[Review of our home nutrition therapy cases]

The provision of home care service, 20 years since it was established, is becoming more important. The aging population is now at its highest ever level, and the number of patients in need of nutrition therapy is increasing. We have provided a home care service since 1996, mainly for the provision of home palliative care. Home care service has been provided to 168 patients, about 90% of which suffered from malignant disease, and about 80% of the malignant disease patients were in the terminal stage. The patients included 151 on home parenteral nutrition(HPN)and 7 on home enteral nutrition(HEN)using percutaneous endoscopic gastrostomy(PEG). Six patients with gastrostomy underwent drainage of malignant digestive obstruction. For HPN of malignant terminal stage patients, we considered whether the HPN menu was available for malignant cachexia. We primarily considered the intent of the patients with malignant cachexia and their families.