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Procedures for home enteral nutrition
Journal of the Canadian Dietetic Association
|February 4, 1986
Summary
Home tube feeding offers efficient nutritional support for patients with early hospital discharge. This team-based program at Foothills Hospital successfully teaches patients home enteral feeding techniques.
Area of Science:
- Clinical Nutrition
- Patient Care Management
Background:
- Increasing emphasis on early hospital discharge necessitates efficient home-based nutritional support methods.
- Home enteral feeding is a growing practice for patients requiring nutritional support outside the hospital setting.
Purpose of the Study:
- To describe the multidisciplinary team approach to home enteral feeding practices at Foothills Hospital.
- To outline patient selection criteria, formula selection, feeding protocols, and complication management for home tube feeding.
Main Methods:
- A team-based approach involving dietitians and healthcare professionals.
- Patient categorization into permanent, supplemental, or temporary tube feeding groups.
- Selection of appropriate enteral formulas and implementation of continuous or intermittent feeding regimens.
Main Results:
- Thirty-five patients were successfully trained in home tube feeding techniques.
- Continuous feedings were initiated at 50 ml/hr, advanced to approximately 150 ml/hr based on tolerance.
- The program demonstrated acceptance by both patients and physicians.
Conclusions:
- The team approach facilitates effective home enteral feeding practices.
- Home tube feeding is a viable and well-accepted method for nutritional support post-discharge.
- Management of potential mechanical and metabolic complications is crucial for successful home feeding.