Brazilian Survey on Home Nutrition Therapy: current overview

Authors

  • Denise Philomene Joseph van Aanholt
  • Luciana Mitsue Sakano Niwa

Keywords:

Nutrition therapy, Enteral nutrition, Home parenteral nutrition, Home care service

Abstract

Objective: To learn how home nutritional therapy is carried out in the Ministry of Health's Better Home Program and in Supplementary Health. Method: Cross-sectional study, with secondary data, in which the profiles of professionals working in home care in Brazil were selected. Data collection took place from March to June 2018, after being submitted and approved by the Ethics and Research Committee. Results: Of the 289 Brazilians, 74% were professionals working in home care. The type of nutritional therapy performed was 67% exclusive enteral followed by 33% mixed therapy. The prescription of an exclusive handmade diet was 9% and a mixed enteral diet 55%. Most receive intermittent gravity diet, followed by bolus administration, continuous gravitational and drip control through the infusion pump. Conclusion: The findings give us a panoramic view of home enteral nutritional therapy in Brazil. The increase in home nutritional therapy is necessary especially because of the increase in the elderly population and, consequently, the greater presence of chronic diseases that can lead to disability, dependence, longer hospitalization and costs for the health system. The presence of an interdisciplinary team, good practices and monitoring of families at home is essential.

References

Green S, Dinenage S, Gower M, Van Wyk J. Home enteral nutrition: organisation of services. Nurs Older People. 2013;25(4).

Mazur CE, Schmidt ST, Rigon SDA, Schieferdecker MEM. Terapia Nutricional Enteral Domiciliar: Interface Entre Direito Humano À Alimentação Adequada E Segurança Alimentar E Nutricional. DEMETRA Aliment Nutr Saúde. 2014;9(3):757–70.

Saúde M da, Brasília. Politicas Publicas de Alimentação e Nutrição (PNAN). 2012.

Jansen AK, Silva KC, Henriques GS, dos Reis Coimbra J, Rodrigues MTG, dos Santos Rodrigues AM, et al. Relato de experiência: terapia nutricional enteral domiciliar–promoção do direito humano à alimentação adequada para portadores de necessidades alimentares especiais. DEMETRA Aliment Nutr Saúde. 2014;9:233–47.

Gabe K, Jaime P, Silva K. Politicas publicas de alimentação e nutrição voltadas as necessidades alimentares especiais. In: Jaime PC, editor. Politicas publicas de alimentação e nutrição. primeira. São Paulo: Atheneu; 2019. p. 145–54.

Waitzberg DL, Caiaffa WT, Correia MITD. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001;17(7–8):573–80.

Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: A systematic review. Clin Nutr. 2017;36(4):958–67.

Menezes CS, Fortes RC. Estado nutricional e evolução clínica de idosos em terapia nutricional enteral domiciliar: uma coorte retrospectiva. Rev Lat Am Enfermagem [Internet]. 2019;27. Available from: https://revista.nutricion.org/PDF/cutchma.pdf

Taibo RV, Olmos M-ÁM, Guerrero DB, Casariego AV, García RP, Sueiro AM, et al. Epidemiology of home enteral nutrition: an approximation to reality. Nutr Hosp. 2018;35(3):511–8.

Tyler RD, Guenter P. Identifying malnutrition: From acute care to discharge and beyond. Nurse Pract. 2017;42(4):18–24.

Brasil. Portaria SES-DF No 287 de 02 de dezembro de 2016 - Desospitalização para pacientes internados em enfermarias no Distrito Federal. DODF; 2016.

Rufino C, Carlini D, Alves M, Soo Jin Kim H. Como promover a desospitalização devido ao transplante de órgãos sólidos? Panorama atual no Brasil e profilaxia da infecção pelo citomegalovírus com valganciclovir. JBES Brazilian J Heal Econ Bras Econ da Saúde. 2016;8(1).

van Aanholt D, Matsuba C, Dias M, Teixeira da SIlva M, Campos A, Aguilar-Nascimento J. Diretriz TND. BRASPEN J. 2018;33:37–46.

Brasil. Portaria No 963, de 27 de maio de 2013. Redefine a atenção domiciliar no ambito do SUS. 2013.

Ministério da Saúde. Portaria No 2029, de 24 de agosto de 2011. Brasilia; 2011. p. 1–7.

Wanden-Berghe C, Pereira Cunill JL, Cuerda Compes C, Ramos Boluda E, Maiz Jiménez MI, Gómez Candela C, et al. Home and ambulatory artificial nutrition (NADYA) report. home parenteral nutrition in Spain, 2017. Nutr Hosp. 2018 Nov 1;35(6):1491–6.

van Aanholt D, Matsuba C, Dias M, Teixeira da SIlva M, agu. 2017 Inquerito Brasileiro TND. BRASPEN J. 2017;32(3):214–20.

Carnaúba CMD, Silva TDA e, Viana JF, Alves JBN, Andrade NL, Trindade Filho EM. Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil. Rev Bras Geriatr e Gerontol. 2017 May;20(3):352–62.

Villar Taibo R, Martínez Olmos MÁ, Bellido Guerrero D, Vidal Casariego A, Peinó García R, Martís Sueiro A, et al. Epidemiology of home enteral nutrition: An approximation to reality. Nutr Hosp. 2018;35(3):511–8.

Domingues EA. Paciente idoso desospitalizado: a continuidade da terapia nutricional enteral domiciliar. São Paulo: Biblioteca “Wanda de Aguiar Horta” Escola de Enfermagem da Universidade de São Paulo; 2019. p. 100p.

Johnson TW, Sara Seegmiller RN, Epp L, Mundi MS. Addressing Frequent Issues of Home Enteral Nutrition Patients. Vol. 34, Nutrition in Clinical Practice. John Wiley and Sons Inc.; 2019. p. 186–95.

Baxter YC, Dias MCG, Maculevicius J, Cecconello I, Cotteleng B, Waitzberg DL. Economic study in surgical patients of a new model of nutrition therapy integrating hospital and home vs the conventional hospital model. J Parenter Enter Nutr. 2005;29:S96–105.

Gavazzi C, Colatruglio S, Valoriani F, Mazzaferro V, Sabbatini A, Biffi R, et al. Impact of home enteral nutrition in malnourished patients with upper gastrointestinal cancer: a multicentre randomised clinical trial. Eur J Cancer. 2016;64:107–12.

Brasil. Caderno de Atenção Domiciliar - Cuidados em Terapia Nutricional. Brasília: Ministério da Saúde; 2014.

Waitzberg DL, Ciosak SI, Borges VC, Cardim Filho E, Rodrigues JJG, Gama AH. Síndrome do intestino curto e nutrição parenteral domiciliar cíclica. Barcelona, Spain: 9th ESPEN Congress; 1987.

Orlandoni P, Peladic NJ, Di Rosa M, Venturini C, Fagnani D, Sparvoli D, et al. The outcomes of long term home enteral nutrition (HEN) in older patients with severe dementia. Clin Nutr. 2019 Aug 1;38(4):1871–6.

Wanden-Berghe C, Pereira Cunill JL, Cuerda Compes C, Ramos Boluda E, Maiz Jiménez MI, Gómez Candela C, et al. Spanish home enteral nutrition registry of the year 2016 and 2017 from the NADYA-SENPE Group. Nutr Hosp [Internet]. 2019;36(2):1–8. Available from: https://doi.org/10.1016/j.endien.2018.08.007

Ciosak SI. Rotinas de monitoramento em home care na terapia nutricional. In: Terapia Nutricional Enteral e Parenteral. 1a ed. São Paulo: Martinare; 2014. p. 117–25.

Ciosak SI, Matsuba C. Cuidados de enfermagem na nutrição enteral. In: Nutrição Oral, Enteral e Parenteral na Prática Clínica. 5a ed. São Paulo: Atheneu; 2017. p. 1025–36.

Wanden-Berghe C, Patino-Alonso MC, Galindo-Villardón P, Sanz-Valero J. Complications associated with enteral nutrition: CAFANE study. Nutrients. 2019 Sep 1;11(9).

Downloads

Published

2021-01-25

How to Cite

Aanholt, D. P. J. van, & Niwa, L. M. S. (2021). Brazilian Survey on Home Nutrition Therapy: current overview. Revista De Divulgação Científica Sena Aires, 10(1), 127–138. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/487

Issue

Vol. 10 No. 1 (2021): REVISA

Section

Original Paper

License

Copyright (c) 2024 Revista de Divulgação Científica Sena Aires

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

  • Atribuição — Você deve dar o crédito apropriado, prover um link para a licença e indicar se mudanças foram feitas. Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso.

  • Sem restrições adicionais — Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.