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A Handbook of Parenteral Nutrition - Hospital and home applications (Paperback, 1990 ed.)
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A Handbook of Parenteral Nutrition - Hospital and home applications (Paperback, 1990 ed.)
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Total parenteral nutrition (TPN) is now an everyday occur rence in
most general hospitals. Over the last two decades this therapeutic
modality has been made so simple that it is no longer the province
of the specialized surgeon or physician. Indeed, as with the
management of chronic renal failure so now with short bowel
disease, home parenteral nutrition has become a reality, though
this still requires a specialist team dedicated to its management.
Furthermore, as more patients will become suitable for home TPN
treatment (either long term or short term) so better
rationalization of (a) cost, (b) delivery systems and (c) patient
training will be necessary. Lessons can be learnt from the somewhat
diverse development of regular dialysis treatment in the early
1960s compared with the situation today. Here is a golden
opportunity, with the UK National Registry, to rationalize on home
TPN costs and to make sure the treatment is simplified and
available to all those who may require this treatment. This book is
not designed to be an overall comprehensive review of parenteral
nutrition. It is meant to set out simple guidelines and the
requirements for effective TPN both in hospital and at home. It is
aimed at doctors in training, interested physicians and surgeons,
nurses, dietitians and pharmacists. The purpose is to stimulate
interest and aware ness, rather than to provide detailed
'small-print' information. For the person seeking greater
knowledge, there are several excellent monographs on the subject.
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