Abstract
Permanent total parenteral nutrition (TPN) is a new form of life-sustaining therapy.1,2 This treatment is indicated in situations where the disease results in a state in which the small bowel is no longer able to perform its normal absorptive functions to support life.2,3 Initiating this type of therapy requires the operative insertion of a permanent silastic catheter into the subclavian vein through which essential nutrients are infused into the body to meet the daily requirements for growth and metabolism. TPN is an artificial and unnatural source of feeding and nurturance which demands major adjustments in life-style. Patients must learn the intricacies of the entire TPN system and become totally self-sufficient in its use. For this, patients undergo a period of training during which they learn to operate this complicated apparatus independently. This highly complex and completely sterile procedure is repeated 365 days a year!
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Dudrick, S. J., Wilmore, D. W., Vars, H. M., & Rhoads, J. e. Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Surgery, 1968, 64, 134–142.
Dudrick, S. J., &Rubert, P. L. Principles and practices of parenteral nutrition. Gastroenterology, 1971, 910–910.
Jeejeebhoy, K. N., & Anderson, G. H., Sanderson, I., & Bryan, M. H. Total parenteral nutrition: Nutrient needs and technical tips. Modern Medicine in Canada. 1974, 29, 832–841, 944–947.
Moos, R. H. The crisis of treatment: Survival by machine. In R. H. Moos (Ed.), Coping with physical illness(Vol. 1). New York: Plenum Medical, 1977.
Moos, R. H., &Tsu, V. D. The crisis of physical illness: An overview. In R. H. Moos (Ed.),Coping with physical illness(Vol. 1). New York: Plenum Medical, 1977.
Kübler-Ross, E. On death and dying. New York: Macmillan, 1969.
Adler, M. L. Kidney transplantation and coping mechanisms.Psychosomatics, 1972, IB, 337–341.
Andreasen, N. J. C., &Norris, A. S. Long-term adjustment and adaptation mechanisms in severely burned adults.Journal of Nervous and Mental Disease, 1972, 154, 352- 362.
Williams, C. D. The CCU nurse has a pacemaker. American Journal of Nursing, 1972, 72, 900–902.
Abram, H. S. Survival by machine. The psychological stress of chronic hemodialysis. In R. H. Moos (Ed.), Coping with physical illness(Vol. 1). New York: Plenum Medical, 1977.
Jeejeebhoy, K. N., Langer, B., Tsallas, G., Chu, R. C., Kuksis, A., & Anderson, G. H. Total parenteral nutrition at home: Studies in patients surviving 4 months to 5 years. Gastroenterology, 1976, 71, 943–953.
Heitzer, W. D., &Orringer, E. P. Parenteral nutrition at home for 5 years via arteriovenous fistulae. Gastroenterology, 1977, 72, 527–532.
Lipowski, Z. J. Physical illness, the individual and the coping process. Psychiatry in Medicine, 1970, 1, 91–102.
Adams, J. E., & Lindemann, E. Coping with long-term disability. In G. C. Coehlo, D. A. Hamburg, & J. E. Adams (Eds.), Coping and adaptation. New York: Basic Books, 1974.
Langer, B., McHattie, J. D., Zohrab, W. J., & Jeejeebhoy, K. N. Prolonged survival after complete small bowel resection using intravenous alimentation at home. Journal of Surgical Research, 1973, 15, 226–233.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1984 Plenum Publishing Corporation
About this chapter
Cite this chapter
Price, B.S., Levine, E.L. (1984). Permanent Total Parenteral Nutrition. In: Moos, R.H. (eds) Coping with Physical Illness. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4772-9_22
Download citation
DOI: https://doi.org/10.1007/978-1-4684-4772-9_22
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-4774-3
Online ISBN: 978-1-4684-4772-9
eBook Packages: Springer Book Archive