical patient, co-guest edited by Dr. Stanley Dudrick, a pioneer in total parenteral nutrition. Part 2, guest edited by Dr. Dudrick and Dr. Juan Sanchez present topics on nutrition and metabolism for the chronically ill patient. Topics will include: nutrition management of acute and chronic pancreatitis, surgical treatment of patients with diabetes mellitus, nutrition management of geriatric surgical patients, nutrients, routes of delivery and immunocompetence, immunologic functions and aspects of the alimentary tract related to feeding, overview of enteral and parenteral feeding access techniques, dietary, metabolic and surgical management of obese patients, historical highlights of the development of total parenteral nutrition, nutrition support of patients with cardiovascular disease, genomic and epigenomic aspects of nutrition and metabolism in surgical patients, nutrition support of patients with inflammatory bowel disorders of the small intestine, colon and rectum, nutrition support of patients with cancer, home parenteral nutrition for intestinal failure, and more.

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

In your complex and dynamic field, it can be a struggle to continually integrate the latest scientific and clinical information into your everyday patient care. The 11th Edition of this beloved reference is the solution! Leading authorities provide just the right blend of scientific insight and clinical know-how to help you overcome any clinical challenge. A new full-color, extremely user-friendly format makes reference a snap. And, full-text online access lets you search the contents rapidly from any computer! Chapters bridge the gap between basic science and clinical applications, providing the right context for optimal diagnosis and treatment. Chapters by the leading authorities in endocrinology equip you with authoritative opinions on any challenge you face. New chapters on hormones and athletic performance - neuroendocrine control of appetite and body weight - and HIV/AIDS keep you up to date on these timely topics. New evidence-based screening algorithms and treatment boxes deliver reliable clinical guidance at a glance. New full-color illustrations throughout help you grasp essential concepts easily. Full-text online access lets you search the book instantly on your computer and download images for your next presentation.

This book discusses the evidence behind the relationship between COVID-19 and heart disease based on emerging state-of-the-art data. The rapid and unexpected global spread of the COVID-19 has revealed proportional levels of cardiovascular and metabolic complications. A myriad of pathogenetic mechanisms has come to the surface. There is still much research required to define whether cardiovascular disease causes COVID-19 complications or that cardiovascular disease appears as a result of the infection and which mechanisms are responsible. With cardiovascular and metabolic diseases already at pandemic levels and expected to increase further, this book provides readers with an urgent and thorough analysis of this association. Cardiovascular Complications of COVID-19: Risk, Pathogenesis and Outcomes provides answers to the increasing numbers of questions related to heart disease in COVID-19, highlighting the association between these pandemics and including risk factors, mechanisms and how these may impact diverse patients populations. It describes how COVID-19 impacts older patients and those with metabolic illnesses such as obesity and diabetes mellitus, while providing an overview of the observed gender dichotomy among patients. It therefore represents an essential resource not only for all cardiovascular physicians but also for any healthcare professionals managing patients with these diseases or those exploring COVID-19.

This textbook is a practical guide to the application of the philosophy and principles of Integrative and Functional Medical Nutrition Therapy (IFMNT) in the practice of medicine, and the key role nutrition plays in restoring and maintaining wellness. The textbook provides an overview of recent reviews and studies of physiological and biochemical contributions to IFMNT and address nutritional influences in human heath overall, including poor nutrition, genomics, environmental toxicant exposures, fractured human interactions, limited physical movement, stress, sleep deprivation, and other lifestyle factors. Ultimately, this textbook serves to help practitioners, healthcare systems, and policy makers better understand this different and novel approach to complex chronic disorders. It provides the reader with real world examples of applications of the underlying principles and practices of integrative/functional nutrition therapies and presents the most up-to-date intervention strategies and clinical tools to help the reader keep abreast of developments in this emerging specialty field. Many chapters include comprehensive coverage of the topic and clinical applications with supplementary learning features such as case studies, take-home messages, patient and practitioner handouts, algorithms, and suggested readings. Integrative and Functional Medical Nutrition Therapy: Principles and Practices will serve as an invaluable guide for healthcare professionals in their clinical application of nutrition, lifestyle assessment, and intervention for each unique, individual patient.