Home parenteral nutrition home parenteral nutrition hpn is needed for patients with acute or chronic intestinal failure in whom nutritional and or water and electrolyte balance cannot be corrected by oral or enteral feeding and in whom pn is feasible at home messing b et al in intestinal failure 2001 while hpn was first described in 1970 via an arterio venous fistula it has been used as a treatment via a central catheter in the uk since the 1980s and the number of patients have . Home parenteral nutrition amazonde bozzetti federico staun michael van gossum andre fremdsprachige bucher. Home parenteral nutrition hpn is defined as parenteral nutrition administered outside the hospital either at home or at nursing home hpn is an integral part of the management of adults and children for all where food and fluids cannot be absorbed normally or if oral enteral feeding is not possible or sufficient. Home parental nutrition hpn is feeding directly into the blood stream at home the feed is usually given through a long term central venous catheter tunneled under the skin using a special pump patients on hpn usually have their feeds over 12 to 14 hours at night feeds and equipment are supplied by a commercial homecare company but all other aspects of hpn are managed by the hospital nutrition team
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