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A home parenteral nutrition program for infants
1Children's Hospital of Philadelphia, Nursing Administration, PA 19104, USA.
Insights
Infants with gastrointestinal disorders can survive using parenteral nutrition (PN). This review covers home PN programs for infants, focusing on patient care from hospital discharge through outpatient services.
Area of Science:
- Pediatric Gastroenterology
- Neonatal Care
- Home Healthcare
Background:
- Infants with short bowel syndrome and other GI disorders require parenteral nutrition (PN) for survival.
- A growing number of these infants are managed at home with PN.
- Home PN programs are essential for long-term infant survival and well-being.
Purpose of the Study:
- To review the components of a successful home parenteral nutrition (PN) program for infants.
- To outline the process of identifying suitable patients for home PN.
- To detail the critical aspects of discharge planning and ongoing outpatient care for infants receiving home PN.
Main Methods:
- Review of a home parenteral nutrition (PN) program for infants.
- Analysis of patient selection criteria for home PN.
- Examination of discharge protocols and outpatient management strategies.
Main Results:
- Successful home PN programs require careful patient selection and comprehensive discharge planning.
- Effective outpatient care is crucial for managing infants on home PN.
- Home PN enables survival and improved quality of life for infants with severe GI disorders.
Conclusions:
- Home parenteral nutrition (PN) programs are vital for managing infants with complex gastrointestinal conditions.
- Multidisciplinary collaboration is key to successful home PN implementation.
- Continued research and program development are needed to optimize outcomes for infants receiving home PN.
Abstract:
Infants with short bowel syndrome and other acquired or congenital gastrointestinal disorders are able to survive their neonatal period, in part, because of the use of parenteral nutrition (PN). An increasing number of these children are being cared for at home while receiving PN. This article reviews a home PN program for infants, including identification of patients, discharge planning, and outpatient care.