La Nutrición Clínica es una disciplina relativamente moderna que ha evolucionado de forma vertiginosa en los últimos años. En situación de enfermedad, la indicación de un adecuado soporte nutricional cobra una especial relevancia y repercute de forma muy significativa sobre la evolución de todo tipo de enfermedades, desde el cáncer a enfermedades degenerativas o sobre el resultado de la cirugía. Diagnosticar precozmente la desnutrición que está asociada al propio fenómeno de enfermar y ayudar a seleccionar desde la alimentación oral más básica hasta la nutrición artificial más sofisticada es el objetivo fundamental de esta obra. Si el soporte nutricional es el adecuado y se ajusta a las necesidades de cada individuo, ya sea un niño pequeño o un anciano, y se instaura de forma precoz en el tiempo podemos esperar los mejores resultados sobre la evolución de nuestros pacientes, tanto ingresados como de aquellos que acuden a las consultas. Esperamos que este manual hecho con el cariño y la experiencia y conocimientos de grandes expertos en sus disciplinas pueda ser de utilidad para muchos profesionales expertos y no expertos en Nutrición.

Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.

Fully updated and revised by authors T. Heather Herdman, PhD, RN, FNI, and Shigemi Kamitsuru, PhD, RN, FNI, Nursing Diagnoses: Definitions and Classification 2018-2020, Eleventh Edition is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA International (NANDA-I). In this new edition of a seminal text, the authors have written all introductory chapters at an undergraduate nursing level, providing the critical information needed for nurses to understand assessment, its link to diagnosis and clinical reasoning, and the purpose and use of taxonomic structure for the nurse at the bedside. Other changes include: 18 new nursing diagnoses and 72 revised diagnoses Updates to 11 nursing diagnosis labels, ensuring they are consistent with current literature and reflect a human response Modifications to the vast majority of the nursing diagnosis definitions, including especially Risk Diagnoses Standardization of diagnostic indicator terms (defining characteristics, related factors, risk factors, associated conditions, and at-risk populations) to further aid clarity for readers and clinicians Coding of all diagnostic indicator terms for those using electronic versions of the terminology Web-based resources include chapter and reference lists for new diagnoses Rigorously updated and revised, Nursing Diagnoses: Definitions and Classification 2018-2020, Eleventh Edition is a must-have resource for all nursing students, professional nurses, nurse educators, nurse informaticists, and nurse administrators.

This book is a printed edition of the Special Issue "Nutrigenetics" that was published in Nutrients