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Nutritional assessment of every patient is encouraged, to identify the need for, and appropriate type of, intervention indicated. The impact of malnutrition may be significant on the feline patient, perpetuating illness, delaying recovery, slowing wound healing and negatively impacting gut health and immunity. Delayed intervention may result in the cat\u2019s deterioration; hence prompt control of contributing factors such as the underlying illness, pain, nausea, ileus and stress is vital to optimise voluntary food intake. Management is multimodal, comprising reduction of stress, medications and assisted nutrition in the form of tube feeding or parenteral nutrition. Use of antiemetic, analgesic, prokinetic and appetite stimulant medications may restore appetite, but placement of feeding tubes should not be delayed. Feeding tubes are generally well tolerated and allow provision of food, water and medication with minimal stress, although clinicians must be aware of complications such as stoma site infections and refeeding syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical challenges:<\/jats:title>\n                    <jats:p>Cats are vulnerable to malnutrition owing to their unique metabolism and specific nutritional requirements. Moreover, their nature as a species means they are susceptible to stress in the hospital environment, which may result in reduced food intake; previous negative experiences may compound the problem. In particular, an inappropriate clinic environment and\/or handling may cause or exacerbate inappetence in hospitalised patients, with negative impacts on recovery. Postponing interventions such as feeding tube placement to await improvement, owing to clinician or caregiver apprehension, may hinder recovery and worsen nutritional deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evidence base:<\/jats:title>\n                    <jats:p>The 2022 ISFM Consensus Guidelines on Management of the Inappetent Hospitalised Cat have been created by a panel of experts brought together by the International Society of Feline Medicine (ISFM). Information is based on the available literature, expert opinion and the panel members\u2019 experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1098612x221106353","type":"journal-article","created":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T04:02:13Z","timestamp":1656648133000},"page":"614-640","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":36,"title":["2022 ISFM Consensus Guidelines on Management of the Inappetent Hospitalised Cat"],"prefix":"10.1177","volume":"24","author":[{"given":"Samantha","family":"Taylor","sequence":"first","affiliation":[{"name":"International Society of Feline Medicine, Tisbury, Wiltshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Services, Royal Veterinary College, North Mymms, Hertfordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Villaverde","sequence":"additional","affiliation":[{"name":"Expert Pet Nutrition, Fermoy, County Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Ryan","sequence":"additional","affiliation":[{"name":"Inspiring Pet Teaching, Fordingbridge, Hampshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franck","family":"Peron","sequence":"additional","affiliation":[{"name":"Royal Canin, Research Center, Aimargues, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Quimby","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences, Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Melbourne Cat Vets, 157 Westgarth Street, Fitzroy, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Chalhoub","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine, University of Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2006.08.001"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4557-7401-2.00011-8"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfms.2009.09.013"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2014.01.005"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2020.07.006"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.tcam.2008.08.001"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2009.00507.x"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2000.216.347"},{"key":"e_1_3_4_10_2","volume-title":"2020 Official publication","author":"AAFCO","year":"2020","unstructured":"AAFCO. 2020 Official publication. 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