The necessity of nutritional support for patients at the second stage of neurorehabilitation: problems and solutions

Abstract

The aim of this research was to demonstrate the relevance of personalised nutritional support for patients at the 2nd stage of neurorehabilitation. The study involved work with patients in the neurorehabilitation. The nutritional status of the patient was assessed according to the data of protein fractions. Individual calculation of calorie intake was performed via the Harris–Benedict formula. The observation has established the necessity of application of the “Nutritional status assessment scale” for all patients entering the neurorehabilitation course. An algorithm for patient examination in nutritional deficiency has been tested: evaluation of protein fractions, calculation of calories intake with determination of the amount of proteins, fats and carbohydrates.Conclusion. It is quite difficult to calculate energy expenditure in the process of neurorehabilitation for every manipulation. However, through application of the common standard of nutritional status assessment for patients on admission, it is possible to distinguish the patients requiring nutritional support. This will make it possible to avoid development of protein deficiency and “exhaustion” of patients in the process of the sessions.