Nutrition in Clinical Practice

 

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Nutrition in Clinical Practice, Vol. 21, No. 6, 544-556 (2006)
DOI: 10.1177/0115426506021006544


Invited Review

Technology Dependence in Home Care: Impact on Patients and Their Family Caregivers

Marion F. Winkler, MS, RD, CNSD*,{dagger}, Vicki M. Ross, RN, PhD{ddagger}, Ubolrat Piamjariyakul, RN, PhD{ddagger}, Byron Gajewski, PhD{ddagger},§ and Carol E. Smith, RN, PhD{ddagger}

* Department of Surgery, Brown Medical School, Rhode Island Hospital, Providence, Rhode Island;{dagger} University of Medicine and Dentistry of New Jersey, Newark, New Jersey; {ddagger} University of Kansas School of Nursing, Kansas City, Kansas; and§ School of Allied Health, University of Kansas, Kansas City, Kansas

Correspondence: Marion F. Winkler, MS, RD, CNSD, Rhode Island Hospital, 593 Eddy Street, NAB218, Providence, RI 02903. Electronic mail may be sent to mwinkler{at}lifespan.org.

Background: The purpose of this review is to explore how home technology care affects patients, family caregivers, and quality of life (QOL). Methods: A literature search was conducted to identify studies of home parenteral nutrition (HPN) and other technology prescribed home care. Results: Technology dependence influences health-related QOL. Patients and their family caregivers must balance the positive aspects of being in the home environment with the challenges of administering complex therapies at home. Patients and caregivers need additional support to reduce the physical, emotional, social, and financial burdens they experience. Conclusions: More research is needed to address effective interventions to reduce patient and caregiver burdens and to improve outcomes for technology-dependent individuals. A greater level of preparedness for managing home technology and technology-related problems may improve quality of life.


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