Johnston J E
Soc Work Health Care. 1981 Winter;7(2):49-66. doi: 10.1300/j010v07n02_04.
The continued advancements in technology and medicine now make it possible for patients who are nutritional "cripples" to thrive on an outpatient basis through home parenteral nutrition (HPN). Since the social and psychological literature does not yet reflect extensive information on this type of program, this article outlines in detail a successful HPN program and explores the personal factors and needed resources involved in participation in such a program, including the perils of third party reimbursement. Based on experience in evaluating 36 HPN candidates and working with 26 HPN participants, the salient problems and concerns patients and families encounter with HPN therapy are discussed along with suggestions for constructively addressing such issues.
如今，技术和医学的不断进步使那些营养状况不佳的患者通过家庭肠外营养（HPN）在门诊条件下也能茁壮成长。由于社会和心理学文献尚未反映出关于此类项目的广泛信息，本文详细概述了一个成功的HPN项目，并探讨了参与该项目所涉及的个人因素和所需资源，包括第三方报销的风险。基于对36名HPN候选人的评估经验以及与26名HPN参与者的合作经验，讨论了患者和家庭在HPN治疗中遇到的突出问题和担忧，并提出了建设性解决这些问题的建议。
