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Published on: September 20, 2019
Home enteral feeding audit
S Evans1, A Macdonald, C Holden
1Department of Dietetics, Birmingham Children's Hospital, Birmingham, B4 6NH, UK. evanss21@hotmail.com
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.
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