Matsuoka Mio, Hidaka Kumi, Doi Seiko, Hata Akiko, Ibata Takeshi, lijima Shohei
Gan To Kagaku Ryoho. 2013 Dec;40 Suppl 2:224-6.
Herein, we describe the case of a man in his 70s who had slight dementia. Because of dysphagia, the patient received enteral nutrition by gastrostomy. The patient wished to care for his wife, who had severe dementia and was also receiving enteral nutrition. He was later re-hospitalized for aspiration-related pneumonia. At this point, it was discovered that the management of enteral nutrition via gastrostomy was different from that at the time of discharge from our hospital. Nutritional management during home care may change for various reasons after discharge from hospital. If a change is identified at the time of re-hospitalization, this process should be confirmed. In addition, it is necessary that any changes in nutritional management should benefit the patient. In order to improve the home care of the present patient, we changed his diet to semisolid enteral nutrition that was easier for him to manage. This diet would also be beneficial for the aspiration-related pneumonia. Importantly, we shared these changes in enteral nutrition with all medical staff involved in his care. This included explaining changes in nutritional content, dose, and method of delivery.
在此，我们描述了一位70多岁患有轻度痴呆症的男性病例。由于吞咽困难，该患者通过胃造口术接受肠内营养。患者希望照顾同样患有严重痴呆症且也在接受肠内营养的妻子。他后来因吸入性相关肺炎再次住院。此时，发现通过胃造口术进行的肠内营养管理与从我院出院时不同。出院后，家庭护理期间的营养管理可能因各种原因而改变。如果在再次住院时发现有变化，应确认这一过程。此外，营养管理的任何变化都必须对患者有益。为了改善该患者的家庭护理，我们将他的饮食改为更易于管理的半固体肠内营养。这种饮食对吸入性相关肺炎也有益。重要的是，我们将肠内营养的这些变化告知了所有参与其护理的医务人员，包括解释营养成分、剂量和输送方法的变化。
