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09/04/01 Volume 2, Issue 1 AuSPEN Australasian Society of Parenteral and Enteral Nutrition SPECIAL POINTS OF INTEREST: SPECIAL POINTS OF INTEREST: SPECIAL POINTS OF INTEREST: SPECIAL POINTS OF INTEREST: AuSPEN 27 th Annual Scientific Meeting, October 25 th – 27 th , Blue Mountains, NSW. First Call for Poster Presentation Abstracts: for details contact, Cathy Vlouhos Tel:02 9926 6088. Email: [email protected] For further Conference information contact Convenor: Penny MacLennan Tel: 02 9767 6328. Email: [email protected] PRESIDENT’S REPORT I hope that you have all had a good Christmas and pleasant summer break. By now you will all be well into the new year and for those of you who were fortunate enough to be in Lorne for last years annual scientific meeting, this will no doubt be starting to become a bit of a hazy memory. The Lorne meeting, I think you will agree was extremely successful and a stimulating scientific programme complemented by an innovative social programme was a good recipe for a memorable meeting. Our principal guest speakers Simon Allison and Daren Heyland provided a most interesting and contrasting core for the meeting and both seemed to very much enjoy the meeting. Congratulations to the local organising committee and especially Indi Richardson. The 2001 scientific meeting is shaping up as an equally attractive meeting with much hard work already done by Penny MacLennan and her organising committee. The Peppers Fairmont Resort in the Blue Mountains I am sure will be a most enjoyable venue and the programme with Olle Ljunquist from the Karolinska Institute, Sweden as the principle guest speaker is also shaping up as an exciting prospect. I encourage as many members as possible to join us in October. For those who have an interest in the critically ill the World Congress of Critical Care follows our meeting in Darling Harbour and provides an opportunity to stay on for this meeting. Despite our best efforts to maintain costs the Australian dollar continues to affect us adversely. Although we have tried to encourage members to renew their membership earlier so that we can minimise the impact of journal costs and therefore the annual subscription, a substantial number of members have taken the risk of becoming unfinancial and losing their membership entitlements including the journal. I urge any remaining members who intend to renew their membership to do so as soon as possible. At the same time I would like to welcome new members to the society who have joined us since last years meeting. I trust that you will enjoy the society and contribute to it by attending the scientific meetings where possible and contacting the committee with any suggestions or ideas for improving the benefits of membership. Website Info: The last week of October saw the conclusion of Phase 1 of construction of AuSPEN’s new website – www.auspen.org.au – that resulted in the site being live to the public. Phase 1 included: a Home page with information about the Society; a Profile page with details of the council members and the benefits provided to members; and a Links page, with direct links to other associated societies both nationally and internationally. Phase 2, which commenced in November 2000, has seen the addition of the Subscribe page that allows future members to apply for subscription online. Also in Phase 2, and being worked on currently, is the Conference page and Members-only area where the Newsletter will be accessible online. Future developments will allow members password access to this area. These are exciting developments for AuSPEN and will hopefully take us into the next decade up-to-date electronically and with lots to look forward to scientifically.
Transcript
  • 09/04/01 Volume 2, Issue 1

    AuSPENAustralasian Society of Parenteral andEnteral Nutrition

    SPECIAL POINTS OF INTEREST:SPECIAL POINTS OF INTEREST:SPECIAL POINTS OF INTEREST:SPECIAL POINTS OF INTEREST:• AuSPEN 27th Annual Scientific Meeting, October 25th

    – 27th, Blue Mountains, NSW.• First Call for Poster Presentation Abstracts: for details

    contact, Cathy Vlouhos Tel:02 9926 6088. Email:[email protected]

    • For further Conference information contact Convenor:Penny MacLennan Tel: 02 9767 6328. Email:[email protected]

    PRESIDENT’S REPORTI hope that you have all had a good Christmasand pleasant summer break. By now you will allbe well into the new year and for those of youwho were fortunate enough to be in Lorne forlast years annual scientific meeting, this will nodoubt be starting to become a bit of a hazymemory. The Lorne meeting, I think you willagree was extremely successful and a stimulatingscientific programme complemented by aninnovative social programme was a good recipefor a memorable meeting. Our principal guestspeakers Simon Allison and Daren Heylandprovided a most interesting and contrasting corefor the meeting and both seemed to very muchenjoy the meeting. Congratulations to the localorganising committee and especially IndiRichardson.

    The 2001 scientific meeting is shaping up as anequally attractive meeting with much hard workalready done by Penny MacLennan and herorganising committee. The Peppers FairmontResort in the Blue Mountains I am sure will be amost enjoyable venue and the programme withOlle Ljunquist from the Karolinska Institute,Sweden as the principle guest speaker is also

    Website Info:

    The last week of October saw the conclusion of Phase 1 ofconstruction of AuSPEN’s new website – www.auspen.org.au– that resulted in the site being live to the public. Phase 1included: a Home page with information about the Society; aProfile page with details of the council members and thebenefits provided to members; and a Links page, with directlinks to other associated societies both nationally andinternationally. Phase 2, which commenced in November2000, has seen the addition of the Subscribe page that allowsfuture members to apply for subscription online. Also inPhase 2, and being worked on currently, is the Conferencepage and Members-only area where the Newsletter will beaccessible online. Future developments will allow memberspassword access to this area. These are exciting developmentsfor AuSPEN and will hopefully take us into the next decadeup-to-date electronically and with lots to look forward toscientifically.

    shaping up as an exciting prospect. I encourageas many members as possible to join us inOctober. For those who have an interest in thecritically ill the World Congress of Critical Carefollows our meeting in Darling Harbour andprovides an opportunity to stay on for thismeeting.

    Despite our best efforts to maintain costs theAustralian dollar continues to affect usadversely. Although we have tried to encouragemembers to renew their membership earlier sothat we can minimise the impact of journal costsand therefore the annual subscription, asubstantial number of members have taken therisk of becoming unfinancial and losing theirmembership entitlements including the journal. Iurge any remaining members who intend torenew their membership to do so as soon aspossible. At the same time I would like towelcome new members to the society who havejoined us since last years meeting. I trust that youwill enjoy the society and contribute to it byattending the scientific meetings where possibleand contacting the committee with anysuggestions or ideas for improving the benefitsof membership.

    http://www.auspen.org.au/mailto:[email protected]:[email protected]

  • 09/04/01 Volume 2, Issue 1

    News from councilCouncil held an Extraordinary General Meeting on December 6th, 2000 by video link in Melbourne,Sydney and Perth. A core forum was not achieved at this meeting, so no business was able to be passed.

    Council held their Annual General Meeting on the 28th October, 2000 during the Lorne Scientificmeeting. Following are the minutes from that meeting and the Treasurer’s Report for 2000.

    MINUTES OF THE AUSPEN AGM HELD ON 28TH OCTOBER 200007:00AM EASTERN TIME, THE CUMBERLAND RESORT, LORNE

    Julie Bines chaired this meeting, as Paul Woods left priorto this, due to family commitments.1. PRESENTE. Morrell, P. Ball, M. Makrides, M. Davidson, J. Bines,S. Piggott, I. Nyulasi, M. Ip, L. Sputore, A. Anderson, A.Spencer, J. Bailey, A. Thomson, I. Richardson, A. Davies,K. Marshall, H. Pickering, C. Richards, B. Parsons A.Bramley, S. Singh, R. Heine, K. McIlroy, N. Hore, P.McLennan, D. Russell, N. Riley

    2. APOLOGIESK. Forbes, Annette Byron, Dorothy Francis, Dave Coshand Sarah Wilmot.

    3. MINUTES OF THE AuSPEN AGM OF 22/10/99AT THE GOLD COAST

    Proposed by P. Ball and seconded by H. Pickering

    4. MINUTES OF THE EGM OF 15/12/00 AT THEALFRED HOSPITAL

    Proposed by M. Makrides and seconded by A. Davies

    5. BUSINESS ARISING FROM THE MINUTESItems discussed under General Business.

    6. PRESIDENT REPORTJ. Bines read President report on behalf of P. Woods.

    7. TREASURER’S REPORTReported by I. Nyulasi. See attachmentThe Society made an overall loss as foreshadowed duringthe calender year 1999. Reasons:*Substantial increase in price of the Journal of Nutritiondue the ongoing drop of the Australian dollar.*Financial loss resulting from the 1999 Scientific Meetingat the Gold Coast, despite its success in all other aspects.Treasurer’s report proposed by P. McLennan and secondedby A. Spencer.

    8. NEW SOCIETY MEMBERSPauline Maunsell, Jutta Wright, Ruth De Sousa, MichelleWard, Kerry-Ann Mcilroy, Caroline Salisbury, MerrilynBanks, Samantha Boggs, Barry Parsons, Scott.Parkes,Brigitte Corcoran, Rebecca Lewis, Megan Peterkin, JudyBauer, Sally Piggott, Heather Mcdougall, Andrea Bramley,Caroline Nicholls, Roy Hoevenaars, Peter Fryer, PennyMaclennan, Janine Cornel, Hellen Grey, Carlie Naylor,Sarah Wilmot, Jane Bollen

    These members have been proposed by I. Nyulasi andseconded by A. Spencer.

    9. ELECTION OF NEW COUNCIL MEMBERS.OFFICE BEARERS FOR 2001

    *New Council member: Penny McLennan.Proposed by L. Sputore and A. Spencer.*Office Bearers for 2001 remain the same as for 2000.No Council members retiring or resigning for 2001.

    10. 26th ANNUAL SCIENTIFIC MEETING REPORTReported by I. Nyulasi.This meeting proved to be very successful so far.*Speakers: P. Furst (overseas speaker), is unable to attendand speak at this meeting due to health reasons. StevenBarrat is speaking at the meeting instead, on a differenttopic.*Sponsorship: The industry support has been good.*Registrants: Over 160. This is a very good numberconsidering the meeting is being held away from a capitalcity.*Financial: at this stage appears to be successful withexpected profit.*Acknowledgement was given to the Organisingcommittee particularly to I. Richardson.

    11. VOTE OF THANKSJulie Bines extended a vote of thanks to both theOrganising Committee and the Sustaining associates forthis scientific meeting.

    12. GENERAL BUSSINESS*Journal of NutritionFrom present members’ votes at last EGM as well asfeedback from questionaries sent to the membership priorto this meeting, it was decided to remain with the Journalof Nutrition for the year 2000.Unfortunately, this resulted in a costly exercise for thesociety, because of the devaluation of the Australiandollar.This has put the Society in some financial difficultydespite all attempts to decrease the operating expenses ofthe society.Negotiations with the Journal of Clinical Nutrition(ESPEN Journal) have commenced to consider as anoption. This would be a relatively cheaper option butmembers would only receive half the number of Journalscompared to the current situation.Both of these Journals will be available electronically inthe near future. Although the cost difference betweenelectronic or hard copy is not yet known, it is not expectedthat the former would be cheaper but instead givemembers ready access to links to other Journals publishedby the publishing house.

  • 09/04/01 Volume 2, Issue 1The current arrangements with Elsevier (Journal ofNutrition) are a cost of US$ 60 including individualpostage. This is a very good price and a lot cheaper optionthan independent subscribing to this Journal, which isUS$213. The direct individual postage by Elsevier hasproven to be very effective and reliable compared toprevious methods.Council had endeavoured to reduce running costs tomaximum by using electronic mail whenever possibleincluding the Society’s newsletter.Given the above situation, the treasurer has proposed thefollowing motion:“The membership subscription fee to the AustralasianSociety for Parenteral and Enteral Nutrition” be increasedto $180 for full members, $90 for student members and$1000 for Sustaining Associates”.All present members were in favour without opposition.

    Action: This motion is to be ratified at an EGM to be heldvia video-teleconferenceOn the 6/12/00 and linking most states. This will be held inPerth, Adelaide, Melbourne and Sydney. The exactlocation to be soon advised.

    *Newsletter/Website.The first electronic Newsletter has been recently mailedout. For those without electronic access a postal methodhas been used. The Society encourages those memberswho have not provided electronic mail address already, todo so ASAP. The AuSPEN Website has gone on linesince yesterday. Tom Hartley has maintained a Website inthe past but not under the domain name of AuSPEN. Wethank Tom for his hard work in getting this form ofcommunication going.The new website was developed with the commercialcompany Sprint.com. Because of cost constraints, whichthe company is aware of the website which will be similarto other PEN societies’ will be developed in a modularformat. The AuSPEN website address is:www.auspen.org.au. The website will provide, amongstother things: Access to electronic application formembership, profile of council, description of the Society,links to other societies, feedback site, etc. The Websitewill be launched and shown during today’s scientificmeeting.

    *International Confederation of P.E. NutritionP.E.N Societies meet annually at the scientific meetings. P.Woods has been involved with this task. The computerisededucation programme has been consolidated. No furtherreport to be passed at this meeting.

    13. NEW BUSINESSSally Piggott (West Mead Hospital) inquired as to thefrequency of update of AuSPEN guidelines. J. Binesclarified that this takes place when recommendationsdictate the need for changes in the guidelines. She alsoencouraged members to express their interest in becominginvolved with the various review groups that take on thistask. The home enteral nutrition guidelines have been thelast ones updated.14. MEETING CLOSED AT 08:00 AM EASTERN

    TIME. NEXT MEETING 6/12/00.

    Treasurer’s ReportThe 1999 Accounts of AuSPEN have been audited; thefinal report is available through the Treasurer or Secretary.During 2000 none of the investment accounts were usedfor operational purposes, these accounts have not beenaccessed since 1993. From the reports below it can beseen that the society’s financial position is healthy, despiteloses in 1999 of $13,780. Significant increase to incomewas due to increased membership fees and $19,500 profitfrom the Lorne meeting. Council has made strenuousefforts to keep expenditure to a minimum. The newsletteris now electronic which has reduced costs considerably.However, building the website will incur further costs.The major expenditure has been the journal. Due to thedepreciation in the Australian dollar the journal costs haveincreased dramatically. The other new cost implication isthe introduction of the GST, which has resulted inAuSPEN having to upgrade their funds managementsystems.

    Profit and loss statement – Year 2000 INCOME Conference 2000 $99,939.31 Conference 1999 $1,164.41 Interest $1,087.33 Subscriptions $27,329.47 TOTAL INCOME $129,520.52

    EXPENSES Conference 2000 $71,959.42 Council Meeting $1,866.86 Equipment $360.00 Fees & Charges $723.22 Legal Expenses $36.00 Newsletter $1,604.10 Nutrition Jrnl. $23,615.01 Posting $149.20 Returns $15.00 Software $170.00 Stationery $16.70 Taxes - GST $1,155.00 Telephone $911.81 Travel $1,266.40 Website $4,576.00 TOTAL EXPENSES $108,424.72

    ------------ TOTAL +$21,095.80

    ASSETS Cash and Bank Accounts Current New $32,778.98 Term Deposit 3 $13,993.06 Term Deposit 4 $6,822.42 Total Cash & Accounts $53,594.46

    ----------- TOTAL ASSETS $53,594.46

    ----------- LIABILITIES & EQUITY LIABILITIES $0.00 EQUITY $53,594.46

    ----------- TOTAL LIABILITIES & EQUITY $53,594.46

    http://www.auspen.org.au/

  • 09/04/01 Volume 2, Issue 1

    REPORT FROM THE SCIENTIFIC CONFERENCE FROM 2000,OCTOBER 26-28, LORNE, VICTORIA

    The Annual Scientific Meeting ofAuSPEN, held in Lorne in 2000, wasa very successful meeting for theSociety – both financially andscientifically. The two invitedInternational speakers, Prof. SimonAllison from the UK and AssistantProf. Daren Heyland from the USA,were an excellent addition to theprogram and provided informativeand evocative presentations. ManyNational speakers also providedmuch insight into current practicesand research being conducted in ourcountry. A total of 168 delegatesattended the conference, many morethan expected, and many providedvery positive feedback. Twenty ofthese delegates who were notmembers of AuSPEN previouslyhave now taken up membership ofthe Society. The sponsors of the2000 conference were incrediblysupportive and need to be thanked forall of their hard work andcommitment. Special thanks to ourmajor sponsors, Abbott and Baxterand our silver sponsors, Nutricia andNovartis.

    The poster presentations took on anew format in 2000, with allpresenting authors giving a five-minute summary of their work andthen taking questions from the judgesand audience. This format has beenrecommended for future conferences,in a larger room, as a larger thanexpected audience attended – whichwas fantastic. The awards given forposter presentations were:Bob McMahon Award for BasicResearch– awarded to Jane Coster

    for her poster titled: “A Method ForThe Estimation Of Gene ExpressionWithin The Intestinal Mucosa UsingOne-Tube Semi-Quantitative ReverseTranscriptase-Polymerase ChainReaction”. Jane received a chequefor $100 and a set of books.David Russell Award for ClinicalResearch – awarded to MariaMakrides for her poster titled:“Dietary long chain polyunsaturatedfatty acids (LCPUFA) do notinfluence growth of term infants: arandomised clinical trial”. Mariareceived a cheque for $100 and a setof books.

    No applications for Travel Grantswere received for the 2000 ScientificMeeting. A reminder to all memberswho submit an abstract and have itaccepted for the conference, you areeligible to apply to AuSPEN for aTravel Grant. Information will beprovided in the Call for Papers.

    Many of the attending delegatesjoined in the social events organised,including a fun afternoon ofvolleyball on the beach – notdampened at all by the rain!! Ourmajor sponsors – Abbott and Baxter– hosted teams, as did our Silversponsor, Nutricia. The winners werethe Abbott sponsored team, and theafternoon was closed with a fewbeers at the local pub, thanks toNutricia. The conference dinner wasalso great fun, with a local bandplaying and encouraging all to spendhours on the dance-floor!!!

    Co

    Prof. Robert T

    Prof

    The orgwo

    membe

    Photos from thenference Dinner!

    homas, Ibolya Nyulasi &Dr. Julie Bines

    . Ross Smith & Mel Davis

    Prof. Simon Allison

    Prof. Allison singing

    anising committeeuld like to thank all

    rs who attended theconference!

  • 09/04/01 Volume 2, Issue 1

    AUSPEN 2001 ANNUAL SCIENTIFIC MEETING, 25TH -27TH OCTOBER, 2001.CHALLENGES IN LONGTERM FEEDING

    PEPPERS FAIRMONT RESORT, BLUE MOUTAINS, NSW, AUSTRALIASpeakers to include: Olle Ljunqvist, Karolinska Institute, Sweden

    Peter Maitz, Director Burns Unit, Concord Hospital, SydneyTony Donaghy, Hepatologist, RPAH, Sydney

    Nick Ingham, Gerontologist, Westmead Hospital, SydneyFirst Call for Poster Presentation Abstracts: for details contact,

    Cathy Vlouhos Tel:02 9926 6088. Email: [email protected] further Conference information contact Convenor:

    Penny MacLennan Tel: 02 9767 6328. Email: [email protected]

    CALENDAR OF NATIONAL AND INTERNATIONAL MEETINGS

    March 28th – 30th, 2001ANZICS New Zealand Scientific Meeting on IntensiveCareAuckland, New Zealandhttp://anzics.herston.uq.edu.au/

    March 31st – April 4th, 200141st Annual Meeting of American Society for ClinicalNutritionSan Diego, CA, USAwww.faseb.org/ascn/

    April 19th – 21st, 200111th Beijing International Symposium of Parenteral andEnteral NutritionBeijing, China

    April 26th – 28th, 20015th Commonwealth Congress on Diarrhoea andMalnutritionDarwin, NTwww.daa.asn.au

    May 10th – 12th, 2001DAA 20th National Conference, “Nutrition and DieteticPractice: Reflections and New Horizons.”Adelaide, SAwww.daa.asn.au

    May 20 – 23rd, 2001Digestive Diseases WeekAtlanta, Georgia

    August 23rd – 25th, 20014th Australian and New Zealand Cystic FibrosisConferenceBrisbane, QLD

    August 24th – 26th, 20017th Congress of Parenteral and Enteral Nutrition Society ofAsiaBali International Convention Centre, Indonesiawww.pensa.org

    August 27th – 31st, 200117th International Congress of NutritionVienna, Austria

    September 5th – 7th, 2001New Zealand Dietetic Association 2001 ConferenceChristchurch, NZ

    September 9-12th, 200126th ESPEN CongressMunich, Germanywww.espen.org

    September 23rd – 27th, 2001ASIA Pacific Digestive Week, incorporating AustralianGastroenterology WeekDarling Harbour, Sydney, NSWwww.gesa.org.au

    October 21st – 24th, 2001Brazilian Congress on Parenteral and Enteral Nutrition,together with the FELANPE Congress (Latin AmericanFederation of Parenteral and Enteral Nutrition)Salvador, Bahia, Brazilwww.felanpe.org

    13 - 15th November 200110th Annual BAPEN MeetingHarrogate International Centrewww.bapen.org.uk

    February 23rd – 27th, 20021st Annual Nutrition Week Convention: A Scientific andClinical Forum & ASPEN Clinical CongressFebruary 24th – 27th, 2002San Diego, CAwww.clinnutr.org

    Add these Conference Datesto your Diary for 2001!

    mailto:[email protected]:[email protected]://anzics.herston.uq.edu.au/http://www.faseb.org/ascn/http://www.daa.asn.au/http://www.daa.asn.au/http://www.pensa.org/http://www.espen.org/http://www.gesa.org.au/http://www.felanpe.org/http://www.bapen.org.uk/http://www.clinnutr.org/

  • 09/04/01 Volume 2, Issue 1

    Consumer CornerHOME ENTERAL NUTRITION

    By Rob Fraser.PRO’S

    Weight IncreaseIn 1990 I weighed 57kg, I had to eat between 5 and 6meals per day just to maintain a constantly decreasingweight. Now, 10 years later, although I can fluctuate whenill health sets in, I stay around the 70kg mark. Which is aweight I’m much happier to be at. Before I went to bed Iwould drink 4 cans of ensure + And feel plenty nauseousfor quite some time, because you can only maintain thatregime of eating for a short period of time. Since havingthe feed tube I now eat 3 meals and maintain my weightquite well.

    Improve quality of lifeI sleep better, I don’t go to bed feeling bloated. Althoughinitially I woke feeling queasy, after some adjustment Inow don’t wake up bloated at all. What’s more I find Ihave more energy during the day which leads topsychologically feeling more confident.

    More resistance to infectionsHaving better weight means a buffer zone between youand infection, at times when a cold or a flu removes yourappetite, you can feel more confident that one day withouta good substantial meal isn’t going to mean hospitaladmissions and lethargy.

    Convenience of Home TherapyThe beauty of the whole HEN program is that by its verynature, it is a “home” therapy. Designed supported andmaintained to ensure home therapy is not compromisedtherapy.

    CON’SWeight Increase

    For about ten years I have been able to maintain myweight between 65kg and 70kg although I have been ashigh as 72kg. Prior to my HEN usage, my weight was57kg and I had about three or four hospital admissions peryear. Now I have anywhere from two to four admissionsper year but I feel my recovery rate is faster. I‘m admittedwith better weight and leave for hospital in the home assoon as the medications are available.

    Improved quality of lifeWith my weight at about 70kg I’m more enthusiastic aboutswimming, surfing and other beach activities that beforewould have seemed impossible. The extra weight adds thebonus of more insulation and in Victorian beaches everybit of insulation helps. I also feel that since my weight hasincreased my energy levels have increased.

    More resistance to infectionsIf I am unlucky enough to get the flu, I generally lose myappetite, and am truly grateful for the extra calories that Iget from the feed although I still lose weight, I feel I don’tget as stressed about it as I used to.

    Convenience of Home TherapyWith all the hospital-acquired infections about its good tobe able to use HEN at home, especially if your appetitedrops and the new antibiotic therapy makes everythingtaste like metal.

    Promote appetiteWhen I first began feeding my appetite was rather poor,and then it probably took about a year before the bloatingkind of sensation eased up, and by that stage I had areasonably good appetite.

    Increased self esteemJust having extra weight when you spend your entire lifefocussing on your weight makes you feel fantastic, moreconfident and stronger.

    More balanced nutritional statusThe feed provides nutrients in abundance which although Iget from my normal diet I don’t absorb, the extra vitamins,minerals etc add to the amount available to be absorbed,increasing the chances of my absorbing some of them.

    Financial burdenAt present with a health care card the fee is quiteaffordable, although if you don’t have a health care cardthe weekly fee is $25.00 per week which added to yourgrocery bill makes living a very expensive exercise. If itcould be listed on the P.B.S. it would be more affordablefor all parties.

    Pre-infusion system’s prone to hypoglycaemiaIn the early days of HEN, gravity feed was the mostconvenient system of delivery. Requiring little or noadjustment to your bedroom apart from a hook in the wallto suspend the feed on, however one problem with thatsystem was the line could kink and cause the feed to stopin the middle of the night. If you had insulin before yourfeed and the feed stopped you invariably woke with a hyponecessitating quick carbohydrate intake namely whateveryou could find at three in the morning. I’ve been known toeat entire fruitcakes, then suffer extremely high bloodsugars the next day.

    Noise factor in home settingIn hospital where the air conditioner runs 24hrs a day theminute sound of an infusion pump is hardly noticed, but athome where silence gently cradles you to sleep, a soundsimilar to that of a plane landing plagues you and yourpartner’s sleep. It takes some skill to be able to sleep orencourage your partner that earplugs and early morningshift work go hand in hand.

  • 09/04/01 Volume 2, Issue 1Restriction for travelling

    When travelling overseas, the sheer quantity of feedsupplies adds to excess baggage, and physical aches andpains trying to carry it, apart from the fact that the pumpsaren’t multi-voltage and if you resort to gravity fed, youend up in the “hypo” cycle, or can’t sleep for fear ofhypo’s.

    Aesthetic considerationsApart from the inconvenience and potential health risksassociated with the PEG insertion, psychologically it takessome getting comfortable with an altered state of being,your whole image changes. Eventually you learn to acceptthe “new you” but it takes time.

    Social considerationsThe main problems associated with the feed are moredown to earth issues:

    The excessive noise that the pump makesSetting up the feed after a long dayGetting feed and supplies from MelbourneQuestioning looks from people at the beachThe amazingly bright light that shines form the pump likea beacon on high.

    Balance of medicationsOne of the adjustments I’ve had to make is the balance ofinsulin and enzyme. Unfortunately my enzymerequirement has changed which has caused much stomachpain and annoyance. The other factor to balance is the rate;to fast and the feed doesn’t digest, to slow and the insulindoesn’t last. It takes a fine balance between rate enzymeand insulin to provide acceptable results.

    ANECDOTAL STORYA few years ago I was living in Ballarat using HEN and having a continuing problem with the giving sets, ongravity fed. Every morning for a few days I would wake to find feed dripping or accumulating around the moreflexible part of the line that is attached to the infusion pump. After a couple of days I woke in the night afterfeeling a drop of feed on my head and being curious examined the line carefully and noticed bite marks orgnawing in the line itself. I then deduced that as Ballarat was having problems with mice in plague proportionsthat it may be a mouse somehow getting into the house and finding the feed to be a reliable source of food. Idon’t have to tell you I felt instantly nauseous at the whole thought. My suspicions were entirely correct,consequently not long after I began use with an infusion pump which I am happy to say resolved the problem.

    CONCLUSIONAlthough there are many points against having a feed tube inserted, the weight improvement in my situation Ifelt has kept me healthier than I may have been without it. Personally the listing of HEN on the PBS as amedication would make the decision a lot easier.

    W

    Contact addresses for AuSPEN

    Dr. Paul Woods, President of AuSPEN, ICU, Sir CharlesGardiner Hospital, Verdum Street, NEDLANDS, WesternAustralia, 6009

    [email protected]

    Ms. Ibolya Nyulasi, Honarary Treasurer of AuSPEN, NutritionDepartment, The Alfred, Commercial Road, PRAHRAN,Victoria 3181

    [email protected]

    Liliana Sputore, Honorary Secretary of AuSPEN, 40 JacksonAvenue, KARRINYUP, Western Australia 6018

    [email protected]

    VISIT OUR WEBSITE!WW.AUSPEN.ORG.AU

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

    MINUTES OF THE AuSPEN AGM HELD ON 28TH OCTOBER 200007:00AM EASTERN TIME, THE CUMBERLAND RESORT, LORNEAuspen 2001 annual scientific meeting, 25th -27th October, 2001.CHALLENGES IN LONGTERM FEEDING

    Peppers Fairmont Resort, Blue moutains, NSW, AustraliaPenny MacLennan Tel: 02 9767 6328. Email: [email protected]

    Calendar of national and international meetingsConsumer Corner

    Home Enteral NutritionP

    Pro’sWeight IncreaseImprove quality of lifeMore resistance to infectionsConvenience of Home Therapy

    Con’sWeight IncreaseImproved quality of lifeMore resistance to infectionsConvenience of Home TherapyPromote appetiteIncreased self esteemMore balanced nutritional statusFinancial burdenPre-infusion system’s prone to hypoglycaemiaNoise factor in home settingRestriction for travellingAesthetic considerationsSocial considerationsBalance of medications

    Anecdotal storyConclusion


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