Reddick Cynthia A, Greaves June R, Flaherty Janelle E, Callihan Lindsey E, Larimer Cara H, Allen Sarah A
Home Enteral Nutrition Consultant, Sacramento, California, USA.
Enteral Division, Coram/CVS Specialty Infusion Services, Illinois, Northbrook, USA.
Nutr Clin Pract. 2023 Apr;38(2):216-239. doi: 10.1002/ncp.10959.
When an enteral feeding tube (EFT) is placed, it is not always known how long this nutrition support intervention will be needed. As a result, the type of device the patient originally has placed may not match the function it is required to serve or the lifestyle needs of the patient throughout their enteral nutrition journey. Medicare considers an EFT a prosthetic device, as it is replacing a permanently inoperable or nonfunctioning organ. If we think about an EFT the same way we think about a prosthetic limb, one that needs to be customized to meet all of the patient's functional and lifestyle needs, we can also begin to think beyond the procedure room and carefully consider a variety of factors that impact the patient at home receiving enteral nutrition. Proper fit, function, and style is essential in order for the patient to have a positive relationship with their EFT, contributing to their successful home enteral nutrition experience. Clinicians who care for these patients in any setting and in any capacity would benefit from enhancing their understanding of available EFT options, their design components, and available methods of placement. Many home care and outpatient clinicians adopt the role of patient advocate as it relates to a patient's enteral nutrition journey, and this expanded knowledge could be used to benefit the patient by improving their overall enteral nutrition experience and ultimately their relationship with their "prosthetic."
当放置一根肠内喂养管（EFT）时，并不总是清楚这种营养支持干预需要持续多长时间。因此，患者最初放置的装置类型可能与它所需发挥的功能不匹配，或者与患者在整个肠内营养过程中的生活方式需求不匹配。医疗保险将EFT视为一种假体装置，因为它替代了一个永久性无法运作或失去功能的器官。如果我们以看待假肢的同样方式来思考EFT，即需要定制以满足患者所有功能和生活方式需求的假肢，那么我们也可以开始超越手术室的范畴，仔细考虑在家中接受肠内营养的患者所受影响的各种因素。合适的尺寸、功能和样式对于患者与他们的EFT建立良好关系至关重要，这有助于他们在家中成功进行肠内营养。在任何环境下以任何身份护理这些患者的临床医生，都将从增强对可用EFT选项、其设计组件以及可用放置方法的理解中受益。许多家庭护理和门诊临床医生会扮演患者权益倡导者的角色，涉及患者的肠内营养过程，而这种扩展的知识可用于通过改善患者的整体肠内营养体验并最终改善他们与“假体”的关系来使患者受益。
