The admission of a patient after a traumatic brain injury is a condition that the Rehabilitation Centre Harmony is facing daily as incidents are plenty and their residence is necessary for a long time. The role of nutrition is known and documented for both the prevention of the disease and for the best outcome. Every disease and every organization has its peculiarities and all of us who make up the team at the center in collaboration between us and everyone through his own status have as our only concern the right, integrated care and rehabilitation of the patients.
The traumatic brain injury is a serious condition and the care of patients in the context of their diet as well, is essential. The stress placed on the body known as a situation of hypercatabolism requires immediate nutritional care which will reduce the loss of protein, muscle mass and will help to improve the immune function.
The inability to obtain food from the mouth in these patients because of the difficulty in swallowing and chewing, leads us to either an enteral or parenteral feeding. Considering the energy and protein needs, the laboratory indications of patients, the reception of medicine when they are relate to dietary factors as well as their need for fluids a specially tailored and personalized diet is administered.
Another situation that occurs often and that we are called to prevent, is the risk of malnutrition due to food refusal because of emotional and behavioral changes. The direct intervention of the psychologist in combination with specific nutritional support prevents the risk of malnutrition before its appearance. The estimations also of the patients from their therapists tell us when they are able to consume food by mouth and we choose appropriate meals to ensure, through a diet of soft foods, the safe way of chewing that enables them to reintegrate smoothly in the patterns and functions prior to the wound. The diets of soft foods that differ both in the type of food as well as in texture and density are prepared by people trained in compliance with the safety rules. All meal discs are checked daily both before delivery and during consumption by patients with the presence of dietitian and speech therapist documenting their progress and noting any changes made. The variety of meals is based on the Mediterranean diet pattern which has multiple and unambiguously documented benefits constitute the yardstick to shield our patients by promoting their health and increasing their life expectancy. The quality and taste characteristics and the image during serving is also evidence that we pay special attention as they affect the behavior of patients in relation to their desire for food. All of these constitute in our assessment a comprehensive care ensuring the administration of essential vitamins, proteins, iron, calcium, and many more metals, minerals and nutrients in order to contribute greatly in the treatment of patients with traumatic brain injury, which is vitally important.