Medical Nutrition Matters Fall 2019 Volume 39 No. 2 - The Role of the RDN in Weaning Home Parenteral Nutrition in a Patient with Short Bowel Syndrome. A Case Study in Short Bowel Syndrome

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Individuals with short bowel syndrome (SBS) have multifaceted nutrient requirements that require a high level of nutritional care. Individuals with SBS experience reduced absorptive capabilities for macronutrients, micronutrients and fluid, which can lead to intestinal failure. Intestinal failure is defined as "the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or fluid and electrolytes, such that intravenous supplementation is required in order to maintain health and/or growth." An intestinal rehabilitation (IR) program is used as first-line treatment for intestinal failure to support an optimal nutrition status and improved prognosis. This case study aims to provide information about the specialized care needed for SBS. De-identified medical data, including anthropometrics, dietary intake, medical interventions and medical course, were collected and analyzed in the context of existing research over a 2-year clinical course.

CPEU: 1.0
CPE Level: 2
Learning Need Codes: 5390, 5440, 5220, 9050
Performance Indicators: 8.1.4, 8.1.5, 8.3.1

Learning Objectives

1. Explain the major components of intestinal rehabilitation and its contribution to the treatment for short bowel syndrome/intestinal failure
2. Identify the essential role of the RDN within the multidisciplinary team for care of the individual requiring intestinal rehabilitation
3. Describe the pathophysiology of Short Bowel Syndrome

Publish 2019
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