Answer 13. The correct answer is b. Collaborate with medical, GI and nutrition team to facilitate completion of diagnostic work-up of feeding intolerance prior to formal HPN consultation. HPN involves intensive collaboration across disciplines and teams in the care of complex patients. The medical team ought to diagnose her with a condition leading to chronic intestinal malabsorption if they attempt discharge on home parenteral nutrition given its risks. Vomiting, diarrhea and weight loss can be caused by a variety of etiologies in a post-transplant patient, such as viral, bacterial, fungal infections as well as post-transplant lymphoproliferative disease. If a healthcare provide meets with a family and forms a relationship, this should be documented in the electronic medical record. It is not appropriate to aim only to discharge a patient if other work-up has not been done first. However, we must consult on patients when we are asked to. We cannot participate in team meetings where there is no physician-patient relationship.
