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Nutrients 2015, 7(3), 1607-1617; doi:10.3390/nu7031607

Development and Evaluation of a Home Enteral Nutrition Team

1
University Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, SO16 6YD, UK
2
Solent NHS Trust, Adelaide Health Centre, Western Community Hospital Campus, Southampton, SO16 4XE, UK
3
Nutricia Ltd., Trowbridge, Wiltshire, BA14 0XQ, UK
4
Solent NHS Trust/University of Southampton, Highfield, Southampton, SO17 1BJ, UK
*
Author to whom correspondence should be addressed.
Received: 3 December 2014 / Revised: 30 January 2015 / Accepted: 12 February 2015 / Published: 5 March 2015
(This article belongs to the Special Issue Recent Advances in Enteral Nutrition)
View Full-Text   |   Download PDF [128 KB, uploaded 20 March 2015]   |  

Abstract

The organisation of services to support the increasing number of people receiving enteral tube feeding (ETF) at home varies across regions. There is evidence that multi-disciplinary primary care teams focussed on home enteral nutrition (HEN) can provide cost-effective care. This paper describes the development and evaluation of a HEN Team in one UK city. A HEN Team comprising dietetians, nurses and a speech and language therapist was developed with the aim of delivering a quality service for people with gastrostomy tubes living at home. Team objectives were set and an underpinning framework of organisation developed including a care pathway and a schedule of training. Impact on patient outcomes was assessed in a pre-post test evaluation design. Patients and carers reported improved support in managing their ETF. Cost savings were realised through: (1) prevention of hospital admission and related transport for ETF related issues; (2) effective management and reduction of waste of feed and thickener; (3) balloon gastrostomy tube replacement by the HEN Team in the patient’s home, and optimisation of nutritional status. This service evaluation demonstrated that the establishment of a dedicated multi-professional HEN Team focussed on achievement of key objectives improved patient experience and, although calculation of cost savings were estimates, provided evidence of cost-effectiveness. View Full-Text
Keywords: Enteral tube feeding; home enteral nutrition; primary care Enteral tube feeding; home enteral nutrition; primary care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Dinenage, S.; Gower, M.; Van Wyk, J.; Blamey, A.; Ashbolt, K.; Sutcliffe, M.; Green, S.M. Development and Evaluation of a Home Enteral Nutrition Team. Nutrients 2015, 7, 1607-1617.

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