Home Parenteral Nutrition 2nd Edition

Home parenteral nutrition (HPN) is the intravenous administration of nutrients carried out in the patient's home. This book analyses current practices in HPN, with a view to inform best practice, covering epidemiology of HPN in regions including the UK and Europe, USA and Australia, its role in the treatment of clinical conditions including gastrointestinal disorders and cancer, ethical and legal aspects and patient quality of life.

Containing contributions for leading international experts, this book explores the life-saving treatment of home parenteral nutrition. It covers the complete scenario of home parenteral nutrition, from its prevalence in different continents to clinical indications and the practical aspects of its management. Topics covered include: the growing use of HPN, scientific and practical issues associated with HPN in adults and the pediatric population, indications and outcomes in various diseases, complications, nutrient requirements, preparation and administration of the admixtures, monitoring of patients, medical and surgical alternatives, ethics and legislation, and quality of life.

Nutrition, defined by Merriam-Webster, is the process of eating the right kind of food so you can grow properly and be healthy. However, making the right food and nutrition choices and finding the best and most accurate nutrition information can be a challenge, especially when a disease or injury is present. There are a wide range of ways that nutrition can be healing, from a simple broth that provides fluids and electrolytes to therapeutic nutrition for diabetes, irritable bowel syndrome, or osteoporosis. Registered Dietitian Nutritionists (RDN) have expertise in disease management and translation of nutrition requirements to foods to consume. However, nutrition care often does not receive the attention in the out-patient setting that is needed to achieve nutrition goals. The purpose of this book is to provide pertinent and concise nutrition care information for Registered Dietitian Nutritionists and other professionals working with individuals outside of the hospital including nurses, pharmacists, and physicians. This book covers screening, assessing, and treating malnutrition; out-patient nutrition care in diabetes, cardiovascular disease, gastrointestinal disease, osteoporosis; and home enteral and parenteral nutrition. In each chapter the reader will learn more about the disease process as well as the management of the disease or therapy. As the number of patients receiving home care nutrition support increases, proper assessment and management of this therapy is crucial, and clinicians need to practice at an advanced level. This book presents advanced and readily applicable information on proper nutrition care of individuals in the outpatient setting and those receiving home nutrition support.

Total parenteral nutrition (TPN) is now an everyday occur rence in most general hospitals. Over the last two decades this therapeutic modality has been made so simple that it is no longer the province of the specialized surgeon or physician. Indeed, as with the management of chronic renal failure so now with short bowel disease, home parenteral nutrition has become a reality, though this still requires a specialist team dedicated to its management. Furthermore, as more patients will become suitable for home TPN treatment (either long term or short term) so better rationalization of (a) cost, (b) delivery systems and (c) patient training will be necessary. Lessons can be learnt from the somewhat diverse development of regular dialysis treatment in the early 1960s compared with the situation today. Here is a golden opportunity, with the UK National Registry, to rationalize on home TPN costs and to make sure the treatment is simplified and available to all those who may require this treatment. This book is not designed to be an overall comprehensive review of parenteral nutrition. It is meant to set out simple guidelines and the requirements for effective TPN both in hospital and at home. It is aimed at doctors in training, interested physicians and surgeons, nurses, dietitians and pharmacists. The purpose is to stimulate interest and aware ness, rather than to provide detailed 'small-print' information. For the person seeking greater knowledge, there are several excellent monographs on the subject.

As the number of patients receiving home care nutrition support increases, proper assessment and management of this therapy is crucial, and clinicians need to practice at an advanced level. This second edition provides practical nutrition care information for professionals working with individuals outside of the hospital including registered dietitians, nurses, pharmacists, and physicians. It covers screening, assessing, and treating malnutrition; outpatient nutrition care in diabetes, cardiovascular disease, gastrointestinal disease, and home enteral and parenteral nutrition. Each chapter describes the disease process as well as the management of the disease or therapy. Key Features Presents practical information on proper nutrition care of individuals in the outpatient setting and those receiving home nutrition support New information on GI tests and procedures; gastroparesis/pancreatitis, parenteral lipids, and bariatric surgery Expanded chapter on short bowel syndrome and malabsorptive disorders Additional information on feeding options including an overview of oral, oral supplements, and enteral and parenteral nutrition Teaches the user additional information on disease processes as well as the management of the disease or therapy

Health Sciences & Nutrition

It is therefore obvious that good patient management necessitates the use of an alternative route of nutritional support in patients unable to eat or absorb an oral diet. This alternative is parenteral nutrition, which is the subject of this book. While there are many texts on the subject of parenteral nutrition, very few if any are directed to the practical details of organizing the delivery of parenteral nutrition from a multidisciplinary point of view. In this publication we present the practice of parenteral nutrition as viewed by a team of a physician, nurse, and pharmacist.