Patients who receive PEG feeding is going to have a PEG tube also known as a gastrostomy tube inserted directly into their stomach. The tube allows all food, fluids and drugs to pass directly into the digestive tract. As a PEG tube goes directly into the stomach it can be used for men and women that have difficulty swallowing food or liquids. It can also be used if there is a danger of’aspirating’ on foods this is when foods’go the wrong way’ and can end up in the patient’s lungs causing problems. PEG feeding allows people to receive all the essential nutrients, maintain a healthy weight and improve overall wellbeing and quality of life. It can sometimes be used when people are unable to take in adequate nutrition themselves, e.g. if someone has severe anorexia. Though PEG feeding was originally developed for children, it is now commonly used for both adults and children of all ages. The decision to insert a PEG tube will always be made on an individual basis after discussions with the individual and the multi-disciplinary team. Browse the following website, if you are searching for more information peg feeding courses.
When someone only needs temporary enteral tube feeding it’s sometimes possible to pass a thin tube through the nose into the stomach. However, if the individual requires longer-term enteral feeding, PEG feeding may be considered. The PEG tube is frequently more comfortable and is relatively simple to take care of and manage at home. Many people opt for a PEG tube as they are a discreet option, which can be easily concealed under clothes. On the day of the procedure, patients should not eat for six hours and will need to quit drinking clear fluids two hours before the procedure. In most hospitals, once the patient arrives on the ward a cannula or small needle will be placed in the arm or hand, before being transferred through to a dedicated Endoscopy Unit. The procedure doesn’t require a general anesthetic, although some patients may be given a sedative. A mouth guide will be positioned in the patient’s mouth, and the endoscope then passes through the mouth into the stomach. During the procedure, suction equipment is used to remove saliva and other secretions in the throat. An antiseptic solution and local anesthetic will be applied to the individual’s stomach. The tube is then placed into the stomach with an exit made through the abdominal wall. A little plastic disk on both the inside and outside stops the tube from becoming dislodged, with the entire procedure usually taking between 20-30 minutes. Usually, patients can receive their first feed after approximately four hours. Nurses or specially trained healthcare assistants will use a syringe or an electronic equipment to administer fluids, food and medications. A qualified dietician will work with the health care team to set up the correct diet for each individual patient, as everyone will have varying nutritional requirements. It may take a few weeks to the site to initially heal. It is essential that all employees know how to care for the insertion site and keep it clean. During the operation, there are dangers associated with making a hole in the gut and passing the endoscope through, which might cause an operation. The procedure is regarded as safe with significant complications just seen in rare instances. The complications range from breathing problems and bleeding to bowel perforation and inflammation inside the gut. There’s a potential for discomfort if the food isn’t administered carefully as it can lead to pain, nausea and infection.
The most frequent examples of complications during PEG feeding are blockages and the skin around the tube area beginning to swell. If you’re caring for a patient with a PEG tube you need to pay meticulous attention to hand hygiene and other aspects of infection control. Wash your hands carefully and always wear gloves and an apron, when administering the food or carrying out a job which involves touching the tube. The tube and the surrounding area must be cleaned each day with soap and water and thoroughly dried. The tube should also be flushed before and after each enteral tube feeding, to reduce the risk of infections or blockages developing. Food which is administered via a PEG tube is classed as prescribed medication, so it needs adequate professional training. A PEG training course will provide you with the skills and knowledge required to provide comfortable and safe care for patients with a PE tube. It is very likely that a training class will involve a practical session, which will introduce participants to a variety of equipment required. This will be encouraged through knowledge-based learning, which will cover topics like identifying complications, care and maintenance of the PEG site and the procedures needed for effective mouth care.