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• W1567407799 abstract "Introduction Enteral nutrition is a well-established therapy for patients with a functioning gastrointestinal tract who require nutrition support due to inadequate or unsafe oral intake to treat or prevent malnutrition.1 Common indications for patients going home on enteral feeding include dysphagia due to neurological conditions, cancer, gastrointestinal obstruction or surgery and those with higher nutritional requirements (eg Cystic Fibrosis). Home Enteral Nutrition (HEN) provides patients with adequate and safe nutrition while allowing them to return to a familiar environment and for some, a degree of independence.2 HEN may be the sole source of nutrition for some patients, or be supplemental to diet for others. It may be given continuously via a pump or by boluses via a syringe, or a combination of both, during the day or overnight. Various enteral feeding tubes are available and are typically classified by site of insertion and location of the distal tip of the feeding tube. (See Table 1) The organisation of HEN usually occurs in the hospital setting and involves the dietitian, medical team, social worker, nursing staff and liaison with community personnel such as the Director of Public Health Nursing (DPHN), the public health nurse (PHN), the general practice and the community dietitian. It is important that patients and their carers receive adequate training on the management of the tube, stoma site and feeding regimen prior to discharge.2 Patients and carers find the first few weeks post discharge the most difficult, and the greatest number of problems is reported during this period.3 Patients on HEN in the community should be monitored by healthcare professionals with the relevant skills and training in nutritional monitoring, ideally every 3–6 months or more frequently if there is any change in their clinical condition.1 The Irish Society of Enteral and Parental Nutrition (IrSPEN) are currently devising multidisciplinary standards of care and practical guidelines for safe and effective discharge of HEN patients from an acute care setting and follow-on care in the community. Some community services may have their own local policies also. The community / hospital dietitian will monitor the nutritional status of the HEN patient and revise the feed prescription as needed. Community nurses play a vital role in the management of the stoma site and ordering of equipment and supplies needed to facilitate the HEN." @default.
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• W1567407799 date "2015-09-01" @default.
• W1567407799 modified "2023-09-23" @default.
• W1567407799 title "Home enteral feeding" @default.
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