Download Gastrostomy Care: A Guide to Practice by Catherine Barrett PDF

By Catherine Barrett

Functional booklet is easy-to-read and assists in instructing very important medical abilities in terms of tube feeding.

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Extra info for Gastrostomy Care: A Guide to Practice

Example text

Does food remain in the mouth or cheeks long after the swallow or meal? VELOPHARYNGEAL STAGE: � Is there nasal discharge after swallowing? � Is it clear? � Does it resemble the fluid being drunk? � Does it resemble the food being eaten? PHARYNGEAL STAGE: � Does the person cough persistently: � before swallowing? � during swallowing? � after swallowing? � Does the person show evidence of distress from coughing? � Is the person able to cough voluntarily or when asked to? � Does the person’s voice sound gurgly or wet when speaking: � before swallowing?

Indd 21 24/05/2004 2:01:29 PM 22 Gastrostomy Care Gastrostomy tubes are now inserted to facilitate the transfer of people from the acute sector to aged-care facilities, or to make it possible for people to stay in these facilities (Tealey 1994; Meisel 1995). A significant proportion are cared for in their homes. Persons receiving tube feeding An indication of the persons who receive tube feeding is provided by the following statistics for Victoria (Australia) in 1995–96 (DHS 1997). • 70% of PEG tubes were inserted in people aged between 60 and 89 years.

If the goals are not achieved, or if tube feeding is too burdensome, it is discontinued. However, health professionals are sometimes reluctant to withdraw tube feeding if there is no alternative means of ensuring an adequate food and fluid intake. Furthermore, tube removal might not be permitted by the healthcare facility. To ensure that a trial can be stopped if it is unsuccessful, the legal position of the facility should be clarified before making a decision to institute tube feeding (BMA 1998).

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