Parcours de soins en nutrition entérale, de l'hôpital au domicile

This article describes the different stages of a patient's care pathway requiring an enteral nutrition, as recommended and existing repositories to date. The care pathway in enteral nutrition has six stages: the initial assessment, hospitalization for implantation of the digestive access and initiation of nutrition, organizing the return home, monitoring the enteral nutrition at home, ambulatory management of complications and hospital care for complications. The description of a patient's care pathway requiring an enteral nutrition shows the importance of communication and cooperation between the hospital or city care actors involved. Besides the patient should be as much of an actor of his own management as possible. Due to lack of standards and recommendations, some points need to be discussed and developed and formalized: supervision of hospital prescription by definition of “reference” establishment and doctor in nutrition, extending dietician's contribution, exact role of general practitioner, management of ambulatory actions related to the NE.