Tube Feeding & Enteral Nutrition Home Care

Maryland, Washington DC, and Northern Virginia

New or Changing Tube? Post-Hospital/Post-Surgical Support at Home 

If tube feeding feels overwhelming, our nurse & caregiver team brings calm, step-by-step support to your home! We create a custom plan of care and tailor hours from occasional visits to 24/7 care depending on your needs.

If you or a loved one relies on a G-tube, PEG, PEJ, or J-tube, safe day-to-day feeding at home can feel overwhelming - especially after a new placement, a change in formula, or when other health issues are in the mix. 

Our in-home nursing & care brings skilled enteral support to you: helping you or your loved one with daily tube feeding to feel safe, comfortable, and healthy at home. 

Who We Serve 

Most of our patients and their families utilize our care because they’re struggling with: 

• Additional mental or physical health conditions that prevent them from performing tube-feeding independently, including: 
• Stroke 
• Parkinson’s 
• Dementia/Alzheimer’s 
• Cancer (especially head/neck) 
• COPD 
• Heart Failure 
• Chronic Kidney Disease 
• Severe Diabetes or Neuropathy 
• Multiple Sclerosis (MS) 
• Paralysis 
• Cerebral Palsy 
• A new PEG/PEJ/G-tube tube has recently been recommended. 
• Recent changes to their care plan 
• Complex regimens, such as frequent bolus feeds, overnight pump feeds, venting/med-via-tube schedules, or flush protocols. 
• Stoma/G-site issues, including granulation tissue, leakage, skin breakdown, or infections. 
• Limited family/caregiver bandwidth 
• Provider coordination is needed with multiple specialists, dietitians/nutritionists, or frequent medical changes. 

Many patients who rely on tube feeding receive their care at home, with support from family caregivers and in-home professionals, with the number of patients utilizing home care increasing regularly. [1] 

How We Provide Care 

In-Home Nursing: [2] [3] 

• Feeding administration: pump or bolus feeds, correct formula handling, water flushes before/after feeds, and meds to prevent clogging. 
• Tube & stoma care: daily site assessment & cleaning with infection and skin-integrity monitoring. 
• Medication management, reminders, and administration: appropriate form/technique to avoid occlusion. 
• Complication prevention & response: aspiration risk reduction, managing diarrhea/constipation, clogging, dislodgement, or buried-bumper awareness. 
• Ongoing monitoring: weight/hydration, tolerance, labs & bloodwork, and periodic formula/volume adjustment. 

Personal Home Care (Home-Health Aides): 

• Bathing, Dressing, and Grooming 
• Companionship Care 
• Fall-Prevention 
• Light Housekeeping and Laundry 
• Meal Preparation & Feeding Assistance 
• Post-Rehab Exercises 
• Errands Services & Shopping Assistance 
• Transportation & Appointment Escort for follow-up procedures or medical check-ins 

Respite Care 

• Short-term relief for family caregivers 
• Care provided in the home so loved ones can rest, travel, or attend to other responsibilities 
• Flexible scheduling to meet urgent or planned needs 

24/7 Care 

• Around-the-clock home support for individuals with high or complex care needs 
• Overnight monitoring to ensure safety, comfort, and prompt response to needs 
• Continuous personal care, companion care, and nursing oversight as required 

What Areas We Serve 

We provide home care in Montgomery County, MD, Prince George’s County, MD, Howard County, MD, Frederick County, MD, Washington, DC, Fairfax County, VA, and Arlington County, VA. 

Here are the estimated numbers of residents who are currently utilizing tube feeding and home enteral nutrition in the areas we serve: