6001 – Transition of Nutrition Therapies from Acute Care to Home Care
Nutrition support encompasses a spectrum of therapies inclusive of oral nutrition supplements, tube feeding (EN), and parenteral nutrition (PN). Length of therapy at home can range from weeks to years depending on the primary and secondary diagnoses related to the need for nutrition support. Early identification and initiation of discharge planning for home nutrition support candidates may decrease length of stay and reduce risk of re-admission, while increasing patient/caregiver satisfaction. When discharge planning is undertaken, the complexity of home EN and PN demands attention to detail and consideration of risk of complications in the home setting that could result in re-admission. Discharge needs to be addressed include patient/caregiver education, patient/caregiver willingness to learn the therapy and adhere to recommendations, homecare friendly nutrition support regimen, home safety, goals of nutrition support, psychosocial, following clinician, and reimbursement. Strategies for good communication between the acute care team and the home nutrition support team will be reviewed as essential to achieving a safe discharge plan. The overarching goal of this presentation is to highlight the unique considerations for discharge planning and recommend strategies to ensure a safe discharge and prevent therapy-associated complications and re-admission of home enteral and parenteral nutrition patients. Attendees should achieve increased comfort with nutrition support therapies and skill level of case managing this group as a result of participating in this session.
1. Describe the management of the nutrition patient from acute care through discharge home on nutrition support and psychosocial impact
2.Relate the goals of providing nutrition support in acute care to the goals in home care and identify strategies for overcoming barriers to timely discharge of nutrition patients
3. Define the role of the nutrition support team, to include physician, dietitian, nurse, pharmacist, social worker and case manager, in preventing complications in long-term home enteral and parenteral nutrition patients