RT Journal Article SR Electronic T1 Common psychiatric concerns in home parenteral nutrition JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 329 OP 332 VO 52 IS 3 A1 A. Dale Gulledge YR 1985 UL http://www.ccjm.org/content/52/3/329.abstract AB In home parenteral nutrition (HPN), the patient is dependent on a machine. This can contribute to family problems, organic brain syndromes, depression, grief, or drug dependency. It is important to establish the base-line mental status of the patient before instructing him or her in HPN procedures.