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HSE National Guideline

National Guideline on Adult Home Enteral Nutrition


Topic: Adult home enteral nutrition
Document Owner: Head of community operations primary care
National Group: Community funded schemes (cfs) national nutrition service improvement
Effective From: 15 December 2023
This guideline is primarily aimed at doctors, nurses, dietitians, speech and language therapists, pharmacists and other healthcare professionals involved in the discharge and follow up of HEN recipients.

Home Enteral Nutrition (HEN) refers to nutrition provided through a feeding tube directly into the gastro-intestinal tract when an individual cannot ingest, chew or swallow food safely but can digest and absorb nutrients. The aim of this guideline is to improve the quality and safety of HEN services by setting a national standard and published guideline. It contains key recommendations, covering the transfer of an adult on HEN to a primary care setting, the nutrition care process, management of HEN devices, and management of enteral feeding stomas and discontinuation of HEN in a primary care setting. It promotes practice that is up to date, evidence based, effective and consistent. It enables individuals providing (HEN) services to identify strengths and complications, while demonstrating what safe, high-quality care should look like, and what to expect from an optimal HEN service.