Which of the following options best describes items not traditionally part of a performance improvement plan but part of planning for home nutrition support?

• A. First-dose precautions
• B. Discharge instructions
• C. Consent for care
• D. All of the above

Answer: (D)

Planning for home nutrition support goes beyond typical performance improvement activities by incorporating the elements needed to safely transition and manage therapy at home. First-dose precautions are essential because starting PN or EN outside the hospital requires close monitoring for immediate reactions or intolerance, allowing tweaks to the plan before issues escalate. Discharge instructions are critical to ensure the patient or caregiver can correctly administer therapy, perform routine device care, recognize red flags, and know when to seek help, which reduces the risk of errors after discharge. Consent for care ensures the patient understands the therapy, its risks, benefits, and alternatives, and agrees to proceed in the home setting, which is especially important when complex devices or invasive access are involved. Together, these aspects address safety, comprehension, and proper execution in the home environment, which is why all of the above are included in planning for home nutrition support.