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Optimizing the transition to home parenteral nutrition in pediatric patients

Johanna L Norman1, Catherine M Crill

  • 1College of Pharmacy, the University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|May 19, 2011
PubMed

Insights

Parenteral nutrition (PN) is crucial for children unable to eat normally. Successful transition to home PN (HPN) requires careful planning and education for patients and caregivers.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Healthcare Management

Background:

  • Parenteral nutrition (PN) supports pediatric patients with feeding intolerance or inability to meet nutritional needs enterally.
  • Short bowel syndrome and intestinal failure often necessitate long-term home PN (HPN) therapy.
  • Transitioning pediatric patients to HPN presents complexities and potential complications.

Purpose of the Study:

  • To outline institutional processes for preparing pediatric patients for HPN discharge.
  • To provide a guide for successful HPN transition in pediatric care.
  • To emphasize the importance of collaboration and education in HPN management.

Main Methods:

  • This review synthesizes current practices and recommendations for HPN discharge planning.
  • It focuses on the collaborative efforts between healthcare institutions, home care companies, and families.
  • Key elements of patient and caregiver education for HPN are highlighted.

Main Results:

  • Successful HPN discharge is achievable through structured preparation and multidisciplinary teamwork.
  • Effective patient and caregiver education mitigates immediate and long-term HPN-related complications.
  • Standardized protocols enhance the safety and efficacy of HPN transitions.

Conclusions:

  • A systematic approach to HPN discharge planning is essential for pediatric patients.
  • Collaboration and comprehensive education are critical for successful home parenteral nutrition management.
  • This review serves as a valuable resource for clinicians managing pediatric HPN transitions.

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