Nutritional Care in Patients with Chronic Obstructive Pulmonary Disease

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Date
2011-01-24
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Faculty of Nursing, Mahidol University
Abstract
Malnutrition is one of the major problems in a patient with chronic obstructive pulmonary disease. It is a risk factor that increases susceptibility to infection due to low immunity and also a cause of muscles fatigue leading to dyspnea. Factors influencing malnutrition are infection which can be both a cause and effect of malnutrition, increasing energy consumption for breathing, inadequate food intake, anorexia, aspirate, side effects of drug used, stress, and socio-economic and social support problems. Management of malnutrition, contributing factors and promotion of appropriate energy and nutrient intake are important. A focus assessment of nutritional status and individual calories needs appropriate to severity of malnutrition and situation of the patients are also essential. These activities will decrease the incidence of acute exacerbation, increase physical activity and help improve quality of life in patients with this chronic illness.
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Journal of Nursing Science (วารสารพยาบาลศาสตร์ มหาวิทยาลัยมหิดล); Vol.28 No.3 July-September 2010; 13-21