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Enteral Feeding and Refeeding Syndrome by G6rG9BcZ

VIEWS: 49 PAGES: 3

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                           National Feeding Practices Survey
1. How long have you been in clinical practice?

0-1 year
2-3 years
3-4 years
More than 5 years
More than 10 years


2. What band is your job?

Band 5
Band 6
Band 7
Band 8a
Band 8b
Band 8c
Band 8d
Band 9
Other (please specify)


3. What is your speciality?

Care of the elderly                                    Nutrition Support
Diabetes                                               Oncology
Gastroenterology                                       Paediatrics/Adolescents
Haematology                                            Rehabilitation
HIV                                                    Renal
ICU                                                    Stroke
Liver                                                  Surgical
Neurology                                              Other (please specify)


4. If you do work in nutrition support, what is your specialist area?

________________________________________________________


5. Please select your geographical location:

London                                                 Scotland
Midlands                                               South East
North East                                             South West
North West                                             Wales
Northern Ireland                                       Other (please specify)

6. Below is a list of factors that you may consider when initiating a tube feed, please indicate how
much these factors influence you when you start a tube feeding regimen:

Department protocol       A lot of influence   Some influence     A little influence   No influence

Clinical experience       A lot of influence   Some influence     A little influence   No influence

NICE guidelines           A lot of influence   Some influence     A little influence   No influence

Other (please specify):
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7. Does your department have a standard starting feeding protocol?

Yes
No
Unsure


8. If your department does have a standard starting feeding protocol, at what rate does it begin?

0 - 24 mls/hr
25 - 49 mls/hr
50 - 74 mls/hr
75 - 99 mls/hr
100mls/hr or more
Unsure
N/A


9. What is your most common starting feed rate in newly referred tube feeding patients?

0 - 24 mls/hr
25 - 49 mls/hr
50 - 74 mls/hr
75 - 99 mls/hr
100mls/hr or more
N/A


10. Does your department have a protocol for preventing refeeding syndrome?

Yes
No
Unsure


11. If a protocol exists for preventing refeeding syndrome, do you have single or multiple
protocols?

Single protocol
Mutliple protocols
Unsure

If you have multiple protocols, please specify:


12. Does your hospital have mandatory implementation of NICE guidelines?

Yes
No
Unsure


13. Would you say your knowledge of refeeding syndrome is:

Basic
Average
Good
Expert
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19. Please choose the statement that best applies to your own practice:

I consider refeeding syndrome in all my patients
I consider refeeding syndrome in particular groups of my patients
I rarely consider refeeding syndrome in my patients
I never consider refeeding syndrome in my patients
If you do consider refeeding syndrome in particular groups of patients, please specify which groups:


20. If you do consider refeeding syndrome in your patients and you suspect a patient is at risk,
which of the following statements best applies to your treatment of them:

I commence them on a low volume to avoid refeeding syndrome
I assess refeeding syndrome risk factors and then feed according to the severity of these
I feed to energy requirements and wait for refeeding symptoms to occur

21. Please choose the 2 most influential factors upon your practice when treating tube fed
malnourished adults at risk of refeeding syndrome:

PENG Guidelines before 2006                              A particular research paper
PENG Guidelines after 2006                               University teaching
NICE 2006                                                Conference/Study Day attendance
Dietetic peers                                           Your own experience

If a research paper has influenced you please specify:


23. With regard to refeeding syndrome please indicate which statement you agree with the most:

The amount of calories advised by NICE 2006 are too liberal and should be more cautious
The amount of calories advised by NICE 2006 are about right
The amount of calories advised by NICE 2006 are too cautious and should be more liberal
No opinion

								
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