POSSIBILITIES AND LIMITATIONS OF ENTERAL NUTRITIONAL THERAPY BASED ON THE PERSPECTIVE OF CAREGIVERS AND PROFESSIONALS FROM A PUBLIC HEALTH NETWORK IN A BORDER REGION
DOI:
https://doi.org/10.12957/demetra.2019.36926Keywords:
Enteral nutrition. Home care. Continuing healthcare network.Abstract
Objective: Analyzing the possibilities, limitations and challenges of home enteral nutrition therapy in the public health network and the nutritional profile of post-hospital patients living in Foz do Iguaçu County, Paraná State, Brazil. Methods: Cross-sectional and qualitative-quantitative study. Sample: 12 individuals subjected to home enteral nutrition (with, and without, nutritional monitoring); 12 caregivers and 8 health professionals. Data collection was based on nutritional anamnesis (users) and on interviews with health professionals and caregivers. Interviews were recorded, transcribed and analyzed based on the theoretical perspective by Bardin. Inelastic tape and body fat caliper were used to generate patients’ nutritional profile; results were compared to recommendations. Results and discussion: There was prevalence of female and adult individuals among caregivers and health professionals, whereas elderly and female individuals prevailed among enteral nutrition patients. Seven patients fed on manipulated diet; the group without nutritional follow-up presented higher frequency of complications and deaths, as well as less satisfactory anthropometric profile. Caregivers were disoriented and insecure about how to apply enteral nutrition at home, mainly to patients who did not have nutritional follow-up. Health professionals and caregivers pointed out the importance of performing professional follow-up and of providing diets to patients after hospital discharge; weaknesses in the network due to lack of flow, standardized guidelines and referrals with network protocols about the application of home enteral nutrition therapy. Conclusions: Results showed the significant need of training caregivers, multi-professional and intervention teams in home care.
DOI: 10.12957/demetra.2019.36926
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