The increasing numbers of older (>65 years) Americans will increase the
demand for home health services including support services (nursing, physical
therapy, occupational therapy, durable medical equipment, and respiratory
therapy), infusion therapies, palliative care, and hospice. The unique
characteristics and specific needs of this population must be addressed to
optimize patient outcomes. The American Society for Parenteral and Enteral
Nutrition has established standards for clinicians providing nutrition support
in the home and provides practice guidelines for nutrition support and
geriatrics. Certification in gerontological care is available for dietitians,
pharmacists, physicians, and nurses. The key to optimal care for older adults
is to find the confluence of expertise in nutrition support and
geriatrics.
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