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Malnutrition Clinic


The malnutrition clinic provides intensive nutritional care to undernourished patients suffering from short bowel syndrome, inflammatory bowel disease, malabsorption, fistulas, radiation enteritis, bowel obstruction, ischemic bowel disease, and eating disorders. A physician or nurse practitioner nutrition specialist works closely with a dietitian and pharmacist to offer nutrition assessment, individualized interventions, and follow-up monitoring.  Routine care and follow-up are offered for patients who require home TPN.

Physicicans and Specialists

A physician or nurse practitioner nutrition specialist works closely with dietitians, nurses, and pharmacists to offer nutrition assessment, individualized interventions and follow-up monitoring. Routine care and follow-up are offered for patients who require either home parenteral nutrition or home enteral nutrition support. Appropriate management can positively impact patient outcome and facilitate cost savings. Individualized interventions and management can include placement of feeding tubes, placement of central venous access devices, or peripherally inserted central catheters (PICC lines), management of psychosocial issues related to nutrition interventions, changes to parenteral or enteral nutrition regimens based on clinical condition or response, and timely discontinuation of therapy when appropriate.

Malnutrition Clinic Team

The malnutrition clinic team works closely with patients, home infusion and nursing agencies, health maintenance organizations (HMOs) and insurance carriers to ensure appropriate nutrition therapies are provided for patients with specialized nutrition needs. Referrals can be made from primary care physicians and subspecialists or through contracts with, insurance companies or HMOs. Self referrals may also be allowed by your insurance provider.

We are the only academic facility in Tennessee and one of the only centers in the Southeastern part of the United States to offer a multidisciplinary approach that encompasses the very latest research advances for the management of malnutrition and malabsorption.


What are the advantages of using a specialized nutrition service?

  • Appropriate patient selection
  • Experienced patient management
  • Cost effective, appropriate initiation and discontinuation of therapy
  • Reduced emergency department visits
  • Enhanced communication and continuity of care between the patient, the primary physician, and the home infusion vendor

How are referrals made?

    • Through primary care and subspecialty physicians
    • Through your home infusion pharmacy 
    • Through contracts with third party payors, TennCare, or Medicare
    • Self-referral may be allowed by your insurance provider