The advent of home parenteral nutrition support.

Home parenteral nutrition.

The need for long term parenteral nutrition is no longer in itself adequate justification for keeping a child in hospital. With the development of both the nutritional support industry and hospital outreach services, parenteral nutrition at home has become a practical option. The necessary organisation and supervision remain complex, however, so that home parenteral nutrition (HPN) is best coor...

Brief History And Development Of Parenteral Nutrition Support

Patients who are unable to use their gastrointestinal system for feeding purposes are now usually started on parenteral nutrition. It is a therapeutic tool used in the clinical management of patients requiring special nutritional care both in the hospital, and at home (home parenteral nutrition). The idea of providing nutrients intravenously in humans was first realised when Sir Christopher Wre...

Nutritional support at home and in the community.

Technical developments in feeding, together with the growth of support structures in the community has lead to a steady increase in the number of children receiving home enteral tube feeding and home parenteral nutrition. In many cases the adverse nutritional consequences of disease can be ameliorated or prevented, and long term parenteral nutrition represents a life saving intervention. Carefu...

Cost and outcome analysis of home parenteral and enteral nutrition.

BACKGROUND Previous estimates of the cost of home parenteral and enteral nutrition (HPEN) have excluded hospitalization costs or were conducted abroad and have limited applicability in the United States. Few studies have used validated measures to determine the effect of home nutrition support on quality of life. METHOD A cost and clinical outcome analysis was performed by retrospective revie...

Nutritional Support outside the Hospital: Home Parenteral Nutrition (HPN) in Adult Patients Topic 19 Module 19.1 Indications and Epidemiology