TYPES OF TUBES
Gastrostomy Tubes/Buttons
Standard in many facilities. The balloons can break facilities.
The balloons can break frequently in some patients. Reportedly the tubes were recently changed to make the inside tips
softer and inside the balloon. These seem to be easily replaced and most economical.
They have the standard button without
a balloon; some feel placement and removal is hazardous. The tube does have advantages however. The valve has
been reported to leak by some.
A newer button on the market. Slightly lower profile than the
Mic-Key, the inside tip is inside the balloon. The balloon has a slightly different shape. Easily replaced, competitive
in pricing. Some leaking reported.
FEEDING PUMPS
Ross (Abbott) Kangeroo Pump
Lss expensive than the Zevex. Adequate for most non-mobile children/adults.
Zevex Portable Mini Feeding Pump-
Families have told me about a new device, EnteralLite which is an Ambulatory Enteral
Feeding Pump. The overwhelming favorite. It is the smallest and lightest, charges the quickest and lasts the longest.
Has an interval feeding feature. It works in any direction, does not have a "drip chamber". It is the smallest
and lightest, charges the quickest and lasts the longest. It has an interval feeding feature and works in any direction, and
does not have a "drip chamber". This is an ideal device for mobile, active children making a significant contribution to their
quality of life.
EnteraLite®
EnteralEZ®
TESTING
In PDF format
The functional assessment of swallowing disorders consists
of several procedures that allow the examiner to actually view the activities of swallowing while it is ongoing. The purpose of these tests is to understand what is going wrong when a patient cant swallow and to identify
methods or procedures to correct the problem. The tests include:
SWALLOWING
Dementia - how to encourage healthy eating... For swallowing problems,
remind the person to swallow with each bite, stroke ... Dementia explained ... Victoria (Logo links to further information)
Print a fact sheet
Fact Sheet: Dysphagia... Fact Sheet: Swallowing Problems . ... What Conditions Increase
the Risk of a Swallowing Problem ... Chorea
Identification of Swallowing Patterns Associated with
DysphagiaThis wonderful website describes the 4 stages of swallowing briefly
and then provides a series of QuickTime movies of videofluoroscopy studies that illustrate the Oral Preparatory Phase, Oral
Phase and Pharyngeal Phase of normal swallowing. Contrasting films of the disordered swallow are included for Child Dysphagia,
Adult Aspiration and Delayed Swallow and Oral Incoordination.
TUBE CARE
In PDF format a guide and checklist.
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Mechanical Complications in Feeding Tubes - Written by and for nurses: Vigilant care can prevent the most common mechanical complications
of tube displacement, exit site problems, tube injury, and tube clogging.
TIPS
Do you know what is commonly used for a PEG patient
with diarrhea? Yogurt. The bacteria in yogurt will help stabilize the digestive system and reduce the diarrhea.
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BED SORES & FEEDING PRODUCTS
BOOKS OR BROCHURES
Artificial Nutrition
and Hydration and End-of-Life Decisions - Deciding whether to use artificial nutrition and
hydration (often called "tube feeding") can cause conflict and anguish for family members. Food and water are so powerfully
linked with comfort and caring that we find it difficult not to provide them, even when they cannot help the patient. This
booklet answers questions about tube feeding, patient comfort, and what to consider when making this decision.
ON LINE SUPPORT
Here you will find helpful information about living with special
tube feeding needs including a FAQ sheet on tubes. The "Cookbook & Meal Ideas" has a lot of good information.
The "Feeding Programs" links you to several good articles like "Thick and Easy" a complete line of products for people with
swallowing difficulties. |
FACT SHEETS
Patient Education: Factsheets
Excellent information for anyone on a feeding tube!
Children-Patient Information
Children and Feeding Tubes
- Consent
- Advance decision making
- Withholding Life-prolonging
- Treatment(PEG feeding)
hydration and feeding
- Extra Safeguards regarding artificial nutrition and hydration.
- Legal reforms as they relate to PEG feeding
When is it used? How do I prepare for gastrostomy feeding tube placement?
What happens during the procedure? What happens after the procedure? What are the benefits of this procedure? What are
the risks associated with this procedure? When should I call the doctor?
What is a "Gastrostomy"? Excellent information from finding out you should
have a tube through care like will it hurt, what does it feel like, etc.
Includes discussion on feeding tubes in patients with HD.
The decision to tube feed is a very difficult one - the realization that there
is a loss of skills, perhaps the guilt that you cannot manage some part of this, the prospect of surgical procedure and pain,
and all the other emotionally charged issues with family, friends, and acquaintances includ-ing what it will do the getting
people to help care for him at home and in school.
The role of lifeprolonging technology.(terminal care) Dying patients need more than just having their misconceptions dispelled about CPR,
ventilation, and other high-tech interventions. What they and their families feel, think, and want must be clear before appropriate
decisions can be made. 10 page excellent article that discusses all measures used to in life support.
The suggested treatment of patients with advanced dementia who have difficulty
eating or swallowing is often enteral tube feeding. From American Family Physician
Using a Pump for Tube Feeding -
Caregiver instructions
TUBES & MEDICATIONS
Certain medications may interact with some formulas to inactivate the nutrients
or change the way that the drug is absorbed. Some medications can NOT be crushed or liquidified.
Crush or Not To Crush Medication
Clinically significant interactions-When giving the proper dosage
form of a medication, clinicians must consider its pharmacodynamic and pharmacokinetic properties to avoid loss of pharmacologic
effect. Discusses Phenytoin, Quinolones, Warfarin
What guidelines should be followed for patients on enteral feeds
receiving Monoamine Oxidase Inhibitors (MAOI)?
What guidelines should be followed for patients on enteral feeds
receiving phenytoin?
What guidelines should be followed for patients on enteral feeds
receiving warfarin?
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