Goff K
Saint Joseph's Hospital of Atlanta, GA 30342-1764, USA.
Nurs Case Manag. 1998 Mar-Apr;3(2):67-74.
Enteral and parenteral nutrition therapies are routinely used in the acute care setting, rehabilitation facilities, and in home care for patients unable to ingest or absorb adequate nutrients orally. In many instances, a nutrition support service uses a team approach to administer and monitor this therapy in the hospital. The same nutrition support service may also arrange the transition from hospital to home for those patients who need to continue therapy long term. However, in settings where there is not a nutrition support service that coordinates the discharge, the case manager may be given this responsibility. Because of the complexity of reimbursement issues, particularly from Medicare, the monitoring needed after discharge, and the need for an experienced home care agency, the case manager will be better equipped to coordinate this discharge with knowledge about these issues. This article includes clinical and financial information as well as resources available to help the case manager to arrange a safe and smooth transition for the patient and caregivers.
肠内和肠外营养疗法常用于急性护理机构、康复设施以及无法经口摄入或吸收足够营养的居家护理患者。在许多情况下，营养支持服务团队会采用团队协作的方式在医院实施和监测这种疗法。对于那些需要长期持续治疗的患者，同样的营养支持服务团队也可能会安排从医院到家庭的过渡护理。然而，在没有营养支持服务团队协调出院事宜的情况下，病例管理员可能会承担这项职责。由于报销问题的复杂性，尤其是来自医疗保险的报销问题、出院后所需的监测以及对经验丰富的居家护理机构的需求，病例管理员若了解这些问题，将更有能力协调患者出院事宜。本文提供了临床和财务信息以及可用资源，以帮助病例管理员为患者和护理人员安排安全、顺利的过渡护理。
