Department of Surgery/Nutritional Support Service, Rhode Island Hospital, Providence, Rhode Island, USA.
Department of Kinesiology and Nutrition, University of Illinois-Chicago, Chicago, Illinois, USA.
Nutr Clin Pract. 2021 Aug;36(4):785-792. doi: 10.1002/ncp.10743. Epub 2021 Jun 23.
Intestinal failure (IF) is a rare chronic disease requiring intravenous (IV) fluids or parenteral nutrition (PN) dependency for optimal patient health and sustenance. The complex care is best managed by specialized multidisciplinary teams. Patients who have limited access to intestinal rehabilitation centers often receive IV/PN care from clinicians lacking specialty expertise. An innovative videoconferencing project was launched in May 2019 to provide online telementoring and case-based learning in IF. The Extension for Community Healthcare Outcomes (ECHO) model was adopted to provide education and virtual support via the Learn Intestinal Failure Tele-ECHO (LIFT-ECHO) project. Online clinics include patient case presentations, moderated discussion, best-practice recommendations, and didactic continuing education lectures on IF- and PN-related topics. Participation is interprofessional and international. Via knowledge dissemination and specialty mentorship, LIFT-ECHO is expected to improve healthcare for patients with IF and transform care delivery by overcoming the limitations in access to expertise.
肠衰竭(IF)是一种罕见的慢性疾病,需要静脉(IV)补液或肠外营养(PN)支持以实现最佳患者健康和维持。这种复杂的护理最好由专门的多学科团队管理。那些难以获得肠道康复中心服务的患者通常由缺乏专业知识的临床医生提供 IV/PN 护理。一项创新的视频会议项目于 2019 年 5 月启动,旨在提供 IF 方面的在线远程指导和基于案例的学习。采用扩展社区医疗保健成果(ECHO)模式,通过学习肠衰竭远程 ECHO(LIFT-ECHO)项目提供教育和虚拟支持。在线诊所包括患者病例介绍、有针对性的讨论、最佳实践建议,以及关于 IF 和 PN 相关主题的专题继续教育讲座。参与人员来自不同专业和国家/地区。通过知识传播和专业指导,LIFT-ECHO 有望改善 IF 患者的医疗保健,并通过克服获取专业知识的限制来改变护理方式。