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Emily Longmoore
DIE6248 Advanced Clinical Nutrition
Home Enteral Nutrition
Indications
- functioning gastrointestinal tract
- Caretaker or ability to self-manage
Indications
Contraindications
- life expectancy of less than one-month
- severe functional disturbances of the bowel
- gastrointestinal obstruction
- gastrointestinal tract
bleeding
- severe malabsorption
- severe metabolic imbalances (Bischoff, 2020).
Products
- Standard Commercial
- Blenderized
Products
Costs
- Cost-effective and improves clinical outcomes in most patients
- Increased cost for patients with dementia
Costs
Guidelines for Monitoring
Monitoring
- gagging
- retching
- Other gastrointestinal symptoms
- tube obstructions
- signs of infection
Application
to Practice
Application
to
Practice
- Indications
- Contraindications
- Advantages
- Disadvantages
Benefits
Benefits
- Maintenance of gastrointestinal function
- Improved wound healing
- Reduced number of hospital readmission
- Improved quality of life
- Improved functional status
- More stable body weight
Barriers
- Blenderized requirements standardization
- Caregiver support
Barriers
References
Bischoff, S., Austin, P., & Boeykens, K. (2020). ESPEN guideline on home enteral nutrition.
Retrieved June 16, 2020, from https://www.espen.org/files/ESPENGuidelines/ESPEN_guideline_on_home_enteral_nutrition.pdf
Jukic, Nikolina, Gagliardi, Cristina, Fagnani, Donata Venturini, C., & Orlandoni, P. (2017).
Home Enteral Nutrition therapy: Difficulties, satisfactions and support needs of caregivers
assisting older patients. Clinical Nutrition, 36(4), 1062-1067. doi:10.1016/j.clnu.2016.06.021
Nelms, M., Sucher, K., & Lacey, K. (2020). Nutrition therapy and pathophysiology. Bosto, MA:
Cengage.
Weeks, C. (2019). Home Blenderized Tube Feeding. Clinical and Translational
Gastroenterology, 10(2). doi:10.14309/ctg.0000000000000001
Wong, A., Goh, G., Banks, M., & Bauer, J. (2018). A systematic review of the cost and
economic outcomes of home enteral nutrition. Clinical Nutrition, 37(2), 429-442.
doi:10.1016/j.clnu.2017.06.019