STRENGTHENING THE CARE OF THOSE WITH SPECIAL DIETARY NEEDS: AN EXPERIENCE WITH BLENDERIZED DIETS, IN PIRAQUARA-PR
DOI:
https://doi.org/10.12957/demetra.2017.30161Keywords:
Nutritional Therapy. Enteral Nutrition. Home Care. Health System.Abstract
This is an experience report about the implementation of a Municipal Protocol of Special Diets, to attend to those with special dietary needs, using blenderized tube feeding. The objective of this experience was the strengthening of this health care network, due to its increasing demand and lack of public budget. Prior to this Protocol, the municipality provided 50% of the patient’s nutritional needs through industrialized formulas, the rest should be funded by the family. The objectives of this Protocol were: to guarantee 100% of the patient’s nutritional needs, through blenderized diets; increase the number of nutritionists to enable nutritional monitoring at home; and ensure its financial viability. For that, enteral diets for adults and children - of 1,500 Kcal, 1,800 Kcal and 2,100 Kcal - were prepared based on formulas previously analyzed. The formulas consisted of a mixture of basic foods and industrialized enteral diet, provided by the municipality. After 1 year of its implementation, the average cost per patient treated with enteral formulas fell by 48%, which allowed the hiring of more nutritionists for the City’s Primary Health Care. As a space for discussion and support, this initiative had a Working Group on nutritional care in enteral therapy, composed of nutritionists from neighboring municipalities and the Regional Council of Nutritionists of Paraná. It is hoped that this work will stimulate the sharing of governmental experiences focused on the nutritional care of people with special dietary needs.
DOI: 10.12957/demetra.2017.30161
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