J Korean Soc Parenter Enter Nutr.  2013 Dec;5(3):96-101. 10.15747/jkspen.2013.5.3.96.

Strategy for Activation of Home Total Parenteral Nutrition

• Kim KS

• KMID: 2321863
• DOI: http://doi.org/10.15747/jkspen.2013.5.3.96

Abstract

Since the 1970s, introduction of home parenteral nutrition (HPN) has been possible for patients with gastrointestinal tract malfunction and is a more cost-effective treatment at home than in a hospital or a skilled nursing facility. It has allowed for enhancement of the quality of life and avoidance of repeated hospitalizations and long-term hospitalization. In determining the target subject of HPN, its benefit is evaluated. Management of the environment should be evaluated. If an HPN subject is determined, he is prepare to receive the central venous catheter and the HPN regimen is determined. In addition, education of patients and caregivers on the complications associated with HPN is very important. Regular monitoring of the stability of HPN should be conducted. HPN must be activated in order to increase the patient's quality of life and to reduce the national medical costs, however, there are several limiting factors for HPN expansion. It may be summerized in five points. 1) Home Nutrition Support Team configuration, 2) Patient education guidelines, 3) System for delivery of HPN, 4) The preparation connection system of HPN between the Korean Society for Parenteral and Enteral Nutrition members, 5) Outsourcing of HPN. Efforts of the Nutrition Support Team and national support are needed in order to resolve the limitations.

Keyword

Home Parenteral Nutrition; Home Nutrition Support Team; Delivery system; Outsourcing

MeSH Terms

Caregivers
Central Venous Catheters
Enteral Nutrition
Gastrointestinal Tract
Hospitalization
Humans
Outsourced Services
Parenteral Nutrition, Home
Parenteral Nutrition, Home Total*
Patient Education as Topic
Quality of Life
Skilled Nursing Facilities