Formula for Success: Deliver Enteral Nutrition Using Best Practices

Chris Winkelman, PhD, RN, CCRN, and Kathleen Best, RD, LD, CNSD



50% of adults admitted to U.S. hospitals are malnourished and many hospitalized adults are too sick or simply physically unable to ingest food. That makes providing adequate nutrition a challenge, especially in patients with impaired digestion, altered consciousness, dysphagia, depression, or weakness. And don't forget the hospitalized patients who are at risk for undernutrition. Almost any moderate or severe chronic disease or severe acute disease increases this risk. Hospitalized patients who are malnourished or at risk for undernutrition can benefit from enteral nutrition (EN). To improve outcomes and shorten hospital stays, a multidisciplinary team, including a physician, nurse, dietician, and pharmacist, should administer and monitor EN therapy, using the current best practices described in this article.

Purpose/Goal: To provide nurses with information that helps them better care for patients who are receiving enteral nutrition.


1. Differentiate the techniques of enteral nutrition (EN).
2. Describe how to prevent complications of EN.
3. Discuss the nursing management of patients receiving EN.


Chris Winkelman, PhD, RN, CCRN, is an assistant professor at Frances Payne Bolton School of Nursing at Case Western Reserve University in Cleveland, Ohio. Kathleen Best, RD, LD, CNSD, is a clinical dietitian at University Hospitals Case Medical Center in Cleveland.

The planners and author of this CNE activity have disclosed no financial relationships with any commercial companies pertaining to this activity.

Contact Hours: 1.8

Expiration Date: 3/31/2014


Member Price: $15.00
Non-Member Price: $20.00

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