malignity itself. According to the

malignity itself. According to the Report on
Chronic Diseases (2006) 22 million people suffer
from chronic diseases in Turkey. Hypertension,
which is the most prevalent chronic disease, ac-
counts for 44% of intracerebral hemorrhagies and
leads to neurological problems. Although patients
with neurological problems have a prospect of
survival, only two third of these people can lead
independent lives.
When feeding through natural ways is not
possible, enteral or parenteral feeding is carried
out depending on the health status of the indivi-
dual. Enteral feeding has many advantages over
parenteral feeding. i.e. being closer to natural fee-
ding, its support of the immune system and the
employment of gastrointestinal system and its be-
ing cheap and easy to use. 6-8
According to a data obtained in 2009 in USA,
each year 344.000 people from all age groups re-
ceive enteral feeding support. In Europe, 35.5%
of the patients over the age of 65 receive enteral
feeding at home. In the United Kingdom, the
number of patients fed with tube at home in 1999
was stated to be 15.000.
In Turkey, there is no official information ava-
ilable regarding the number of patients fed ente-
rally at home. Patients may experience various
problems and complications during enteral fee-
ding at home. The most important three compli-
cations of enteral feeding are those related to gas-
trointestinal system (nausea-vomiting, diarrhea,
abdominal distension), those associated with fee-
ding tube (dislogged from the body and blockage
of the tube and infections at the enterance of the
tube) and dehydration. The role of the home care
nurse and the enteral nutrition therapy nurses is
important in the prevention of these complicati-
ons, in their detection at the early period and in
planning accurate interventions when complicati-
ons develop and teaching patients and their rela-
tives the correct procedures to be followed asso-
ciated with enteral feeding. 9,10
Home care services are required in order that
enteral feeding program at home can be safe and
efficient. According to recommendations of Ame-
rican Society of Parenteral and Enteral Nutrition
(ASPEN) in 2005, enteral feeding is a procedure
that should be continued at home in chronic ca-
ses, necessitating collaboration between the he-
alth care team at the hospital and that at home.
Relatives of the patients should be incorporated
into the process and a suitable training program
should be prepared and offered. It has been stated
that the quality of physical environment at home
and the availability and accessibility of materials
is important for the safe practice of enteral fee-
ding at home. 9,11,12
Home care decreases possible hospital infecti-
ons, complications and readmission, prevents un-
necessary occupation of hospital beds and redu-
ces cost. 13 Home care services have not been inc-
luded in the social security framework yet. Home
care services in Turkey are conducted by munici-
palities, as well as by voluntary and private orga-
nizations. The organization of these services was
regulated by ‘The Regulation on the Health Care
Services Offered at Home’ issued in the Official
Gazette published on March 10, 2005. The target
population of those cared for at home consists of
mostly disabled patients, patients afflicted with
severe and chronic diseases and the elderly. The
Turkish Ministry of Health has been spending ef-
forts to spread a new pilot practice throughout the
country in the framework of 7 health institutions.
This practice aims to make it possible to carry out
the medical care and rehabilitation of the elderly
and patients confined to bed in homes instead of
health institutions. In Ankara, the capital of Tur-
key, training and consultancy services for home
care is conducted free by enteral nutrition and

ผลลัพธ์ (อังกฤษ) 2:

malignity itself. According to the Report on
Chronic Diseases (2006) 22 million people suffer
from chronic diseases in Turkey. Hypertension,
which is the prevalent chronic disease Most, AC
counts for 44% of intracerebral Hemorrhagies and
neurological Leads to Problems. Although patients
with neurological Problems have a Prospect of
Survival, only Two third of these people Can Lead
Independent Lives.
Through Natural Ways When feeding is not
possible, enteral or parenteral feeding is carried
out depending on the Health Status of the Indivi-
dual. Enteral feeding has many advantages over
parenteral feeding. IE being closer to Natural Fee-
ding, its Support of the immune System and the
Employment of gastrointestinal System and its be-
ing cheap and Easy to use. 6-8
According to a Data obtained in 2 009 in USA,
344000 people each year from all Age groups re-
Ceive enteral feeding Support. In Europe, 35.5%
of the patients over the Age of 65 receive enteral
feeding at Home. In the United Kingdom, the
Number of patients with tube fed at Home in 1999th
was stated to be 15.000.
In Turkey, there is no Ava- Official information
regarding the Ilable Number of patients fed Ente-
Rally at Home. May Experience patients Various
Problems and complications during enteral Fee-
ding at Home. Most important the Three Compli-
cations of enteral feeding are those related to Gas
Trointestinal System (nausea-vomiting, diarrhea,
abdominal distension), those associated with Fee-
ding tube (Dislogged from the Body and blockage
of the tube and at the infections. enterance of the
tube) and dehydration. The role of the Home Care
nurse and the nurses is enteral Nutrition Therapy
in the Prevention of these important Complicati-
ons, in their detection at the Early period and in
planning interventions when Complicati- Accurate
ons develop and teaching patients and their Rela-
the tives. correct procedures to be followed Asso-
Ciated with enteral feeding. 9,10
Home Care Services that are required in Order
enteral feeding Program at Home Can be Safe and
efficient. According to Ame- Recommendations of
Parenteral and Enteral Nutrition Rican Society of
(ASPEN) in the 2005th, enteral feeding is a procedure
that should be continued at Home in chronic CA-
SES, necessitating Collaboration between the He-
alth Care Team at the Hospital and that. at Home.
Relatives of the patients should be Incorporated
Into the Process and a Suitable Training Program
should be prepared and offered. It has been stated
that the quality of physical Environment at Home
and the Availability and Accessibility of Materials
is important for the Safe Practice of enteral Fee-
ding at Home. 9,11,12
Home Care Hospital Infecti- possible decreases
ons, complications and Readmission, prevents Un-
necessary occupation of Hospital beds and Redu-
ces cost. Home Care Services Inc-13 have not been
in the social Luded Security Framework yet. Home
Care Services in Turkey are conducted by Munici-
Palities, as well as by private and Voluntary Orga-
Nizations. The Organization of these Services was
regulated by 'The Regulation on the Health Care
Services Offered at Home 'issued in the Official
Gazette Published on March 10, 2005. The Target
population of those cared for at Home consists of
Mostly disabled patients, patients afflicted with.
severe and chronic diseases and the elderly. The
Turkish Ministry of Health has been spending Ef-
forts to a New Pilot Practice spread throughout the
Country in the Framework of 7 Health institutions.
This Practice aims to Make it possible to Carry out
the Medical Care and rehabilitation of the elderly
and confined to patients. Bed homes instead of in
institutions Health. In Ankara, the Capital of Tur-
Key, Training and Consultancy Services for Home
Care is conducted by enteral Nutrition and free.

ผลลัพธ์ (อังกฤษ) 3:

Malignity itself. According to the Report on
Chronic Diseases (2006) 22 million people suffer
from chronic diseases in. Turkey. Hypertension
which, is the most prevalent, chronic disease AC -
counts for 44% of intracerebral hemorrhagies and
leads. To neurological problems. Although patients
with neurological problems have a prospect of
survival only two, third of these. People can lead
.Independent lives.
When feeding through natural ways is not
possible enteral or, parenteral feeding is carried
out depending. On the health status of the indivi -
dual. Enteral feeding has many advantages over
parenteral feeding. I.e. Being closer. To natural fee -
Ding its support, of the immune system and the
employment of gastrointestinal system and its be -
ing cheap. And easy to use. 6-8
.According to a data obtained in 2009, in USA
each year 344.000 people from all age groups re -
ceive enteral feeding, support. In, Europe 35.5%
of the patients over the age of 65 receive enteral
feeding at home. In the, United Kingdom the
number of. Patients fed with tube at home in 1999
was stated to be 15.000.
In Turkey there is, no official information Ava -
.