Search

Impermanence is painful when we deny it. However, accepting the reality of impermanence can be a great comfort. Ultimately the only thing that can help is the state of our mind, the state of our mental or spiritual development. Anyone fortunate enough to be called to care for someone anxious about...

Bone health Prevention: Vitamin is typically 400 IU/day from birth to 12 months of age independent of their mode of feeding Beyond 12 months of age, all children and adults need 600 IU/day through diet and/or supplementation. Clinical Features of Nutritional Rickets: Wrist ankle swelling Delayed...

You are consulted as the HPN expert by the inpatient cardiology team to facilitate discharge for a 3 year-old female with a history of heart transplant for hypoplastic left heart syndrome was admitted for new onset 3-week history of vomiting, diarrhea and weight loss. Diagnostic laboratory and...

A 25 year-old patient with a Port-a-Cath implanted in the right chest complains of sudden onset severe neck pain and headaches with flushing central line and PN infusions. Labs and exam normal, including afebrile. Previous X-ray shows central line tip in at the cavo-atrial junction. Today, chest X...

Population Home parenteral nutrition is a life-sustaining therapy provided to ~40,000 people in the United States. Delegge MH. Demographics of home parenteral nutrition. JPEN J Parenter Enteral Nutr. 2002 Sep-Oct;26(5 Suppl):S60-2. Review. PubMed PMID: 12216724. Total annual care In 2008...

Case for fat overload syndrome 7 year-old on PN 1500 ml/day over 24 hours and (3 gm/kg) 310 ml/day over 24 hours •PN and lipid pumps are mixed up •IL runs at 63 ml/hour, instead of 13 ml/hour •What do you need to watch for?

Acute Care Case Study: GI Sepsis -- A video lecture through OpenPediatrics Caring for a Central Line at Home -- An educational video series for families & caregivers HPN Fellow Training Video

Coping can occur in a variety of styles. Family members at different developmental stages. Previous context and history with illness. Grieving loss of anticipated childhood (without illness). Ambivalence between craving choices and craving guidance. Coping with diagnosis can often mirror grief cycle...

Pathophysiology: Mutations EPCAM Disordered fixation protein expression along the basolateral membrane of intestinal epithelium (especially in crypts), which leads to the consequence of tufts along villi. Salomon J, Espinosa-Parrilla Y, Goulet O, Al-Qabandi W, Guigue P, Canioni D, Bruneau J...

Parent of a 1 year-old female on home parenteral nutrition secondary to short bowel syndrome (necrotizing enterocolitis) calls with a 2-day history of fever 101 degrees Fahrenheit (38.3 degrees Celsius). There are no other clinical complaints besides from teething. What is the next step? A...