CLINICAL CASE STUDY
Small Bowel Gangrene Secondary to
Non-Occlusive Mesenteric Ischemia (NOMI)
Objective
The Clinical Case Project was designed to provide the intern an opportunity to practice in depth analysis and application of the Nutrition Care Process (NCP) in a complex adult case concerning critical illness requiring nutrition support and use the ADA evidence analysis process and library in practice.
Abstract
Non-occlusive mesenteric ischemia is an abdominal pathology that eventually leads to surgical intervention and resection of necrotized intestinal segment. Patients with cardiovascular disorders undergoing hemodialysis are at increased risk of developing this condition. Early diagnosis and intervention is crucial in prevention of further complications and decreasing mortality. Upon removal of the gangrened intestine, the patient usually develops sepsis and is in critical condition. Nutrition intervention plays an important role in minimizing metabolic complications and management of electrolytes management. However, excessive provision of nutrients may increase intestinal metabolic demands and impair splanchnic perfusion.
This case study illustrates the
utilization of current evidence-based nutritional recommendations and outlines
nutritional care process steps in managing this critical illness.
Competencies Met
DI 1.2 Apply evidence-based guidelines, systematic reviews, and scientific literature in the nutrition care process and model and other areas of dietetics practice
DI 1.3 Justify programs, products, services and care using appropriate evidence of data
DI 1.4 Evaluate emerging research for application in dietetics practice
DI 3.1 Perform the Nutrition Care Process and use standardized nutrition language for individuals, groups, and populations of differing ages and health status, in a variety of settings
Supporting Documents:
- Written Report
- ADA Evidence Analysis Worksheets
- Power Point Presentation
