The Early History of Home Parenteral Nutrition (HPN): From Hospital to Home

Identification: NCP181001
Publication Date: October 1, 2018
Credits (Post Test and/or Evaluation Required)
Available until 10/31/2019
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


*To take the exam click the CE Information tab*

CE Credit:  CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours:  1.0

Release Date: October 1, 2018

Expiration Date (all CE credit must be claimed by the expiration date): October 31, 2019

Issue: 5

Volume: 33

Journal:  Nutrition in Clinical Practice (NCP)


Ryan T. Hurt, MD, PhD; Professor of Medicine; Consultant - Division of General Internal Medicine; Consultant - Division of Gastroenterology and Hepatology; Consultant - Division of Endocrinology, Diabetes, Metabolism, Nutrition; Director Home Parenteral and Enteral Nutrition, Department of Internal Medicine, Mayo Clinic, Rochester, MN.

Ezra Steiger, MD, Professor of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

Link to article:  Link

Journal-based CE Activity Overall Goal:

The NCP Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism.  This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:

This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Identify the key technological developments in central venous catheters allowing for long term PN administration.
  2. Name the early pioneers of home parenteral nutrition development.
  3. Recall the history of home management of other types of artificial organs and how these impacted HPN therapy.
  4. Describe the development of each of the macronutrients in parenteral nutrition needed to deliver long term complete nourishment.
  5. Compare and contrast between some of the early aspects of HPN and how patients are treated.

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online knowledge assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All CE credit must be claimed prior to the expiration date.    

Accreditation Statements/Continuing Education Credit:

Nurses, Pharmacists and Physicians

In support of improving patient care, The American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is for a maximum of 1 contact hour (0.1 CEU) per journal article and is a knowledge activity. 

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ASPEN is approved by the California Board of Registered Nursing, Provider CEP 3970.


Knowledge activity. 


ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR).   CDR level 2.  Dietitians may post comments on this program on


Non-Commercialism:  ASPEN subscribes to the ACCME Standards for Commercial Support.  ASPEN does not provide programs that constitute advertisement or include promotional materials.  ASPEN does not endorse any products. 

Computer Requirements and Technical Support:  Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article.  If the journal article is read electronically, then the ability to read a PDF document is also necessary.  Users should enable pop-ups if attempting to read article electronically.  For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 9AM to 5PM ET, Monday through Friday

Privacy and Confidentiality:  ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available. 

Grievances:  Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Ste 510, Silver Spring, MD 20910

Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors

Among the authors, Ryan Hurt has served in a consultant role for Nestle and received consultant fees. Ezra Steiger has no commercial interests to disclose.

Among the NCP Associate Editors, Mary Marian and Mary McCarthy have nothing to disclose. Jayshil Patel has served as a speaker for Nestle and received honorarium. Roland Dickerson has served as a speaker for Nestle and a consultant for Baxter and received honorarium.

Editor-in-Chief Jeanette Hasse has given presentations as a speaker for Alcresta and received honorarium

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.  

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Credits: None available.