The number of outpatients with major difficulties in feeding themselve
s is constantly growing. This results into severe malnutrition resulti
ng in increased infection rate, physical disabilities, skin sores, inc
reased therapeutic costs and poor quality of life. Home nutritional su
pport can cover all nutritional needs but requires appropriate indicat
ions, optimal technical management and cautious ethical evaluation. In
addition, the overall costs should be covered by an insurance at the
time of home nutritional support prescription. Swiss home nutritional
support recommendations for practising physicians are presented.