Home tube feeding: an integrated multidisciplinary approach

Background Long-term enteral tube feeding is increasingly required by patie nts in the community setting. A previous study of 50 adults on home enteral tube feeding in the Dublin area found that some experienced logistical pro blems and many individuals did not choose to seek advice from their GP rega rding their tube feeding. Aims To assess the contribution of health professionals to the care of pati ents on enteral tube feeding in the community. Methods GPs and hospital dietitians were surveyed using postal questionnair es and nutritional company representatives using structured interviews, to assess their involvement with patients on home tube feeding. Completed ques tionnaires were received from 77 dietitians and 80 GPs. Ten company represe ntatives were interviewed. Results Hospital dietitians carry out most of the initial education and tra ining of patients, in addition to the nutritional aftercare. General practi tioners tend not to be involved, although nutrition specialists working in the nutritional products area report encountering patients with tube-feedin g complications in the community. Conclusions Improved co-ordination between hospital and community services and more consistent monitoring of those on home enteral tube feeding would be an advantage to such patients.