关键词: enteral nutrition feeding tubes gastrostomy home nutrition support jejunostomy

Mesh : Aged United States Humans Enteral Nutrition / methods Gastrostomy / methods Jejunostomy Medicare Intubation, Gastrointestinal / methods

来  源:   DOI:10.1002/ncp.10959

Abstract:
When an enteral feeding tube (EFT) is placed, it is not always known how long this nutrition support intervention will be needed. As a result, the type of device the patient originally has placed may not match the function it is required to serve or the lifestyle needs of the patient throughout their enteral nutrition journey. Medicare considers an EFT a prosthetic device, as it is replacing a permanently inoperable or nonfunctioning organ. If we think about an EFT the same way we think about a prosthetic limb, one that needs to be customized to meet all of the patient\'s functional and lifestyle needs, we can also begin to think beyond the procedure room and carefully consider a variety of factors that impact the patient at home receiving enteral nutrition. Proper fit, function, and style is essential in order for the patient to have a positive relationship with their EFT, contributing to their successful home enteral nutrition experience. Clinicians who care for these patients in any setting and in any capacity would benefit from enhancing their understanding of available EFT options, their design components, and available methods of placement. Many home care and outpatient clinicians adopt the role of patient advocate as it relates to a patient\'s enteral nutrition journey, and this expanded knowledge could be used to benefit the patient by improving their overall enteral nutrition experience and ultimately their relationship with their \"prosthetic.\"
摘要:
当放置肠内营养管(EFT)时,并不总是知道这种营养支持干预需要多长时间。因此,患者最初放置的设备类型可能不匹配其服务所需的功能或患者在整个肠内营养旅程中的生活方式需求。医疗保险认为EFT是一种假肢装置,因为它正在替换永久无法操作或无功能的器官。如果我们像看待假肢一样看待EFT,一个需要定制,以满足患者的所有功能和生活方式的需求,我们也可以在手术室之外开始思考,仔细考虑影响患者在家中接受肠内营养的各种因素。合适的配合,函数,为了使患者与他们的EFT建立积极的关系,风格是必不可少的,为他们成功的家庭肠内营养经验做出贡献。在任何环境中以任何身份照顾这些患者的临床医生将受益于他们对可用EFT选项的理解。他们的设计组件,和可用的放置方法。许多家庭护理和门诊临床医生采用患者倡导者的角色,因为它涉及患者的肠内营养旅程,这种扩展的知识可以通过改善患者的整体肠内营养体验以及最终与他们的“假肢”的关系来使患者受益。\"
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