ASPEN对亲肠道营养获取问题的调查:系统如何使患者失败
Jay M Mirtallo1, Penny Allen2, Wendy M Book3
1American Society for Parenteral and Enteral Nutrition and College of Pharmacy, The Ohio State University, Delaware, Ohio, USA.
概括
获得亲肠道营养 (PN) 组件和提供者的问题会对患者的安全和治疗效果产生负面影响. 由于这些系统性失败,患者经历了恶化的健康结果和医疗错误.
科学领域:
- 营养支持 营养支持
- 患者护理管理的管理.
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 产品短缺和资格有限的供应商危害了肠外营养 (PN) 的安全性和有效性.
- 患者获得PN服务是医疗保健提供的一个关键问题.
研究的目的:
- 评估访问PN相关组件,设备和医疗保健专业人员的限制的频率和严重性.
- 评估接入问题对患者结果的影响,包括疾病症状,医疗错误和营养状况.
主要方法:
- 对接受家庭PN的门诊患者进行了一项调查.
- 该调查描述了患者的人口统计,PN接入挑战,报销问题和经历的负担.
- 收集的数据包括保险覆盖,医疗费用影响,辅助疗法报销,疾病症状,医疗结果,错误和不良事件.
主要成果:
- 所有年龄段的170名受过良好教育的患者参与了这项研究.
- 大多数患者能够承担PN费用,但担心保险的变化.
- 患者报告了疾病恶化,营养不良,营养缺乏和错误,特别是在与不知情的临床医生进行护理过渡期间.
结论:
- 患者访问问题可能导致"PN系统故障".
- 目前的PN系统一直在努力确保安全有效的患者护理.
- 解决进入障碍对于改善PN患者的治疗结果至关重要.
更多相关视频
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
120
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
120
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
103
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
103
Enteral Nutrition I: Orogastric and Nasogastric Feeding
240
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
240
Drug Delivery: Parenteral Route
470
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
470
Routes of Drug Administration: Parenteral
1.9K
The administration of drugs via parenteral routes allows for direct drug introduction into the systemic circulation, resulting in high bioavailability because the medication bypasses the harsh conditions of the gastrointestinal tract and hepatic metabolism.
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
1.9K
Drug Delivery: Enteral Route
414
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
414


