Abstract
Healthcare providers have strived to provide the burn patient with early and complete nutrition often via enteral feedings. However, burn nurses have many concerns about feeding patients during procedures such as hydrotherapy, wound care, line changes, and during times in which patients are supine, increasing the opportunity for reflux or aspiration. These concerns, however valid, over time can deprive the burn patient of valuable nutrition needed for wound healing. Adequate nutrition currently depends on the inconsistent method of increasing enteral feeding rates to make up lost calories after procedures. Therefore, we set out to ascertain how much total nutrition is affected by commonly occurring nursing procedures and how nurses can remedy this. All nurses in our Burn Intensive Care Unit were asked to document on a 24 hour log when, why and for how long enteral feeds were turned off. This information was collected on 20 patients for a period...
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