BACKGROUND Nationwide, many nursing home (NH) residents with advanced cognitive impairment are tube fed, despite no demonstrable benefits of this intervention in this population. Studies suggest that organizational features of NHs are associated with this practice, but underlying reasons for these associations are poorly understood. METHODS We conducted a focused ethnographic study of 2 NHs i...

Results: Of 96 CF patients, 81 (84%) CF patients are a live, 15 (16%) died. Fifty (52%) were males and 46 (48%) were females. Age at diagnosis 2.9 ± 3.5 years. The mean follow up period was 3.24 ± 2.8 years. Sixty five percent of patients were in the mild to moderate malnutrition stage (<90 percentile) weight for height percentile( Wt/Ht). Sixty three percent were in the mild to moderate stunte...

BACKGROUND Surgical jejunostomy tubes are a routine part of elective esophagectomies in patients with carcinomas and provide a route for nutritional support in those who experience complications. We wished to determine how frequently oral intake is delayed and the amount of nutrition delivered via the jejunostomy tube. METHODS We reviewed the charts of all adults undergoing esophagectomy for ...

Five malnourished patients who consistently failed to maintain or gain weight with other oral diets have been taught to give themselves a nocturnal nasogastric tube feed at home to supplement their dietary intake by day. All patients gained weight at a rate of about 0.5 kg per week. Nasogastric tube feeding at home can be an acceptable, safe, economical and efficient treatment for nutritional d...