Patients who receive PEG feeding will have a PEG tube also known as a gastrostomy tube inserted directly into their stomach. The tube allows all food, fluids and medications 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 may also be used if there’s a risk of’aspirating’ on foods this is when foods’go the wrong way’ and may wind up in the patient’s lungs causing problems. PEG feeding enables people to receive all the crucial nutrients, maintain a healthy weight and improve overall wellbeing and quality of life. It can sometimes be used when individuals are unable to take in adequate nutrition themselves, e.g. if someone has severe anorexia. Though PEG feeding was originally developed for kids, it is now commonly used for both adults and children of all ages. The decision to fit a PEG tube will always be made on an individual basis after discussions with the individual and the multi-disciplinary team. When someone only needs temporary enteral tube feeding it is sometimes possible to pass a thin tube through the nose into the stomach. However, if the individual requires longer-term enteral feeding, PEG feeding could be considered. Are you looking for peg feeding courses? View the earlier outlined website.
The PEG tube is often more comfortable and is relatively straightforward to care for and manage at home. Lots of people choose a PEG tube since they are a discreet option, which can be easily hidden under clothes. On the day of the procedure, patients should not eat for six hours and will have to stop 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 into a dedicated Endoscopy Unit. The procedure does not 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 to 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 patient’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 whole procedure usually taking between 20-30 minutes. Normally, patients can receive their first feed after approximately four hours. Nurses or specially trained healthcare assistants will use a syringe or an electronic machine to administer food, fluids and drugs. A qualified dietician will work with the healthcare team to set up the correct diet for each individual patient, as everyone will have varying nutritional requirements. It may take a few weeks for the site to initially heal. It is important that all staff know how to care for the insertion site and keep it clean. During the surgery, there are risks associated with making a hole in the gut and passing the endoscope through, which could result in an operation. The procedure is considered to be safe with major complications just seen in rare instances.
The complications range from breathing problems and bleeding to bowel perforation and inflammation inside the abdomen. There’s a potential for discomfort if the food is not administered carefully as it may result in pain, nausea and disease. The most common 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 facets 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 daily with soap and water and thoroughly dried. The tube should also be flushed before and after every enteral tube feeding, to reduce the possibility of blockages or infections developing. Food that is administered via a PEG tube is classed as prescribed medication, so it requires adequate professional training. A PEG training course will provide you with the skills and knowledge required to provide safe and comfortable care for patients with a PE tube. It is likely that a training course 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 such as identifying complications, care and maintenance of the PEG site and the procedures required for effective mouth care.