Home Parenteral Care

  • Abdullah Shatnawei
  • Shishira Bharadwaj
  • Denise Konrad
  • Sandra Austhof
  • Ronelle Mitchell
Living reference work entry


Home parenteral nutrition (HPN) is a life-sustaining medical nutrition therapy that is utilized in patients who are unable to maintain adequate nutrition and hydration through enteral sources and their medical condition no longer requires hospitalization. It is a costly therapy with insurance coverage differing among policies, and patients often have some out-of-pocket expense. Management of HPN starts while the patient is still hospitalized. A specialized, multidisciplinary nutrition support team (NST) is crucial in the safe transition from hospital to home. Many factors are considered including the length of therapy, type of central venous access device (CVAD), patient or caregiver’s ability to perform PN procedures, and overall plan of care. Regular laboratory tests along with intake and output records aid in effectively managing this therapy. Though HPN is crucial for this patient population, it is not without concern for complications ranging from infection to metabolic or mechanical etiologies. However, a knowledgeable NST can safely monitor patients at home on parenteral nutrition (PN) to reduce complications while providing freedom from the hospital.


Parenteral Nutrition Superior Vena Cava Short Bowel Syndrome Peripherally Insert Central Catheter Home Parenteral Nutrition 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Alanine aminotransferase


Aspartate aminotransferase


Blood urea nitrogen


Catheter-related bloodstream infection


Central nervous system


Central parenteral nutrition


Central venous access device


Complete blood count


Complete metabolic panel


Deep vein thrombosis




Essential fatty acid deficiency






Home parenteral nutrition


Hydrochloric acid






Parenteral nutrition


Peripherally inserted central catheters


Peripheral parenteral nutrition






Nutrition support team


Registered nurse


Sodium bicarbonate


Sodium hydroxide


Superior vena cava


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Copyright information

© Springer Science and Business Media New York (outside the USA) 2014

Authors and Affiliations

  • Abdullah Shatnawei
    • 1
  • Shishira Bharadwaj
    • 2
  • Denise Konrad
    • 3
  • Sandra Austhof
    • 3
  • Ronelle Mitchell
    • 3
  1. 1.Department of Gastroenterology and HepatologyThe Cleveland Clinic, Digestive Disease InstituteClevelandUSA
  2. 2.Cleveland Clinic, Digestive Disease InstituteClevelandUSA
  3. 3.Center for Human NutritionCleveland Clinic, Digestive Disease InstituteClevelandUSA

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