Common psychiatric concerns in home parenteral nutrition1
A. Dale Gulledge, M.D.
Department of Psychiatry, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44106
In home parenteral nutrition (HPN), the patient is dependent on a machine. This can contribute to family problems, organic brain syndromes, depression, grief, or drug dependency. It is important to establish the base-line mental status of the patient before instructing him or her in HPN procedures.