[What 100 HPN patients taught us].
Recently, Terumo Corporation has developed a new management system, 'Home-Joint', which helps hospitals discharge patients easily. Several hospitals have adopted this system for HPN (home parenteral nutrition) patients, as it can provide discharge program from the hospital and provide items required in alternate site care. This report gives an evaluation of 100 HPN patients who underwent 'Home-Joint' program in 1997. 1) Profiles of patients. Number: 100 (female 47, male 53) Age: 26-96 (61 patients over 70) DIAGNOSIS: cancer 57, others 21, unknown 22 Therapeutic periods: average 53 days (2-617) for terminated 84 patients. Infusion Devices: ambulatory pump 55, stationary pump 41, gravity 4. 2) Important factors for HPN support 1. Be reliable for patients and staff. 2. Train patients well before discharge. 3. The simpler the device the better. 4. Trial or short home-coming required. 3) Issues. 1. Compared with other home therapies, HPN blood access requires much care. 2. Therapeutic period too short. 3. Pay for HPN service too small for a business HPN is very useful for the hospital to discharge the patient comfortably, but requires a complete service system and suitable reimbursement for business.
Watanabe
M
M
Terumo Corporation, Home Health Care Business Project.
Sawai
K
K
Ono
K
K
Takashima
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D018574:Home Care Agencies; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing*; D016331:Parenteral Nutrition, Home; D010351:Patient Discharge