Psychological Aspects of Long-Term Home Hyperalimentation
Total parenteral nutrition (TPN) is still in a growth phase in this country. Although it has been only 12 years [now 16] since the technique was first described by Dudrick and his co-workers,1 it is estimated that 2,400,000 units of TPN solution—a standard unit containing 1 liter of TPN solution were administered in 1977, and by 1979 this rose to 4,300,000 units.2 Ambulatory home intravenous hyperalimentation (HIVH) maintenance, on a semipermanent or permanent basis, has become an increasingly viable option for patients with severely compromised bowel [function] and/or nutritional status. These patients, who formerly may not have survived, or at best would have needed continuous hospital care, now can live at home and lead active lives.3 In 1977–1978, 167 patients were registered on HIVH in the United States,4 but we estimate the true figure at between 600 and 1000 because many patients are short-term cases and are not listed.
KeywordsAnorexia Nervosa Total Parenteral Nutrition Short Bowel Syndrome Psychological Aspect Intermittent Infusion
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