Date of Award

Spring 1981

Degree Type

Thesis - Restricted

Degree Name

Master of Science (MS)




The purpose of this essay was to discuss the prevalence and ramifications of protein-calorie malnutrition among hospitalized patients. Several common etiologies of such were reviewed, as well as the traditional methods of support therapy currently being utilized for treatment of inadequate exogenous intake. The physiologic response to stress and injury and the resultant hypermetabolic state which occurs were reviewed. The degree of hypermetabolism present influences the amount of energy needed and utilized by the body for maintenance of homeostasis. This increase energy demand may cause protein catabolism and depletion of protein stores. Various protein sparing therapy modalities were presented along with implications for use of such in select situations. The concept of nutritional assessment as an integral portion of complete nutritional support was established. The early detection of patients at nutritional risk is paramount for prompt initiation of appropriate therapy and prevention of cachexia. The nurse's role as a member of the nutritional support team was explicated, as was her role in administration and management of the prescribed nutritional support therapy.



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