Also called: Also called: Artificial feeding, Artificial hydration and nutrition, Hyperalimentation, Parenteral nutrition, TPN, Tube feeding
Nutritional support is for people who cannot get enough nourishment by eating or drinking. You may need it if you
- Can't swallow
- Have problems with your appetite or are severely malnourished
- Can't absorb nutrients through your digestive system
You receive nutritional support through a needle or catheter placed in your vein or with a feeding tube, which goes into your stomach.
Giving nutritional support can have both benefits and risks. Families considering nutritional support for a loved one who cannot make decisions should discuss the options with the patient's doctor.
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Artificial Hydration and Nutrition(American Academy of Family Physicians) - http://familydoctor.org/online/famdocen/home/pat-advocacy/endoflife/629.printerview.html
Also available in Spanish http://familydoctor.org/online/famdoces/home/pat-advocacy/endoflife/629.printerview.html
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Artificial Hydration: Hypodermoclysis(American Academy of Family Physicians) - http://familydoctor.org/online/famdocen/home/seniors/endoflife/718.printerview.html
Also available in Spanish http://familydoctor.org/online/famdoces/home/seniors/endoflife/718.printerview.html
- Home Enteral Nutrition(Mayo Clinic, Jacksonville, Florida) - http://www.mayoclinic.org/gi-jax/enteral.html
- Percutaneous Endoscopic Gastrostomy (PEG)(American Society for Gastrointestinal Endoscopy) - http://www.asge.org/PatientInfoIndex.aspx?id=394
- Total Parenteral Nutrition(American Society of Health-System Pharmacists) - http://www.safemedication.com/searchresults/DisplayDrug.aspx?id=a601166
- Artificial Nutrition (Food) and Hydration (Fluids) at the End of Life(National Hospice and Palliative Care Organization) - Links to PDF - http://www.caringinfo.org/UserFiles/File/PDFs/ArtificialNutritionAndHydration.pdf
- Central Venous Catheter (Central Line)(American Thoracic Society) - http://www.thoracic.org/sections/education/patient-education/patient-education-materials/patient-information-series/resources/central-venous-catheter.swf
- Home Enteral Nutrition (HEN) Complication Chart(Oley Foundation) - Links to PDF - http://www.oley.org/charts/newHEN.pdf
- Home Parenteral Nutrition (HPN) Complication Chart(Oley Foundation) - Links to PDF - http://www.oley.org/charts/newHPN.pdf
- Making the Decision: Tube Feeding--Frequently Asked Questions(Brown University, Center for Gerontology and Health Care Research) - http://www.chcr.brown.edu/dying/CONSUMERFEEDINGTUBE.HTM
- Tips for Traveling with HomePEN(Oley Foundation) - http://www.oley.org/traveltips.html
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Vascular Access Procedures (Central Catheters)(American College of Radiology, Radiological Society of North America) - http://www.radiologyinfo.org/en/info.cfm?pg=vasc_access&bhcp=1
Also available in Spanish http://www.radiologyinfo.org/sp/info.cfm?pg=vasc_access&bhcp=1
- Central Venous Access Catheters (CVAC) and Gastrostomy (Feeding) Tubes(Society of Interventional Radiology) - http://www.sirweb.org/patients/gastrostomy/
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Laparoscopic Percutaneous Endoscopic Gastrostomy (LAPEG)(OR-Live) - One hour program - 7/01/2008 - http://www.or-live.com/distributors/nlm-flash/tun_2166/rnh.cfm?id=760
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Video Assisted Thoracic Surgery (VATS) Lobectomy and Lymphadenectomy for Lung Cancer(OR-Live) - One hour program - 5/22/2008 - http://www.or-live.com/distributors/nlm-flash/ens_2311/rnh.cfm?id=730
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ClinicalTrials.gov: Nutritional Support
(National Institutes of Health) - http://clinicaltrials.gov/search/open/intervention=%22nutritional+support%22
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ClinicalTrials.gov: Parenteral Nutrition(National Institutes of Health) - http://clinicaltrials.gov/search/open/intervention=parenteral+nutrition
References and abstracts from MEDLINE/PubMed (National Library of Medicine)
- Article: Guidelines for the provision and assessment of nutrition support therapy... - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=19373044&tool=MedlinePlus
- Article: Nutrition support 2: exploring different methods of administration. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=19266958&tool=MedlinePlus
- Article: Nutrition in the ICU. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=19260417&tool=MedlinePlus
- Nutritional Support -- see more articles - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=pubmed&term=(nutritional+support[majr]+OR+gastrostomy[majr])+AND+english[la]+AND+humans[mh]+AND+(review[pt]+OR+guideline[pt]+OR+clinical+trial[pt]+OR+jsubsetk[text]+OR+patient+education+handout[pt]+OR+systematic[sb])+AND+(jsubsetk[text]+OR+systematic[sb]+OR+patient+education+handout[pt]+OR+jsubsetaim[text]+OR+jsubsetn[text])+NOT+(letter[pt]+OR+editorial[pt])&doptcmdl=summary&cmd_current=Limits&pmfilter_EDatLimit=last+1+Year&tool=MedlinePlus
- Find a Nutrition Professional(American Dietetic Association) - http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/home_4874_ENU_HTML.htm
- Food and Drug Administration - http://www.fda.gov/
- LifeLineLetter(Oley Foundation) - http://www.oley.org/newsletter.html
- Tube Feeding Decisions for People with Advanced Dementia(AGS Foundation for Health in Aging) - http://www.healthinaging.org/public_education/pef/tube_feeding.php
- Nutrition - http://www.nlm.nih.gov/medlineplus/nutrition.html
- Food and Nutrition - http://www.nlm.nih.gov/medlineplus/foodandnutrition.html