Community child health, public health and epidemiology
Recent advances
Nutritional support at home and in the community
J W L Puntis
Neonatal Unit,
Clarendon Wing, The General Infirmary at Leeds, Belmont Grove, Leeds
LS2 9NS, UK
Correspondence to: Dr Puntis puntisj{at}ulth.northg.nhs.uk
Accepted 5 December 2000
Technical developments in feeding, together with the
growth of support structures in the community has lead to a steady
increase in the number of children receiving home enteral tube feeding and home parenteral nutrition. In many cases the adverse nutritional consequences of disease can be ameliorated or prevented, and long term
parenteral nutrition represents a life saving intervention. Careful
follow up of children receiving home nutritional therapy is necessary
to establish the ratio of risks to benefits. A considerable burden is
sometimes placed on family or other carers who therefore require
adequate training and ongoing support. The respective responsibilities
of different agencies relating to funding and support tasks require
more clear definition.
Keywords: home enteral tube feeding; home parenteral nutrition; review
© 2001 by Archives of Disease in Childhood
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