Clinical nutrition: Means of making a diagnosis that shouldn't forget

Clinical nutrition: Means of making a diagnosis that shouldn't forget
Staff reporter Sun Meng Not long ago, Ministry of Public Health required every province to confirm two hospitals launched the clinical polit construction project of nutriology dept., and require the tertiary hospital and second hospital with condition to set up clinical nutriology dept.. However, as to " clinical nutrition " Concept,don't last patient not understanding,know even insider little. In the interview, even the doctor replies a reporter, the nutriology dept. is not in charge of the dining room, also offer and diagnose that treat? What the end of last year clinical nutrition doctor can do, Ministry of Public Health released <>,Have given the nutriology dept. of the hospital functional positioning: Treat the primary malnutrition patient arising from taking in the nutriment simply insufficiently, with improper too much or proportion etc. independently, jointly make a diagnosis and give treatment with every clinical department because of organic or functional disease, wound should defy special physiology that various reasons caused to continue taking place malnutrition patient and metabolic disease patient caused by supersession obstacle factor,etc.. However, the personage familiar with discipline development of nutrition tells reporters, let the difficulty not be small. In the morning of March 18, the reporter sees in the malnutritive clinic of BJ Union Hospital, the patient that come to here to see the doctor has the one that maintains PICC conduits, also some supersession diseases such as apositia, tumour and diabetes, chronic kidney trouble, gout,etc. and patient who needs nutrition to regulate because of suffering from. Chen Wei, doctor of nutriology dept., tells reporters in the intestines outside BJ Union Hospital intestines paying a home visit, they were once that one ate the difficult lung cancer liver and shifted a patient and made the nutrition in the intestines and filled a prescription by the mouth, nowadays this old man 88 years old accepts nutrition treatment has been already two years, the weight increased by 11 kilograms, and can eat the ordinary food slowly. The nutrition clinic in the third central hospital of Tianjin, the doctor on duty tells reporters, through evaluation in patient's supersession function, doctor will make, appear patient how much meat, egg, milk, dish does it need, absorb every day, then help the patient to take in science of these essential nutrition to distribute into the breakfast,lunch and dinner, eat several two meat, several two dishes while defining each meal of patient clearly. The nutrition head of the department Qi YuMeies of this institute say, as to the patient unable to eat normally, the dietician will help them to choose the route of nutrition treatment rationally. But Chen Wei says, because it is not enough for the society to propagate, the patient have insufficient understanding of nutrition clinic function, there are actually few people that clinic carry on nutrition treatment to come voluntarily. Have a meal too and is known from the party concerned by some reporters treating, it is the third central hospital in Tianjin that the clinical nutrition work launches the better one. Qi YuMei says, there are 7 dieticians in all before this courtyard of nutrition subjects, they will make the rounds of the wards every day, in order to guarantee the intervening measure of nutrition can be implemented to on the patient conscientiously. The dietician in addition, nutrition costs 80 people altogether to cook the teacher, meal hospital attendant, responsible for the whole the intersection of institute and more thanth nutrition treatment of impatient ' Outside the intestines nutrition, nutrition in the intestines, treat the meal) . She say institute this have, 80% need diet adjust probably in the patient, other 20% need, carry on nutrition treatment of individual. YuMei Qi say diet of patient make, need, restrain some kind and cooking method (for example fry and cook baking) of food from on the hospital ,Also exercise restraint in having stimulating flavoring agent, one of the reasons not delicious of meal of the hospital that may some patient said in this. Until the intersection of meal and hospital attendant deepen, carry on the intersection of nutrition and propaganda and education and take nutritive the intersection of meal and advantage to patient gradual to appear, the patient gets to understand, " it is a therapeutic part too to have a meal in the hospital " . The reporter knows, Ministry of Public Health has already trusted China to cure SCTE's dietician's professional committee and draft and make the relevant system at present, until what nutriology dept. should make and what does it can do and how pay thinningly. What nutrition treatment lacked most is talents in our country, the annual impatient has several ten million. When in hospital, the patient analogous to the proportion has a meal either not so bad, or need relatives to give the meal, can enjoy " It is to treat to have a meal " Such a service, it is really few. The reporter knows in the interview, in Beijing, nearly half the tertiary hospitals do not have nutrition clinic, all fewer that second hospital set up nutriology dept.. Expert say nutriology dept. can spread to the intersection of Tianjin and third central hospital the actually few horizontal one. The nutriology dept. is whole weak " The most outstanding one is the people's question " . The nutrition head of the department Ma Fang of BJ Union Hospital says, every professional and technical personnel of nutrition department of hospital hits probably only accounting for 30% of academic credentials above undergraduate at present. Some persons with education are long-term too to can't accept and continue educating, make the professional knowledge wear out. Chen Wei says, leads to the fact talent's inadequate natural endowment is the professional discipline educational problem of the nutrition. According to his introduction, from 1985 to 1988, 4 cured and learnt to recruit the professional students of medical nutrition in the universities and colleges at home, but cancelled the tertiary speciality while adjusting in specialized catalogue of medical science of 1998, nowadays only a few universities and colleges still kept the medical nutrition speciality. This has caused the shinking of specialized personnel directly, nowadays nutrition discipline has already presented very serious talent's fault. The expert calls upon, study the universities and colleges and set up clinical nutrition course in the education with raw medical science of the undergraduate course in medicine. The hospital will make the personnel training plan for clinical nutrition discipline, professional personnel's more chance of participating in clinical practice of clinical nutrition that will offer, could let more patients accept to the nutrition with specialized science to look after and treat in the hospital.

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