Discharged on Enteral Nutrition: What Now? The Poor State of Outpatient Support for Patients on Enteral Nutrition Support.

Q1 Medicine

Current Gastroenterology Reports Pub Date : 2023-03-01 DOI:10.1007/s11894-023-00864-x

Sonali Palchaudhuri, Brigid Mccreary, Jessica Davis, Brenna Mcginnis, Susan Nyberg, Manpreet S Mundi, Angela Pham

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引用次数: 0

Abstract

Purpose of review: While the use of enteral nutrition (EN) has increased, and more medical centers have developed inpatient programs to address the unique needs of these patients, our collective experience at a few large institutions indicates that there is very little systemic support for patients after discharge. Here, we discuss what we have observed to be some of the barriers to providing outpatient follow up care, summarize the impact we have seen on patients, and propose some possible solutions.

Recent findings: We have observed and identified some of the root causes to include financial barriers; uncoordinated care transitions; high complexity of care, including medication management; and diffuse leadership to a multidisciplinary problem. Systematic support for outpatient care for patients discharged on enteral nutrition is rare and limited, due to many root causes. There are a few tools and tips that we have summarized here for individual providers, and a few promising methods in development, but a systematic approach is in great need.

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肠内营养出院:现在怎么办?肠内营养支持患者门诊支持状况不佳。

综述目的:虽然肠内营养(EN)的使用有所增加，并且更多的医疗中心已经开发了住院方案来解决这些患者的独特需求，但我们在一些大型机构的集体经验表明，对患者出院后的系统支持很少。在这里，我们讨论了我们观察到的提供门诊随访护理的一些障碍，总结了我们看到的对患者的影响，并提出了一些可能的解决方案。最近的发现:我们已经观察并确定了一些根本原因，包括财务障碍;护理过渡不协调;护理高度复杂，包括药物管理;将领导权分散到多学科问题上。由于许多根本原因，对肠内营养出院患者的门诊护理的系统支持是罕见和有限的。我们在这里为各个提供商总结了一些工具和技巧，以及一些正在开发的有前途的方法，但迫切需要一种系统的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Gastroenterology Reports Medicine-Gastroenterology

CiteScore

7.80

自引率

0.00%

发文量

期刊介绍： As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.