title: Technology dependence in home care: impact on patients and their family caregivers.
abstract: BACKGROUND
  The purpose of this review is to explore how home technology care affects patients, family caregivers, and quality of life (QOL).
  
  
  METHODS
  A literature search was conducted to identify studies of home parenteral nutrition (HPN) and other technology prescribed home care.
  
  
  RESULTS
  Technology dependence influences health-related QOL. Patients and their family caregivers must balance the positive aspects of being in the home environment with the challenges of administering complex therapies at home. Patients and caregivers need additional support to reduce the physical, emotional, social, and financial burdens they experience.
  
  
  CONCLUSIONS
  More research is needed to address effective interventions to reduce patient and caregiver burdens and to improve outcomes for technology-dependent individuals. A greater level of preparedness for managing home technology and technology-related problems may improve quality of life.
authors.affiliation: Rhode Island Hospital, 593 Eddy Street, NAB218, Providence, RI 02903, USA. mwinkler@lifespan.org
authors.forename: Marion F
authors.initials: MF
authors.lastname: Winkler
authors.forename: Vicki M
authors.initials: VM
authors.lastname: Ross
authors.forename: Ubolrat
authors.initials: U
authors.lastname: Piamjariyakul
authors.forename: Byron
authors.initials: B
authors.lastname: Gajewski
authors.forename: Carol E
authors.initials: CE
authors.lastname: Smith
mesh_terms: D017028:Caregivers / Q000523:psychology*; D006801:Humans; D016331:Parenteral Nutrition, Home / Q000639:trends*; D010361:Patients / Q000523:psychology*