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CP 04 Enteral Tube Feeding

CP 04 Enteral Tube Feeding

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Published by: byewe2000 on Jan 29, 2011
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01/28/2013

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East Hull PCTEast Yorkshire PCTHull and East Yorkshire Hospitals NHSTrustTherapy Services PartnershipWest Hull PCTYorkshire Wolds and Coast PCT
GUIDELINES FOR THEMANAGEMENT OFENTERAL TUBE FEEDINGIN ADULTS
February 2006
 
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CONTENTS
Section 1 Introduction 4Section 2 Rationale for Nutritional Support 5
2.1. Malnutrition 52.2. Enteral Tube Feeding 52.3. Home Enteral Tube Feeding 8
Section 3 Legal and Ethical Aspects of NutritionalSupport 9Section 4 Routes of Access for Administration ofEnteral Nutrition 13
4.1. Aim 134.2. Access Routes Available 134.3. Selecting Route of Administration 144.4. Nasoenteric Feeding Tubes 154.5. Gastrostomy Feeding Tubes 204.6. Low Profile Gastrostomy Devices 244.7. Jejunostomy Feeding Tubes 27
Section 5 Management of The Patient, Enteral FeedingTube and Administration System 33
5.1. Management of Patient 335.2. Management of Hygiene Issues 365.3. Management of Feeding Tubes 385.4. Management of Gastrostomy and Jejunostomy TubeSites (Stomas) 455.5. Management of the Feed 505.6. Management of Feeding Equipment 545.7. Management of Medicines 575.8. Documentation 60
Section 6 Discharging a Patient on Home Enteral TubeFeeding 62
6.1. Planning for Discharge 626.2. Education 626.3. Provision of Feed and Ancillary Items 646.4. Communication 656.5. Home Enteral Tube Feeding Register 656.6. Patient/Carer Support 666.7. Sample Discharge Summary 66
Section 7 Community Follow Up and Review 67
7.1. Frequency of Review 677.2. Parameters to be Reviewed 687.3. Transitional Feeding 717.4. Discontinuing Home Enteral Tube Feeding 71
 
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7.5. Removal of Feeding Tubes 71
Appendices
Appendix 1 Procedure for fine bore nasogastric tubeInsertion 74Appendix 2 Patient Safety Alert 05 76Appendix 3 Risk Assessment for the Insertion of PEG Tubes 77Appendix 4 Guidelines for Oral Hygiene for the DependentDysphagic Patient 84Appendix 5 Risk Assessment of Patient’s Susceptibility toInfection 89Appendix 6 Cleaning and re-use of syringes 91Appendix 7 Drug Interactions with feeds and PVC feedingTubes 92Appendix 8 Discharge documentation 95Appendix 9 Useful References 99
Acknowledgements
100
Review Date
100

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