Officers
CAN WE FEED - a new mnemonic to aid in the decision to feed critically ill patients!
Miller and colleagues out of Louisville developed this new mnemonic that takes into account critical illness severity (C), age (A), nutrition risk screening (N) when evaluating critically ill patients for enteral feeds.
The authors suggest waiting (W) for adequate resuscitation, then determining energy requirements (E), select a formula (F), choose enteral access (E), review efficacy (E) of prescription and determine (D) tolerance of feeds.
All above equals = CAN WE FEED
The authors provide a usable screening tool for the nutrition support ICU practitioner.
JPEN 2011;35:643-659
Relative effectiveness of practice change interventions
The relative effectiveness of practice change interventions in overcoming common barriers to change: a survey of 14 hospitals with experience implementing evidence-based guidelines
Simpson F, Doig GS.
J Eval Clin Pract. 2007 Oct;13(5):709-15
AIMS AND OBJECTIVES: Changing practice to reflect current best evidence can be costly and time-consuming. The purpose of this survey was to determine the optimal combination of practice change interventions needed to overcome barriers to practice change commonly encountered in the intensive care unit (ICU).
DESIGN: A survey instrument delivered by mail with email follow-up reminders.
SETTING: Fourteen hospitals throughout Australia and New Zealand.