Even though the data suggest that nutritional improvement lead to better outcomes including lower readmission rates in cirrhosis, operationalizing these into practice remains a challenge. To achieve this, a multi-disciplinary approach with nutritional education of the frontline care providers, earlier nutritional risk screening of patients, involvement of the nutrition professionals as part of the team and repeated dietary counseling for the patient and caregiver/s is required. Ultimately, this may need more focus, resource allocation and uniform guidelines across all countries to make this a success.
Keyphrases
- healthcare
- quality improvement
- end stage renal disease
- palliative care
- case report
- physical activity
- ejection fraction
- primary care
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- weight loss
- big data
- early onset
- type diabetes
- clinical practice
- hepatitis c virus
- patient reported outcomes
- human immunodeficiency virus
- adipose tissue
- patient reported
- artificial intelligence
- glycemic control