Preparing the Patient for Home Parenteral Nutrition and for a Successful Course of Therapy.

• 影响指数: 3.867
• 发表时间: 12 2019
• 来源期刊: Gastroenterol Clin North Am
• DOI: 10.1016/j.gtc.2019.08.002
• PMID: 31668177
• 文章类型: Journal Article
• 中科院分区: Q3
• 方向: 医学
• 作者列表: Stoner NE,Schiavone P,Kinosian BP,Pickett-Blakely O,Amoroso VK,Coughlin R,Xue Z,Compher C

关键词: Bowel obstruction; Dysmotility; Home parenteral nutrition; Malnutrition; Quality of life; Short-bowel syndrome

Mesh: Catheterization, Central Venous; Catheterization, Peripheral; Communication; Humans; Insurance Coverage; Insurance, Health; Malabsorption Syndromes / therapy; Parenteral Nutrition, Home; Patient Care Team; Patient Education as Topic; Patient Preference; Quality of Life

Abstract

Preparing the patient for home parenteral nutrition (HPN) is a collaborative effort among many different clinicians. Identifying patients who will transition home with parenteral nutrition (PN) as early as possible allows for a thoughtful and safe approach. Communication regarding the HPN goals is critical to the patient\'s success, whether the requirement for PN is temporary or permanent. Management of these complex patients is best served by a multidisciplinary team with expertise in the area of nutrition support. Adherence to available guidelines that define best practice is imperative in all aspects of care for the patient on HPN.