Your child would need total parenteral nutrition (TPN) if she's unable to eat normally -- for instance, if she must be sedated for a prolonged period of time or has had part of her stomach removed. TPN is a method of feeding children (and adults) by delivering liquid nutrients intravenously -- through a needle into a vein. Until there's a way to feed your youngster by mouth, doctors use this method.
Douglas A. Isenstein, MD
Specialty: Critical Care Medicine
- critical care medicine
- internal medicine
Location and Office HoursGeorgia Pulmonary Group
Snellville, GA 30078
- monday: 8:00AM - 5:00PM
- tuesday: 8:00AM - 5:00PM
- wednesday: 8:00AM - 5:00PM
- thursday: 8:00AM - 5:00PM
- Blue Cross/Blue Shield of Georgia
- BlueChoice (BC/BS of GA)
- CIGNA HealthCare
- Coventry Health Care
- United Healthcare
- Eastside Medical Center
- Emory Eastside Medical Center
- Gwinnett Medical Center
Why would my child need total parenteral nutrition?
Stacy Wiegman, PharmD, Pharmacy, answered
What is an advance care directive?
An advance care directive (ACD) consists of a living will and a power of attorney for healthcare (also called a healthcare proxy in some states). An ACD will only be utilized if you are too ill to make medical decisions yourself and can be revoked at any time, both orally and in writing. ACDs remain in effect until you change them.
Your ACD will include a document that names a healthcare proxy who can take steps to ensure that your wishes are carried out at the end of your life. Your proxy would be the one to ask difficult questions of your doctors and make decisions about tube feeding, breathing machines, resuscitation and other end-of-life options. You don't need a lawyer to complete a healthcare proxy.
What should I do if I decide to stop dialysis treatment?
National Kidney Foundation answeredIf you decide to stop dialysis treatment, you or your surrogate may want to make sure the following items are in order:
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- Your will
- Signed advance directive (living will, durable healthcare power of attorney or healthcare proxy) complying with your state law
- A durable power of attorney, complying with your state law, naming someone to act on your behalf on all matters other than medical (e.g., legal, financial, banking and business matters). Your power of attorney must be a durable one in order to stay in effect even if you become unable to make your own decisions or if you die.
- An inventory, including the location of your bank, brokerage and other financial accounts, stock and bond holdings, real estate and business records, medical and other insurance policies, pension plans and other legal papers
- Names, addresses and telephone numbers of your attorney, accountant, family members and other loved ones, friends and business associates who should be notified of your death or who may have information that will be helpful in dealing with estate affairs
- A statement about your preference for funeral/memorial services, burial or cremation instructions and decisions about organ and tissue donation
- Written, video- or audio-taped message to family members and other loved ones, business associates and friends