What is enteral nutrition?
Enteral nutrition support refers to the introduction of a nutritionally complete liquid formula directly into the stomach or small intestine via a narrow, often specifically designed, tube. (Dietitians Association of Australia).
What is parenteral nutrition?
Parenteral nutrition support refers to the infusion of an intravenous nutrition formula into the bloodstream. Total Parenteral Nutrition, or TPN, means that the infusion is providing a patient’s complete nutritional requirements. Parenteral nutrition can be delivered either centrally, into the superior vena cava, or peripherally, that is into other veins, subject to additional limitations. Peripheral parenteral nutrition is less commonly used in Australian hospitals. (Dietitians Association of Australia).
What are the aims of this association and who can join?
The aim of this association is to improve the nutritional care of people at risk of malnutrition whether in hospitals or in the community and to promote basic and advanced clinical research and to organize the consensus statements about clinical care and care quality control.
We strongly believe that mastering clinical nutrition is a combination of experience and constant updating of knowledge. If every nutrition support clinician learns something each day of his or her life, then after a few years, they can master Clinical Nutrition and can give best possible treatment to the patients. As per our view, an expert is not only an experienced person or well qualified person but an expert is a lifelong learner. From 2012 to till today, we tried inculcating lifelong learning processes to nutrition support clinicians. The lifelong learning can be reading new materials or joining courses or attending workshops or conferences or learning online or publishing in journal etc...
Doctors, Dietitians, Pharma and Nurses who are involved in nutrition care can join IAPEN.
How increasing our knowledge in advanced clinical nutrition helps us achieving the aims and objectives of IAPEN?
IAPEN's aim is to fight against malnutrition. IAPEN first aims to fight against malnutrition present in hospitals. After achieving enough expertise in treating patients with all types of advanced clinical nutrition techniques, then with the help of these experts, IAPEN will try helping people at community level.
What are the objectives of IAPEN?
Why IAPEN is called as The Society for Clinical Nutrition and Metabolism and some places as The Indian Association for Parenteral and Enteral Nutrition?
IAPEN is called as "The Indian Association for Parenteral and Enteral Nutrition" and in 2012, we started promoting IAPEN with this name similar to developed countries, ASPEN, USA - The American Society for Parenteral and Enteral Nutrition, BAPEN - British Association for Parenteral and Enteral Nutrition etc.
Enteral and Parenteral Nutrition is still a very new concept in India. To widen its scope and reach out to maximum number of healthcare professionals, we have adopted the name The Society for Clinical Nutrition and Metabolism.
After changing the name to "The Society for Clinical Nutrition and Metabolism", in 2014, we have been able to bring in more nutrition support clinicians.
After establishing IAPEN Center for Learning Advanced Clinical Nutrition at various locations in India in 2018, we have again renamed to The Indian Association for Parenteral and Enteral Nutrition.
When, we observed the curriculum of Post Graduate degree in any relevant branch in India, Enteral and Parenteral are sub-units or a small part of the syllabus, and were often not taught at all or taught partially in colleges or universities. In a lot of instances, Evidence Based Nutrition Practice (EBNP) was missing. This may be due to the fact that in India, enough EBNP is not present. Many critical care nutrition support clinicians in India do not know about the established guidelines like - ESPEN or ASPEN guidelines. Though some may be referring to these guidelines in their practice, but may not have real capability of grasping the entirety of the content present in the guidelines modules. To avoid such kind of understanding problems, IAPEN promotes life members to publish at least one manuscript in any good journal.
I am referring to all types of ESPEN or ASPEN guidelines and I am giving best practices to my patients, why do I have to publish manuscripts or participate in lifelong learning initiative of IAPEN?
We always believe in EBNP (Evidence Based Nutrition Practice) in its entirety. If any nutrition support clinician feels that they are giving best practices, then they should prove it by publishing in top journals or by completing advanced IAPEN or ESPEN courses or they should at least purchase a book on any nutrition topic and write test on it (Click here for more details) or they should attend workshops or expert lectures or if they do not have time for all this, they can also write direct examination conducted by IAPEN. In future, patients will demand for such proofs and will check for credentials.
Writing manuscripts/research papers are a way of learning for the individual and documenting the results achieved. Research is an integral part of learning and growing as a clinician. It provides credibility to the work done, reference material for others and in the long run may even help in setting national guidelines and provide the basis for formulation of nutritional supplements for the Indian population.