Which item is NOT listed among those that should be addressed prior to discharge of an HPN patient?

• A. Stability of electrolyte values
• B. Dietary counseling
• C. Reimbursement issues
• D. Components of the PN formulation

Answer: (B)

Discharge planning for home parenteral nutrition focuses on safe continuation of therapy at home. First, ensuring stability of electrolyte values is essential because sudden shifts can lead to serious complications once the patient is no longer in the hospital setting. Next, the components of the parenteral nutrition formulation should be finalized and verified, so the exact nutrients, electrolytes, and additives are in place with a clear plan for rate and administration. Reimbursement issues must be addressed to guarantee that supplies, medications, and any home nursing or support services will be covered after discharge.

Dietary counseling is valuable for overall nutrition and optimizing oral intake, but it isn’t a mandatory pre-discharge item because PN typically provides the primary nutrition, and related dietary planning can be arranged through outpatient nutrition services after discharge.