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Home enteral feeding audit

S Evans1, A Macdonald, C Holden

  • 1Department of Dietetics, Birmingham Children's Hospital, Birmingham, B4 6NH, UK. evanss21@hotmail.com

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
|November 18, 2004
PubMed

Insights

Families face significant challenges with home enteral tube feeding (HETF) post-discharge, including delayed and incorrect equipment delivery. Improvements in HETF system organization are crucial for better patient outcomes.

Area of Science:

  • Pediatric Gastroenterology
  • Home Healthcare Management
  • Patient Support Systems

Background:

  • Home enteral tube feeding (HETF) is increasingly common for pediatric patients.
  • Transitioning from hospital to home with HETF presents unique challenges for families.

Purpose of the Study:

  • To identify primary problems families encounter in the first month after hospital discharge with HETF.
  • To assess issues related to feed/equipment procurement, tube feeding management, and healthcare access.

Main Methods:

  • A questionnaire-based interview study was conducted with 81 parents/carers of children (0-16 years).
  • Participants were discharged from a children's hospital on HETF for the first time.
  • The study examined delivery logistics, training, support access, and post-discharge care.

Main Results:

  • 47% experienced delayed first deliveries (≥7 days).
  • 41% received missing equipment on the first delivery.
  • 17% faced difficulties obtaining GP prescriptions, and 26% received new equipment with inadequate training.

Conclusions:

  • Significant issues exist with delivery delays, incorrect equipment, and insufficient training during the initial HETF discharge period.
  • Enhanced organization and support are essential for home enteral feeding systems to improve the transition for pediatric patients.
Abstract

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