[Process of medical nutrition therapy].

Medical nutrition therapy is a very useful tool in maintaining and recovering the health of patients with disease-related malnutrition, although its implementation can be complex and is not without risks. Quality processes are understood as sets of activities that are related or interact to transform input elements into results. From the SENPE Management Work Group we present the process of medical nutrition therapy (PMNT), which aims to facilitate the management of clinical nutrition of a multidisciplinary nutrition support team in a hospital setting.

[Quality and safety in clinical nutrition].

Clinical nutrition and food provision in a hospital environment must be regulated by quality management programs that ensure maximum clinical benefit and maximum patient safety. This article gives an overview of quality management in clinical nutrition and hospital feeding. Likewise, keys and critical points to be taken into account in all the processes and threads that are carried out during specialized nutritional support and alimentation of patients are analyzed.

NUTRI-ONCOCARE: New integral nutrition care model to prevent and treat malnutrition in cancer patients.

Objective: The maximum expression of malnutrition in cancer patients is  cancerous cachexia, always linked to an unfavorable prognosis. Given its  evolutionary nature it is recommended to detect and act early in those patients with nutritional risk. The objective is to propose an action  algorithm for the nutritional approach of patients with solid tumors.

Survey on the use of zinc sulfate in parenteral nutrition in spanish hospitals.

Objective: In certain situations parenteral nutrition subsidiary patients may  have an increase in zinc demand (Zn). The objective of the study was to know  the scope of the use of Zn sulfate in patients with parenteral nutrition in Spanish hospitals.

Method: A survey was designed focusing on the incorporation of Zn sulfate into  parenteral nutrition, under real practice conditions, in the adult and pediatric  population.

[Nutritional support and treatment of chylothorax with octreotide].

Patients with chylothorax present a high risk for malnourishment since continuous loss of chylo leads to a significant impairment of their nutritional status. Chylothorax treatment, which initially is conservative, includes dietary measures and medications such as octreotide that decreases chylothorax flow. In this paper we present the case of a patient with chylothorax treated by means of pleural drainage, parenteral nutrition, and octreotide, and we review the most appropriate nutritional support as well as the efficacy and safety of octreotide in chylothorax therapy.