Development and Evaluation of a Home Enteral Nutrition Team
AbstractThe 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
Share & Cite This Article
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.
Dinenage S, Gower M, Van Wyk J, Blamey A, Ashbolt K, Sutcliffe M, Green SM. Development and Evaluation of a Home Enteral Nutrition Team. Nutrients. 2015; 7(3):1607-1617.Chicago/Turabian Style
Dinenage, Sarah; Gower, Morwenna; Van Wyk, Joanna; Blamey, Anne; Ashbolt, Karen; Sutcliffe, Michelle; Green, Sue M. 2015. "Development and Evaluation of a Home Enteral Nutrition Team." Nutrients 7, no. 3: 1607-1617.