March 26, 2017,
Silver Spring, MD
– Published in the Journal of
Parenteral and Enteral Nutrition,
the American Society for Parenteral and Enteral Nutrition
appropriate use of parenteral (intravenous) nutrition.
nutrition (PN) is one of the most notable achievements of modern medicine and
is provided to all age groups across the healthcare continuum. It offers a
life-sustaining option when intestinal failure prevents adequate oral or
enteral nutrition (tube feeding). However, providing nutrients by vein is a
complex form of nutrition support that comes with a heightened risk of causing
patient harm when not administered correctly.
“PN is administered
in a range of health care settings, from critical care to home care, at times
without the oversight of a dedicated, knowledgeable nutrition support team,”
said lead author, Patricia Worthington, MSN, RN, CNSC. “These recommendations offer
guidance intended to minimize the risk to patients receiving this therapy.”
To develop the
consensus recommendations, the ASPEN board of directors appointed a task force
composed of physicians, nurses, dietitians and pharmacists. The resulting document promotes the clinical
benefits of PN, outlines its appropriate use, provides recommendations for
developing quality monitoring tools, identifies areas for further research, and
guides evidence-based decisions for organizations and individual professionals.
The recommendations can also inform decisions made by other stakeholders, such
as policy makers and third-party payers, by providing current perspectives
regarding the use of PN in a variety of healthcare settings.
The task force suggests the following high-level
recommendations around PN:
- Recognize clinical indications for PN as well as
situations in which the therapy is not likely to be beneficial;
- Develop a PN prescription that meets individual
- Monitor the response to therapy;
- Adjust the therapeutic plan as indicated;
- Promote a seamless transition when PN is no
longer required; and
- Encourage a collaborative approach that crosses
professional and departmental boundaries.
“PN is a critical component of care for many patients,” said Beverly
ASPEN’s Clinical Practice Specialist. “The need for healthcare teams to promote
its safe and effective use is vital. Our hope is that these recommendations will
help clinicians achieve the best nutritional outcomes for their patients.”
A detailed discussion of these recommendations took place recently
at ASPEN’s annual Clinical Nutrition Week earlier this year. A rebroadcast of
that presentation is taking place tomorrow, Tuesday, March 28 from 1:00 – 2:30
This work builds on ASPEN’s long standing efforts on PN safety
initiatives, much of which can be found on its
and in a
exclusively on this therapy.
The article and full recommendations can be found
The American Society for Parenteral and Enteral Nutrition
(ASPEN) is dedicated to improving patient care by advancing the science and
practice of nutrition support therapy and metabolism. Founded in 1976, ASPEN is
an interdisciplinary organization whose members are involved in the provision
of clinical nutrition therapies, including parenteral and enteral nutrition.
With more than 6,500 members from around the world, ASPEN is a community of
dietitians, nurses, nurse practitioners, pharmacists, physicians, scientists,
students, and other health professionals from every facet of nutrition support
clinical practice, research, and education. For more information about ASPEN,
please visit www.nutritioncare.org.