{"id":17694283,"date":"2023-10-13T11:15:54","date_gmt":"2023-10-13T09:15:54","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=17694283"},"modified":"2023-10-13T11:15:56","modified_gmt":"2023-10-13T09:15:56","slug":"traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\/","title":{"rendered":"Traiter la d\u00e9nutrition au CHU de Poitiers\u00a0: en pratique, comment fait-on\u00a0?"},"content":{"rendered":"\n<p>\u00ab\u00a0<em>La d\u00e9nutrition est l\u2019affaire de tous. Nous travaillons en \u00e9troite collaboration avec les m\u00e9decins prescripteurs, les infirmiers et les aides-soignants, qui sont nos interlocuteurs privil\u00e9gi\u00e9s, parce qu\u2019ils sont au quotidien, au plus pr\u00e8s des patients. Ils connaissent leurs go\u00fbts et leurs habitudes et leurs difficult\u00e9s alimentaires. Ils peuvent nous fournir des informations importantes. Nous \u00e9changeons r\u00e9guli\u00e8rement avec eux pour nous assurer que tout se passe bien <\/em>\u00bb, explique Sandrine Cottanceau, di\u00e9t\u00e9ticienne nutritionniste dans le service de canc\u00e9rologie ORL et de radioth\u00e9rapie. L\u2019alimentation fait partie du soin ; plus la prise en charge de la d\u00e9nutrition est pr\u00e9coce, plus on est efficace et plus on limitera les complications (spirale de la d\u00e9nutrition). En pratique, commen\u00e7ons par \u00e9viter le cumul des \u00ab r\u00e9gimes\u00a0 restrictifs \u00bb et non justifi\u00e9s (sans sucre, hypocholest\u00e9rol\u00e9miants\u2026) ; la commande repas doit \u00eatre adapt\u00e9e : hypercalorique-hyperprotidique (permettant de doubler des portions, de pr\u00e9voir davantage de produits laitiers, d\u2019\u00eatre source de prot\u00e9ines) ; la texture alimentaire tiendra compte bien s\u00fbr des possibilit\u00e9s de mastication. Une alimentation fractionn\u00e9e est parfois n\u00e9cessaire, en cas de petit app\u00e9tit ou de fatigabilit\u00e9. Dans les offices alimentaires, les aides-soignants ont \u00e0 disposition des aliments permettant d\u2019enrichir en prot\u00e9ine (lait en poudre, poudre de prot\u00e9ine, fromage type Kiri) et en \u00e9nergie (beurre, sucre, confiture), des mani\u00e8res simples et rapides d\u2019augmenter les apports nutritionnels. Des fiches \u00ab protocoles \u00bb et des fiches recettes sont \u00e0 disposition des professionnels. Si l\u2019alimentation enrichie ne suffit pas, les compl\u00e9mentations orales prot\u00e9in\u00e9es sont propos\u00e9es, en deuxi\u00e8me intention, et doivent faire l\u2019objet d\u2019une prescription m\u00e9dicale. Il existe diff\u00e9rentes sortes de compl\u00e9ments nutritionnels. Il convient de s\u2019assurer que le patient va les appr\u00e9cier avant de les prescrire, de pr\u00e9f\u00e9rence maximum deux par jour, pour \u00e9viter la lassitude sur le long terme. \u00ab <em>Bien \u00e9videmment, pour une bonne prise en charge de la d\u00e9nutrition, il est important d\u2019\u00e9valuer r\u00e9guli\u00e8rement les apports nutritionnels, notamment gr\u00e2ce aux surveillances alimentaires compl\u00e9t\u00e9es par les aides-soignants,\u00a0 pour \u00e9ventuellement proposer d\u2019autres adaptations. Si nous ne parvenons pas \u00e0 couvrir deux tiers des besoins nutritionnels du patient par l\u2019alimentation orale, nous pouvons avoir recours \u00e0 d\u2019autres types de supports nutritionnels tels que la nutrition artificielle, nutrition parent\u00e9rale et ent\u00e9rale<\/em> \u00bb.<\/p>\n<p><strong>Tableau comparatif d\u2019apports nutritionnels<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><\/td><td class=\"has-text-align-center\" data-align=\"center\">Apport \u00e9nerg\u00e9tique<\/td><td class=\"has-text-align-center\" data-align=\"center\">Apport protidique<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Fromage blanc 7,8% nature<\/td><td class=\"has-text-align-center\" data-align=\"center\">114 kcal<\/td><td class=\"has-text-align-center\" data-align=\"center\">8 g<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Fromage blanc 7,8% nature + 10 g poudre de lait<\/td><td class=\"has-text-align-center\" data-align=\"center\">148 kcal<\/td><td class=\"has-text-align-center\" data-align=\"center\">11,5 g<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Cr\u00e8me force plus (cr\u00e8me prot\u00e9in\u00e9e du CHU)<\/td><td class=\"has-text-align-center\" data-align=\"center\">150 kcal<\/td><td class=\"has-text-align-center\" data-align=\"center\">10 g<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9pister pr\u00e9cocement la d\u00e9nutrition et la traiter est une pr\u00e9occupation quotidienne pour les professionnels du CHU de Poitiers. Di\u00e9t\u00e9ticienne\u2026","protected":false},"author":12,"featured_media":17694529,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-17694283","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Traiter la d\u00e9nutrition au CHU de Poitiers\u00a0: en pratique, comment fait-on\u00a0? - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Traiter la d\u00e9nutrition au CHU de Poitiers\u00a0: en pratique, comment fait-on\u00a0? - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"D\u00e9pister pr\u00e9cocement la d\u00e9nutrition et la traiter est une pr\u00e9occupation quotidienne pour les professionnels du CHU de Poitiers. Di\u00e9t\u00e9ticienne nutritionniste dans l\u2019\u00e9tablissement depuis 1993 et membre actif du comit\u00e9 de liaison alimentation et nutrition, Sandrine Cottanceau pr\u00e9sente les conseils pratiques \u00e0 mettre en place\u00a0 en cas de d\u00e9nutrition.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-13T09:15:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-13T09:15:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2023\/10\/denutrition.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Morgane Pr\u00e9maud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Morgane Pr\u00e9maud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\\\/\"},\"author\":{\"name\":\"Morgane Pr\u00e9maud\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\"},\"headline\":\"Traiter la d\u00e9nutrition au CHU de Poitiers\u00a0: en pratique, comment fait-on\u00a0?\",\"datePublished\":\"2023-10-13T09:15:54+00:00\",\"dateModified\":\"2023-10-13T09:15:56+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\\\/\"},\"wordCount\":459,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/denutrition.jpg\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/traiter-la-denutrition-au-chu-de-poitiers-en-pratique-comment-fait-on\\\/\",\"name\":\"Traiter la d\u00e9nutrition au CHU de Poitiers\u00a0: en pratique, comment fait-on\u00a0? 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