Appreciates the difficulties of managing parenteral nutrition at home. Knows about the long-term problems including venous access and recurrent catheter-related sepsis. Appreciates the training programme for establishing a patient on Home Parenteral Nutrition (including funding, connection, disconnection, dressing care).
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Can select patients in whom it is appropriate to give palliative parenteral nutrition. Assesses the benefits and risks of giving nutritional support. Can balance the needs of quality of life, analgesia and nutritional support.
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