First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease

Background and Aim. Hematological disorders (HD) affect millions of people annually worldwide. Nutritional care is essential in acute or chronic HD, especially in controlling metabolic and gastrointestinal disorders that affect the nutritional status of individuals. Methods. A bibliographic survey w...

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Main Authors: Julia da Silva Goncalves dos Santos, Barbara de Farias Meirelles, Isabela de Souza da Costa Brum, Mariana Zanchetta, Bruna Xerem, Lucas Braga, Marcia Haiut, Renata Lanziani, Taha Hussein Musa, Karen Cordovil
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2023/9303798
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author Julia da Silva Goncalves dos Santos
Barbara de Farias Meirelles
Isabela de Souza da Costa Brum
Mariana Zanchetta
Bruna Xerem
Lucas Braga
Marcia Haiut
Renata Lanziani
Taha Hussein Musa
Karen Cordovil
author_facet Julia da Silva Goncalves dos Santos
Barbara de Farias Meirelles
Isabela de Souza da Costa Brum
Mariana Zanchetta
Bruna Xerem
Lucas Braga
Marcia Haiut
Renata Lanziani
Taha Hussein Musa
Karen Cordovil
author_sort Julia da Silva Goncalves dos Santos
collection DOAJ
description Background and Aim. Hematological disorders (HD) affect millions of people annually worldwide. Nutritional care is essential in acute or chronic HD, especially in controlling metabolic and gastrointestinal disorders that affect the nutritional status of individuals. Methods. A bibliographic survey was carried out between 2020 and 2022 using two databases: PubMed/MEDLINE and Scientific Electronic Library Online (SciELO) and the information source Academic Google, irrespective of language or geography. Results. In the first nutrition consultation (FNC), there should be an investigative direction focused on nutritional interventions in the short, medium, and long term. The record in the patient’s medical record is relevant for carrying out the consultation, according to the recommendations of the normative councils of medicine and nutrition. The main steps to be followed are the investigation of the presence of food allergies and intolerances; the drugs/nutritional supplements in use; changes in the digestive tract; the presence or absence of picamalacia; and socioeconomic and lifestyle data. In addition, it is necessary to carry out laboratory evaluations, semiological assessment, anthropometric assessment, and assessment of food consumption. In the end, the nutritional approach should be composed of calculation of energy and macronutrient and micronutrient needs, intervention in nutritional status deviations, nutritional guidelines, and nutritional therapeutic planning of return, focusing on adherence to treatment. Conclusion. The first nutrition consultation may represent investigative steps that help the clinical nutritionist in the management, allowing a longitudinal and specific nutritional therapeutic planning for patients assisted in large reference centers for hematological disease.
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spelling doaj-art-d62eb847aee149638d437a71f23c5eeb2025-02-03T06:45:09ZengWileyThe Scientific World Journal1537-744X2023-01-01202310.1155/2023/9303798First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic DiseaseJulia da Silva Goncalves dos Santos0Barbara de Farias Meirelles1Isabela de Souza da Costa Brum2Mariana Zanchetta3Bruna Xerem4Lucas Braga5Marcia Haiut6Renata Lanziani7Taha Hussein Musa8Karen Cordovil9Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Institute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Biomedical Research InstituteInstitute of Hematology Arthur Siqueira Cavalcanti (Hemorio)Background and Aim. Hematological disorders (HD) affect millions of people annually worldwide. Nutritional care is essential in acute or chronic HD, especially in controlling metabolic and gastrointestinal disorders that affect the nutritional status of individuals. Methods. A bibliographic survey was carried out between 2020 and 2022 using two databases: PubMed/MEDLINE and Scientific Electronic Library Online (SciELO) and the information source Academic Google, irrespective of language or geography. Results. In the first nutrition consultation (FNC), there should be an investigative direction focused on nutritional interventions in the short, medium, and long term. The record in the patient’s medical record is relevant for carrying out the consultation, according to the recommendations of the normative councils of medicine and nutrition. The main steps to be followed are the investigation of the presence of food allergies and intolerances; the drugs/nutritional supplements in use; changes in the digestive tract; the presence or absence of picamalacia; and socioeconomic and lifestyle data. In addition, it is necessary to carry out laboratory evaluations, semiological assessment, anthropometric assessment, and assessment of food consumption. In the end, the nutritional approach should be composed of calculation of energy and macronutrient and micronutrient needs, intervention in nutritional status deviations, nutritional guidelines, and nutritional therapeutic planning of return, focusing on adherence to treatment. Conclusion. The first nutrition consultation may represent investigative steps that help the clinical nutritionist in the management, allowing a longitudinal and specific nutritional therapeutic planning for patients assisted in large reference centers for hematological disease.http://dx.doi.org/10.1155/2023/9303798
spellingShingle Julia da Silva Goncalves dos Santos
Barbara de Farias Meirelles
Isabela de Souza da Costa Brum
Mariana Zanchetta
Bruna Xerem
Lucas Braga
Marcia Haiut
Renata Lanziani
Taha Hussein Musa
Karen Cordovil
First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease
The Scientific World Journal
title First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease
title_full First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease
title_fullStr First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease
title_full_unstemmed First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease
title_short First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease
title_sort first clinical nutrition outpatient consultation a review of basic principles in nutritional care of adults with hematologic disease
url http://dx.doi.org/10.1155/2023/9303798
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