MYTH: TF prevents pneumonia in those with dysphagia. Continuous feedings run all the time. · Remove Naso/oroenteric tubes as soon as possible. Keep a record of your weights and bring it to your follow-up visits. Reality: Patient's stop eating due to end stage disease and die of the illness, not lack of food. Always flush your PEG tube before and after each use. Go to all follow-up appointments. Peg tube patient education pdf version. Reality: TF may make it harder for the patient to move around depending on the disease process, causing more bedsores. Flush your PEG tube with a 60 mL syringe filled with warm water. What else do I need to know about a PEG tube? How much water to mix with your medication. · Maintain HOB above 30 degrees at all times.
Peg Tube Patient Education Pdf Version
Check your weight as directed. PEG – Percutaneous Endoscopic Gastrostomy – surgical procedure that creates an external opening in the abdomen that leads to the stomach. Your healthcare provider will tell you when and how often to use your PEG tube for feedings. Peg tube patient education pdf 1. After feeding, close and disconnect gravity set from feeding tube. Printable Quick Start Guides. Healed gastrostomy or jejunostomy sites usually do not need a special dressing. Further information.
Peg Tube Placement Patient Education
Follow your healthcare professional's instructions for taking your medication. Blood or tube feeding fluid leaks from the PEG tube site. The amount of aspiration will also depend on the patient's current medical condition and varying diagnosis' involved. Feeding tubes should always be flushed with at least 30-60mL of water after administration of medications to prevent clogging.
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Detach syringe from feeding tube and close (reclamp or recap) feeding tube. Types of Nonoral Feeding. You will also be taught how to care for the PEG tube and the skin where the tube enters your body. Check for fluid draining from your stoma (the hole where the tube was put in). PERSONAL CARE AND HYGIENE. The following steps are recommended to help keep your mouth as clean as possible. 125, 000 procedures are performed annually. A wire can poke a hole in the tube. Not enough research exists to definitively answer this question. GASTROSTOMY (OR G TUBE). Connect tip on the end of pump set into feeding tube. Patient and Family Education Sheet on NPO and Tube Feeding. Clean before you connect tubing or a syringe to your PEG tube and after you remove it. The feeding tube is surgically inserted into the jejunum, the middle section of the small intestine. OWN YOUR FEEDING TUBE: A five-part video series with Gunnar Esiason.
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Properly used it can be helpful. If you have a gastrostomy or jejunostomy tube, care of the skin surrounding the feeding site is very important. TUBE FEEDING WITH A PUMP. You always have the right to refuse treatment. An electric feeding pump controls the flow of the liquid food into your PEG tube. Feeding container and tubing (pump set). Peg tube patient education pdf download. Decreasing Risks of Aspiration with Tube Feeding – Despite multiple risk factors, enteral nutrition remains the safest and most cost effective means to promote nutritional requirements in the hospitalized patients who cannot take nutrition orally (Braunschweig et al, 2001). A PEG tube is a soft, plastic feeding tube that goes into your stomach.
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This true if the illness is cancer, chronic lung disease, dementia, kidney failure etc. The above information is an educational aid only. Your mouth feels dry, your heart feels like it is beating too fast, or you feel weak. Remove crusting on nostrils with warm water or on a cotton swab. This helps prevent infections.
Reality: It is not natural. Gently push water and medication into tube. Set flow rate on pump to recommended mL per hour. Using a 60 mL or larger syringe, rinse or flush feeding tube with 15-30 mL of warm water before administering medication (unless instructed otherwise by your healthcare professional).
A bolus feeding means nutrition is given over a short period of time. MYTH: If a patient does not eat well they will die of starvation. MYTH: Artificial feeding is like eating. NG – Nasogastric Tube – thin flexible tube inserted into the nasal cavity through the pharynx, esophagus, down into the stomach. Bring this record to your follow-up visits. Tube feeding can be a mixture of regular foods blended with liquid but nutritional balanced liquid products ensures proteins, fats, carbohydrates, vitamins, and minerals. · Clinical assessment of GI tolerance including Abdominal distention, Fullness, Discomfort, Excessive residual trends. Which medications should not be given together. Where true hunger and thirst exists, quality of life may be enhanced (such as GI obstruction). The feeding tube passes through the nose, throat and esophagus, continues through the stomach, and ends in the first section of the small intestine. Reality: In the end stages of life the body can simply not process all those fluids. You have questions or concerns about your condition or care. In a healthy population, micro aspiration is common and pulmonary secretions seldom occur.
Raise or lower height of syringe to increase or decrease flow (feeding) rate. Water (room temperature). Healthcare providers will teach you how to put liquid food and certain medicines through the tube. What do I need to know about a percutaneous endoscopic gastrostomy (PEG) tube?
When it is time – LETTING GO – As death nears it is not depression we witness but a lessening of a desire to live longer. On a daily basis, change tape holding feeding tube in place. Some people keep their feeding tubes for extended periods of time, allowing them to continue to receive their nutritional requirements and experience the benefits of both gaining and maintaining weight. Hang feeding container on pole so it is at least 18 inches above stomach. Nasogastric tubes are considered a temporary solution. Do not force the water flush. Medications – Numerous medications have to be crushed and mixed in solvents before administering thus altering their bioavailability and characteristic release properties. Use at least 30 milliliters (mL) of water to flush the tube. There is evidence that cancer grows faster with nutrition by feeding the tumor.
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