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Clinical pathways in home nutrition support

C Ireton-Jones1, M Orr, K Hennessy

  • 1Nutrition Program Management, Coram Healthcare, Carrollton, Tex., USA.

Journal of the American Dietetic Association
|September 1, 1997
PubMed
Summary

Clinical pathways for home nutrition support offer a standardized approach, improving cost-effectiveness and communication. These pathways, while allowing for patient variance, enhance care for those needing enteral or parenteral nutrition at home.

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Area of Science:

  • Home Healthcare
  • Clinical Nutrition
  • Healthcare Management

Background:

  • Physicians order home enteral and/or parenteral nutrition support in home-care settings.
  • Clinical pathways offer a standardized method for ordering and monitoring home nutrition support.
  • Disease-specific pathways have been implemented in a home-care facility for over a year.

Purpose of the Study:

  • To determine the usefulness of home nutrition support clinical pathways.
  • To analyze data from patients receiving home nutrition support via clinical pathways.

Main Methods:

  • Analysis of data from 20 patients over 191 weeks.
  • Utilized disease-specific clinical pathways for oncology, HIV/AIDS, short bowel syndrome, and hyperemesis.
  • Calculated average variance (deviation) from established pathways.

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Main Results:

  • An average variance of 22% from the clinical pathways was observed.
  • Pathway adherence facilitated more cost-effective care through guideline-based laboratory values and patient visits.
  • Improved communication between home-care staff and physicians was noted.

Conclusions:

  • Clinical pathways enable standardization of care for home nutrition support.
  • The use of pathways can lead to more efficient and cost-effective patient management.
  • Clinical pathways are a valuable tool for optimizing home-based nutritional therapy.