Suchergebnisse

Overview: Ten years after the Declaration of Cancun, I am doing a critical analysis to evaluate if what was expressed in it has had repercussions on the improvement of the quality of in-hospital nutritional care in Latin America.The question is: Does the patient receive optimal nutrition based on quality criteria (timeliness, efficiency, effectiveness and safety)? The evidence-based answer is a "significant" no. We can divide in 2 big sections the failures that nutritionally damage patients; the so-called latent failures that are failures in the system and the active ones that are those made by the different people that act directly on the patient's attention. Therefore, actions to improve the nutritional security of the hospitalized patient should be focused on proactive and preventive change at both the systemic (system) and individual (people) levels. These actions may be regulated or self-regulated; however, our vision is that nutritional security in the health system will mean nothing without the collaboration and commitment of medical professionals. A cultural change is a precondition for focusing on actions to improve the safety of the patient's nutritional care and also on a policy of outcomes. Secure patient nutrition care must be put on the political agenda. Simultaneously finding quality of nutritional care, operational efficiency and financial incentive linked to the outcome must be the goal. Trying to solve the problem independently is a waste of time and effort. ; Esta reflexión crítica analiza si lo expresado en la Declaración de Cancún hace 10 años ha repercutido en mejorar la calidad de atención nutricional intrahospitalaria en Latinoamérica.La pregunta es: ¿el paciente recibe una nutrición óptima basada en criterios de calidad (oportunidad, eficiencia, efectividad y seguridad)? La respuesta basada en evidencias es un no "significativo".Podemos dividir en dos grandes secciones las fallas que deterioran nutricionalmente a los pacientes; las denominadas fallas latentes que son fallas en el sistema ...

investigación en nutrición clínica, las sociedades que constituyen la FELANPE firmaron la Declaración Internacional sobre el Derecho al Cuidado Nutricional y la Lucha contra la Malnutrición, "Declaración de Cartagena", el 3 de mayo del presente año en la ciudad de Cartagena, en el marco del 33º Congreso de la Asociación Colombiana de Nutrición Clínica. La Declaración proporciona un marco coherente de 13 principios, los cuales podrán servir de guía a las sociedades afiliadas a la FELANPE en el desarrollo de los planes de acción. Además, servirá como un instrumento para que promuevan, a través de los gobiernos, la formulación de políticas y legislaciones en el campo de la nutrición clínica. Consideramos que el marco general de principios propuesto por la Declaración puede contribuir a crear conciencia acerca de la magnitud de este problema y a forjar redes de cooperación entre los países de la región. Aunque esta Declaración no tiene un efecto jurídico vinculante (obligatorio), tiene una fuerza moral innegable y puede proporcionar orientación práctica a los estados. Un plan de implementación permitirá desarrollar la caja de herramientas necesaria para transformar los principios en acciones. ; The need to promote the right to nutritional care, to fight against malnutrition and to advance in education and research in clinical nutrition has led all the FELANPE's societies to sign on May 3rd, during the 33rd Congress of the Colombian Clinical Nutrition Association (ACNC) in the city of Cartagena, the International Declaration on the Right to Nutritional Care and the Fight against Malnutrition, "Declaration of Cartagena". The Declaration provides a coherent framework of 13 principles which can serve as a guide for societies, schools and associations affiliated to FELANPE in the development of action plans. In addition, it will serve as an instrument to promote, through governments, the formulation of policies and legislation in the field of clinical nutrition. We believe that the general framework of principles proposed by the Declaration can contribute to raise awareness about the magnitude of this problem and to promote cooperation networks among Latin-American countries. Although this Declaration does not have a binding legal effect, it has an undeniable moral strength and it can provide practical guidance to States. An implementation program will allow developing a toolkit to transform principles into actions.