Home parenteral nutrition in patients receiving palliative care: a curriculum-based review.

Fletcher, Jane and Woodham, Diane and Dera, Merceline and Cooper, Sheldon C (2019) Home parenteral nutrition in patients receiving palliative care: a curriculum-based review. Frontline gastroenterology, 10 (4). pp. 421-426. ISSN 2041-4137. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://fg.bmj.com/content/10/4/421

Abstract

Difficulty with maintaining nutritional intake is common in patients with cancer. European guidance suggests that wherever possible nutritional support should first be provided by the oral or enteral route. Where this is not possible, for example, in malignant small bowel obstruction, parenteral nutrition (PN) may be considered. In palliative care, it is generally accepted that the significant risks and burdens of PN outweigh the potential benefits in patients with an expected survival <2 months. Determining prognosis is crucial when helping patients to make decisions regarding appropriate care pathways; however, this remains challenging. An overview of clinical issues and prognostic indicators related to selecting patients appropriately for palliative PN is given to cover the relevant advanced competencies of the 2010 Gastroenterology Curriculum. The organisation of Home Parenteral Nutrition (HPN) services in England is described including the associated risks and burdens of HPN in the palliative patient.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition
WT Geriatrics. Elderly care > WT600 Terminal care
Divisions: Planned IP Care > Gastroentrology
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 01 Nov 2019 16:12
Last Modified: 01 Nov 2019 16:12
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2554

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