Home care for the elderly.

The increasing numbers of older (>65 years) Americans will increase the demand for home health services including support services (nursing, physical therapy, occupational therapy, durable medical equipment, and respiratory therapy), infusion therapies, palliative care, and hospice. The unique characteristics and specific needs of this population must be addressed to optimize patient outcomes. The American Society for Parenteral and Enteral Nutrition has established standards for clinicians providing nutrition support in the home and provides practice guidelines for nutrition support and geriatrics. Certification in gerontological care is available for dietitians, pharmacists, physicians, and nurses. The key to optimal care for older adults is to find the confluence of expertise in nutrition support and geriatrics.