Are teenagers considered high-risk for home parenteral nutrition initiation?

• A. Yes
• B. No
• C. Only if they have additional comorbidities
• D. Not enough information

Answer: (B)

Starting home parenteral nutrition hinges on the patient’s ability to manage the therapy safely at home. Age alone does not automatically classify someone as high risk. Teenagers can initiate home PN with proper education, consent, and support from family or caregivers, and with a solid plan for training and follow-up.

The real risk factors are related to adherence and safety: whether there is reliable access to ongoing care, a stable home environment, the cognitive ability to understand and perform catheter care and PN administration, and the presence of any significant comorbidities that could complicate management. If those factors are favorable, adolescence by itself is not a high-risk barrier. Conversely, if there are concerns like cognitive impairment, psychosocial instability, or severe medical issues, risk increases regardless of age.