Improvement in protein utilization in nursing-home patients on tube feeding supplemented with an enzyme product derived from Aspergillus niger and bromelain.

feeding. It must be stressed that the patient, if turned down for PN, would receive input from the NST on appropriate nutritional management and be reviewed for a few days after the initial referral in case any complications arose. The nutrition nurse specialist was funded from the Trust on a permanent basis and 0.3 whole time equivalent of a dietition was seconded to the team for help on daily rounds. We also continued our general nutrition education sessions. These sessions were aimed especially at the junior medical staff because they rotated more frequently through the system than the previously targeted groups.