Recommendations Summary

CI: Coordination of Care for Critically Ill Adults 2012

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.

• Recommendation(s)

  CI: Coordination of Care for Critically Ill Adults

  For critically ill adults, the Registered Dietitian (RD) should implement Medical Nutrition Therapy (MNT) and coordinate care with an interdisciplinary team, through:

  • Requesting appropriate data 
  • Communicating with referring provider and all interdisciplinary team members
  • Indicating specific areas of concern.

  This collaborative approach is necessary to effectively integrate MNT into overall management for critically ill patients.

  Rating: Consensus
  Imperative

  • Risks/Harms of Implementing This Recommendation

    There are no potential risks or harms associated with the application of this recommendation.

  • Conditions of Application

    There are no conditions which may limit the application of this recommendation.

  • Potential Costs Associated with Application

    Although costs of MNT vary, MNT is essential for improved outcomes.
     

  • Recommendation Narrative

    Consensus.

  • Recommendation Strength Rationale

    Consensus reached.

  • Minority Opinions

    None.

• Supporting Evidence

  The recommendations were created from the evidence analysis on the following questions. To see detail of the evidence analysis, click the blue hyperlinks below (recommendations rated consensus will not have supporting evidence linked).

  • References
  • References not graded in Academy of Nutrition and Dietetics Evidence Analysis Process

    Task Force of A.S.P.E.N; American Dietetic Association Dietitians in Nutrition Support Dietetic Practice Group, Russell M, Stieber M, Brantley S, Freeman AM, Lefton J, Malone AM, Roberts S, Skates J, Young LS; A.S.P.E.N. Board of Directors; ADA Quality Management Committee. American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) and American Dietetic Association (ADA): standards of practice and standards of professional performance for registered dietitians (generalist, specialty, and advanced) in nutrition support. Nutr Clin Pract. 2007 Oct; 22 (5): 558-586. PMID: 17906280.