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Nutrition in Clinical Practice, Vol. 21, No. 6, 566-575 (2006)
DOI: 10.1177/0115426506021006566
© 2006 The American Society for Parenteral and Enteral Nutrition

Clinical Observations

Micronutrient Assessment in Long-Term Home Parenteral Nutrition Patients

M. Patricia Fuhrman, MS, RD, LD, FADA, CNSD

Nutrition Services, Coram, Inc, Ballwin, Missouri

Correspondence: M. Patricia Fuhrman, MS, RD, LD, FADA, CNSD, 1932 Prospector Ridge Drive, Ballwin, MO 63011. Electronic mail may be sent to fuhrmanp{at}coramhc.com.

Assessment of micronutrient status of patients requiring long-term parenteral nutrition (PN) continues to be a challenge for clinicians. The scientific literature primarily consists of small studies and case reports. There are no evidence-based guidelines available. Clinicians rely on clinical assessment according to the patient's disease process, medication regimen, physical examination, and history of nutrient intake to determine existence or risk of micronutrient deficiency and toxicity. This paper will examine current scientific evidence and existing recommendations for the micronutrient assessment and management of patients requiring long-term PN.


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