title: [The role of nurses in the introduction of home parenteral nutrition (HPN)].
abstract: HPN makes it possible for patients, who otherwise must remain hospitalized, to be discharged and contributes to improve their QOL. We report 3 patients for whom HPN was introduced and could either stay out or to be discharged. Both strong will to be discharged and self-confidence acquired after a test stay out led the patients to HPN. It was important to design the contents of instruction, the methods, and the periods according to the comprehension, will and abilities of the patients. Since the HPN equipment weighs over 2 kg, it was hard for patients in a terminal stage and senile patients to carry them. All 3 patients had the cooperation of their families and the nurses to design various additional devices and thus continue the therapy at home. The nurses should participate in the renovation of the transfer equipment in order to improve the QOL of the patients. Moreover, it is important to promote the will of patients though active information and to suggest a management plan suitable to their lifestyles.
authors.affiliation: Dept. of Internal Medicine, Osaka City Sumiyoshi Hospital.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Takahashi
authors.forename: Hisayo
authors.initials: H
authors.lastname: Kanekami
authors.forename: Hisako
authors.initials: H
authors.lastname: Saiki
authors.forename: Atsuko
authors.initials: A
authors.lastname: Mori
mesh_terms: D000368:Aged; D017028:Caregivers; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008875:Middle Aged; D009726:Nurses; D016331:Parenteral Nutrition, Home; D010351:Patient Discharge; D011788:Quality of Life; D013727:Terminal Care