Intestinal failure & rehabilitation
Specialized intestinal rehabilitation — connecting hospital care to safe care at home.
AIRI supports patients with intestinal failure and complex nutrition-support needs through coordinated evaluation, education, monitoring, and transition planning.
What we do
A single team for the whole nutrition-support pathway
AIRI is a physician-led, community-based intestinal rehabilitation program. We work alongside your gastroenterologist, surgeon, primary care clinician, hospital team, dietitian, pharmacist, and infusion provider — not in place of them.
Hospital-to-home transitions
Discharge planning with the inpatient team, home-infusion pharmacy, and home health, so discharge on TPN does not mean discharge into uncertainty.
Enteral advancement
Structured work toward oral and enteral autonomy, using diet and medication strategy.
TPN and HPN management
Individualized parenteral nutrition review, formula and fluid adjustment, cycling, glucose and electrolyte management, and pharmacy coordination.
Central-line preservation
A line-preservation-first approach: infection prevention, access planning, thrombosis review, and prompt evaluation of catheter problems.
Monitoring and surveillance
Scheduled laboratory review covering hydration, renal and liver function, electrolytes, micronutrients, bone health, and infusion tolerance.
Patient and caregiver education
Practical teaching on infusion safety, line care, hydration, output tracking, warning signs, and when to call for help.
Care pathway
From referral to life at home
Every referral moves through the same four stages, with a named owner and a next action at each step.
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Referral
Received by secure fax, phone, or the referral form. Logged the same business day, assigned to a clinician and nurse, and screened for safety concerns.
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Evaluation
Comprehensive baseline review of anatomy, operative history, output, hydration, access history, laboratory trends, medications, and home support.
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Transition
Nutrition care plan, infusion provider coordination, competency-based training, emergency instructions, and a confirmed laboratory and follow-up plan.
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Home management
Ongoing monitoring, formula adjustment, complication prevention, and supervised reduction of parenteral support when it is clinically safe.
Who to refer
Refer early — before the next admission
Referring clinicians are encouraged to contact AIRI when any of the following are present:
- Anticipated or actual TPN use continuing beyond hospitalization
- Recurrent unplanned admissions for dehydration, electrolyte abnormalities, or line sepsis
- Difficulty advancing enteral or oral intake despite optimal local management
- Persistent high-output stoma or fistula affecting hydration and nutrition
- Progressive weight loss or sarcopenia in the setting of intestinal disease
- Evidence of or concern for intestinal failure–associated liver disease
Patients and caregivers
Living with intestinal failure at home
Our education library covers what intestinal failure is, how to run TPN safely, how to care for a central line, how to track output and hydration, and which symptoms need a call right away.