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Nutrition / Tube Feeding


Studies have shown that at least one in three homecare patients is malnourished. Despite the best intentions of family members and caregivers, many tube-fed patients go without regular nutritional check-ups.

Our Pharmacists, Nurses and Registered Dietitians (CNSDs) are available to help you manage all of your patients who are receiving enteral feedings or TPN.

Our experienced clinicians provide assistance with:

  • Formula selection
  • Optimizing delivery methods
  • Use and maintenance of pumps, equipment and supplies
  • Tube and line care
  • Maintaining optimal nutrition and hydration
  • Transitioning from TPN to enteral nutrition
  • Feeding tolerance issues including constipation, diarrhea, vomiting and nausea
  • Weight monitoring
  • Feeding schedule and regimen
  • Nutritional assessment and calculations
  • Tube troubleshooting
  • Fluid management
  • Medication delivery questions
  • Electrolyte management
  • Caregiver empowerment

Why use AdvantaCare?

  • Our referral sources are confident in our expert clinical team’s ability to manage even the most complex nutrition patients.
  • We free patients and their caregivers from the worries of homecare by providing care 24 hours per day, seven days a week, 365 days a year.
  • We are available for in-service training and to coordinate staff CEU courses.
  • We minimize patient co-pays by working with insurance companies to maximize reimbursement.


Gray Arrow

"Your pharmacists and dietitians are the best -- we would never consider using anyone else."

-- Hospital Dietitian



Gray Arrow

A 60-year-old male with chronic, end-stage renal disease was admitted to the hospital with nausea and vomiting, secondary to a small bowel obstruction. The patient had a history of bacterial peritonitis, secondary to chronic peritoneal dialysis. The patient was started on TPN because he had significant weight loss and could not tolerate enteral nutrition. He had a Port-a-Cath in place and had been on and off service over the prior 2-year period.

The patient was transitioned from the hospital to the home on cyclical TPN that was administered 14 hours (7pm to 9am) at night. He received 2 liters of TPN that gave him 2,200 calories of dextrose, lipids and amino acids. The transition process was made as easy as possible for the patient and his family because the AdvantaCare team provided training and support throughout the course of treatment. During the process, the pharmacist ensured that the patient's fluid status and labs were within acceptable range for the patient's disease state. The patient did not speak English so there were Spanish-speaking clinicians in continual contact with him.

The patient was on home TPN for a 2-year period until his death from renal failure. While on home TPN, he was quickly stabilized, gained back the 15% of his body weight that was lost, and was able to stay home with his wife and enjoy the activities of daily living.



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