Carey Sharon, Brown Shannyn, Ferrie Suzie
Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Nutrition and Dietetics Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Eur J Clin Nutr. 2025 Jun;79(6):499-503. doi: 10.1038/s41430-024-01555-0. Epub 2025 Feb 3.
People diagnosed with Intestinal Failure (IF) requiring Home Parenteral Nutrition (HPN) have complex medical and nutritional requirements. To date, assessment for, and ongoing management of, HPN has relied on medical, nursing and dietetic input. However, success in assessing suitability for HPN and ongoing management is often reliant on non-medical factors. This paper aims to outline the critical clinical role the social worker can play and their scope of practice in assessing and managing people requiring HPN. This includes assessment across medical, psychosocial, financial, legal, quality-of-life and healthcare-related domains. This perspective paper highlights the vast scope in which the social worker can support people diagnosed with IF requiring HPN. More research is required to quantify the value of the social worker as a key member of the multidisciplinary IF team.
被诊断为需要家庭肠外营养（HPN）的肠衰竭（IF）患者有复杂的医疗和营养需求。迄今为止，HPN的评估及持续管理一直依赖于医学、护理和饮食方面的投入。然而，评估HPN适用性及进行持续管理的成功往往依赖于非医学因素。本文旨在概述社会工作者在评估和管理需要HPN的患者时可发挥的关键临床作用及其实践范围。这包括跨医学、心理社会、财务、法律、生活质量和医疗保健相关领域的评估。这篇观点性论文强调了社会工作者在支持被诊断为IF且需要HPN的患者方面的广阔范围。需要更多研究来量化社会工作者作为多学科IF团队关键成员的价值。
