This book is a guide for clinicians seeking to use metabolic approaches in the care of hospitalized patients. Since a nutritional component exists for practically any disease process managed, it is important to properly address the macro- and micronutrient issues that can help facilitate a favourable clinical outcome.
Metabolic medicine is a newly recognized speciality that applies proven nutritional approaches to support hospitalized patients within existing standards of care. Optimizing Metabolic Status for the Hospitalized Patient: The Role of Macro- and Micronutrition on Disease Management addresses the gap of nutrition knowledge among physicians who generally care for patients without addressing the nutritional and metabolic perspective.
- State-of-the-art guidelines for practicing metabolic medicine in the hospital setting
- “Hands on” guide for day-to-day metabolic management of hospitalized patients
- Personal insights from one of the field’s leading practitioners, drawing upon decades of experience
- Historical reviews of key scientific developments
This book is written by Dr Michael M. Rothkopf, Clinical Professor of Medicine at Rutgers/New Jersey Medical School. Dr Rothkopf founded the Metabolic Medicine Center at Morristown Medical Center and is the current Metabolic Medicine Consultant for the Heart Transplant, Lung Transplant, Cardiac Surgery and Wound Care Programs at RWJBH/Newark Beth Israel Medical Center.
This book is directed at the physician level of hospital care. It provides value to a broad range of physicians regardless of their medical specialty or subspecialty. It will also be useful for medical students and resident physicians in training as well as nurse practitioners and physician assistants working in hospital settings.
Chapter 1. An Introduction to Metabolic Medicine
Chapter 2. A Brief History of Nutritional Medicine and the Emergence of Nutrition as a Medical Subspecialty
Chapter 3. An Abbreviated History of Nutritional Support
Chapter 4. Overview of the Metabolic Practices
Chapter 5. Hospital Resources
Chapter 6. The Initial Metabolic Medicine Hospital Consult
Chapter 7. The Nutrition-Focused History and Physical Examination (NFPE) in Malnutrition
Chapter 8. Metabolic Laboratory Data
Chapter 9. The Metabolic Cart
Chapter 10. Preparing the Malnourished Patient for TPN
Chapter 11. Parenteral Nutrition Components, Admixture and Administration
Chapter 12. Writing the Initial Parenteral Nutrition Order
Chapter 13. The Follow-up Metabolic Hospital Consultation
Chapter 14. Parenteral and Enteral Nutrition in Critical Illness
Chapter 15. Tube Feedings Formulas and Methods
Chapter 16. Oral Nutritional Supplements and Appetite Stimulation Therapy
Chapter 17. Transitioning the Nutritional Support Patient to Homecare
Chapter 18. The Metabolic Post-Operative Bariatric Surgery Consultation
The book reviews the foundations of nutritional medicine, the role of physician nutrition specialists, and details of the unique assessments one can offer in this capacity. The book serves as a guide for using traditional tools (e.g., the history and physical exam, laboratory data combined with other datapoints such as indirect calorimetry) to arrive at a complete nutritional assessment. The structure of this book is that it can be read cover to cover incorporating a comprehensive way of assessing patients and a few exemplary cases.
Jessica Hwang, MD, Cook County Health