Home nutrition therapy (HNT) update

ACCREDITATION

Home nutrition therapy (HNT) update

Wanderley M. Bernardo; Alessandra Borges

1. When is HNT indicated? a. It is contraindicated in inflammatory bowel disease b. It is indicated in burn patients c. The indications are different from those of hospital-based therapy d. It must be given concomitantly with enteral nutrition 2. All of the following are selection criteria for HNT approval, except: a. Adequate light and refrigeration b. Adequate home environment c. Intellectually capable family member or caregiver d. Periodic visits by a pharmacist 3. Regarding HNT costs, which one of the following is true: a. It can be 2.7 times lower than in-hospital costs b. It is similar to in-hospital costs in cases of cerebrovascular accident c. It is similar to the costs of nursing homes d. Although lower when compared to in-hospital costs, it does not decrease hospitalization time 4. Does HNT interfere with hospitalization? a. It does not reduce re-hospitalizations b. Catheter-related infection is the major cause of hospitalizations c. It is responsible for approximately 50% of hospitalizations d. Although it decreases hospitalization time, it is the main cause of re-hospitalizations 5. Is it possible for trained family members to administer HNT? a. It should never be administered by family members b. Yes, and the work of healthcare professionals can be dismissed c. The family members must be trained before the patient is discharged d. In spite of the training, the tension generated by the necessity of careful handling (e.g., the tube) prevents the patient from getting proper care

RESPONSES TO CLINICAL SCENARIO: UPDATE ON ENDOMETRIAL CARCINOMA REATMENT

1. It is not indicated for patients in early-stage disease. (Alternative D).

2. Adjuvant radiotherapy is indicated when there is risk of metastasis. (Alternative C).

3. There is no difference in survival between laparoscopy and laparotomy. (Alternative A).

4. No alteration in survival. (Alternative B).

5. Consultations every three months in the first three years. (Alternative D).

[PUBLISHED AT RAMB 2012;58(4)]

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Publication Dates

• Publication in this collection
  17 Oct 2012
• Date of issue
  Oct 2012