BMJ  2004;329 (28 August), doi:10.1136/bmj.329.7464.0-d

Enteral feeding practices can be improved

Interdisciplinary teamwork and focused educational effort can improve enteral nutrition practice in patients with dementia. Monteleoni and Clark (p 491) report on a quality improvement intervention in a large acute care hospital in New York City, where medical and allied health staff received educational programmes on end of life care, and on feeding management. After these interventions, the number of feeding tubes placed was greatly reduced. The authors emphasise the importance of an established unified goal of care for each patient.

Credit: JAN BANNING/PANOS

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Using rapid-cycle quality improvement methodology to reduce feeding tubes in patients with advanced dementia: before and after study

Carol Monteleoni and Elizabeth Clark
BMJ 2004 329: 491-494. [Abstract] [Full Text] [PDF]