Expertise in
Life-Sustaining Nutritional Care
At Pathya.online, we understand that in critical care settings, nutrition is not just supportive—it is therapeutic. With over 28 years of experience, Registered Dietitian Kalpana Ray has worked extensively with hospitals, ICUs, and care teams to deliver evidence-based enteral nutrition support tailored to each patient’s medical condition.
Success Stories
My name is Bidushi. I am a 56 year old woman who`s ongoing treatment with stage 4 breast Cancer.
When I was looking for good dietitian my sister introduced me to Mrs Kalpana Ray experienced Registered Dietitian. She have the depth of her knowledge about nutrition, diet, exercise & Diabetes. I am impressed with her professionalism and Her amazing team. Her technique of service is quite friendly, we had teams meeting and they asked me questions about my diet and illness and she have customised according to my current diet .Now I have learned how to understand the food I eat and how my body works. She encourage me to do light exercise so that my body would work more efficiently .
After following Her diet I am coping the cancer treatment well instead of loosing weight i gain few pounds. Mrs Kalpana Ray told me She will look in to my weight after next cycle of treatments and She will modified my diet.I highly recomend ''Khadya & Pathya''
Thank you Mrs Kalpana Ray and Her Team
Bidushi Laurenbaum
Commonly asked Questions about Critical Care
What is enteral feeding and when is it required?
Enteral feeding refers to delivering nutrition directly to the stomach or intestines using a feeding tube. It is recommended when a patient cannot eat enough by mouth due to illness, surgery, or neurological issues but has a functioning digestive system. At Pathya.online, we create personalized feeding protocols that support recovery while minimizing complications.
Can enteral feeding be managed at home?
Yes, with proper training and a clear nutritional plan, enteral feeding can be safely continued at home. We offer caregiver guidance, meal prep instructions, and ongoing remote monitoring to help families manage post-discharge nutrition effectively and confidently.
How do you determine which feed formula is right?
We assess multiple factors including the patient’s medical diagnosis, organ function, fluid balance, and lab reports to recommend a specific formula. We also adjust the feeding method (bolus or continuous) to ensure maximum tolerance and benefit.
How often is follow-up needed?
Regular follow-ups are crucial, especially during recovery or for long-term feeding. Depending on the case, we offer check-ins weekly or biweekly to monitor weight, lab values, tolerance, and adjust the plan accordingly. Clients can opt for 3, 6, or 12-month structured programs.
What happens if the patient is ready to start eating again?
We help plan the transition from tube feeds to oral nutrition through a gradual, step-wise approach. This includes texture advancement, nutrient tracking, and close symptom monitoring to avoid setbacks or nutritional gaps.
Can Pathya.online coordinate with hospital doctors?
Absolutely. With over 28 years of clinical experience, RD Kalpana Ray has worked closely with hospital teams. We’re equipped to collaborate with your doctors, surgeons, and therapists to ensure a holistic care plan is in place from ICU to home recovery.
Is palliative care nutrition different?
Yes. In palliative settings, the goal is comfort and quality of life rather than aggressive nutrition. We create feeds that are easy to digest, meet emotional needs, and align with the family’s care preferences.