Poor palatability, leading to poor patient compliance, defeats the purpose of any nutrition prescription.4 Moreover, a recent literature review found no statistical difference in infections, complications, and length of hospital stay between patients given IN or ONS.4įindings from studies on ERAS protocols contradict traditional management of postsurgical patients, which typically calls for prolonged fasting before surgery and a clear liquid postsurgery diet. Available in a wide variety of flavors, ONS products, such as Ensure, Boost, and Resource 2.0, typically are much less expensive and far more palatable than IN, resulting in better patient compliance. ONS, most often in liquid form, provide extra protein and calories to supplement a patient's diet. ![]() Two main approaches to pre- and postoperative nutrition have been studied the most: standard oral nutrition supplements (ONS) and immunonutrition (IN) supplements. ![]() If you're not well trained, if you're not ready for surgery, you're not going to do well." "Surgery is like a sport," Evans said, "and we have to be the trainers. Surgery poses a catabolic stress on the body, which triggers inflammation and depletes nutrients this, in turn, can impair the immune response and increase the risk of postoperative complications, especially infections.4 The third congress of the society is slated to meet in May 2015 in Washington, D.C., to discuss these protocols and determine if they need to be updated. Formed in Sweden, the ERAS Society has developed protocols, which include such nutrition guidelines. So why aren't nutrition assessments and pre- and postsurgical nutrition interventions routine in many hospitals?ĭavid Evans, MD, of The Ohio State University, an outspoken advocate for nutrition assessment and support both pre- and postsurgery, offered some insight at the Academy of Nutrition and Dietetics' Food & Nutrition Conference & Expo in October 2014, when he said, "Traditional beliefs still persist among surgeons to delay initiating nutrition support, despite recommendations to the contrary." The recommendations he's referring to, known as "enhanced recovery of patient after surgery," or ERAS, urge preoperative nutrition assessments and counseling prebiotic/probiotics administration limiting preoperative fasting to two to three hours, rather than the traditional six to 12 hours and immediate postoperative fluid and diet initiation, to name a few approaches. It's a little-appreciated fact that up to 50% of patients are malnourished when they're admitted to the hospital, yet according to a Johns Hopkins study, only about 20% of patients receive a nutritional consult.1 Another surprising fact: Malnutrition increases the risk of death after surgery, significantly raises the risk of postoperative complications, and is a chief reason why patients are readmitted to the hospital.2 In addition, hospital stays are longer and health care costs can be more than 60% greater for malnourished patients.3 It affects all ages, but the elderly are especially vulnerable. ![]() ![]() Roby Bianchi Trans Operata Anal p Postop tranny pussyfucked before cumshot Missionary Shemale Tugging 6 min 720p Post-Op Ladyboy Wawa Bareback and Creampie Srs Asian Post Op 6 min 720p Post-Op Ladyboy Quiz Bareback Fucked Ladyboy Pussy Thai 5 min 720p Post Op Tranny Reesa Noi - .vu Dildos Brunette Fetish 6 min 360p Post-Op Shemale Quiz Sucks n Fucks Asian Blowjob Post Op 5 min 720p Postop asian ladyboy cocksucking before sex Oriental Shemale Bigtits 6 min 720p Post-Op Ladyboy Ann Fucked By Her Friend Blowjob Shemale Asian 5 min 720p Shemale pussy takes big cock Ts Transgender Shemale 6 min 720p Beautiful Post-Op Swallows My Seed Masturbate Masturbating Tranny p Post op beauty dildoing her tight pussy Booty Masturbation Postop p Posh TILF Lily, in latex, dominated and ravaged by two guys Milf Trans British 32 min 360p Gorgeous postop ts cums after fingering Solo Tranny Orgasm p Glamorous post op babe enjoys solo scene Trans Solo Fetish 6 min 720p sweet jenny Shemale Tranny Babe 11 min 720p PostOp Ladyboy Poppy Fucked Like A Girl Blowjob Ladyboy Upskirt 6 min 720p DevilsTGirls She Is DP Destroyed In A Trans-Threesome With Aubrey Kate Blowjob Trans With Trans Trans p Post-Op Ladyboy Quiz Bareback Anal Ladyboy Thai Pussy 5 min 720p Post-Op Ladyboy Yumi Fucked Bareback POV Bareback Raw 5 min 720p GROOBY.RDs can ensure patients are well nourished before procedures to ease recovery, shorten hospital stays, and reduce complications. I used to have a cock! - Reesa Noi Reesa Noi Petite Anal 6 min 720p Busty shemale Reesa Noi riding a sybian Shemale Tranny Blackhair 5 min 720p il trans operata Sonia Rey si fa scopare con Tranny Shemale Milf p Busty transgendered TS fucked in pussy Guyonshemale Shemale Brunette 5 min 720p British blokes bang ultra femme postop and film it on their phones Postop Milf British p Ex Transsexual.
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