Indications for Tube Feeding

Chapter 1: Indications for Tube Feeding

Overview:

• Outlines the stages in the normal swallowing process
• Tabulated summary of the signs and symptoms of dysphagia
• Questions to be addressed in a management plan for dysphagia
• Tabulated summary of the indications for tube feeding
• Discussion of the contraindications to tube feeding

Description:

This chapter discusses the swallowing process and factors that affect it, the dangers and management of dysphagia and the indications and contraindications for tube feeding.

Topics:

• Introduction
• The normal swallowing process
  • Oral stage
  • Velopharyngeal stage
  • Pharyngeal stage
• Dysphagia
• Definition and mechanism
• Causes of dysphagia
• Types of dysphagia
• Dysphagia associated with ageing
• Signs and symptoms of dysphagia
• Managing dysphagia
• Indications for tube feeding
• Contraindications to tube feeding
• Conclusion

Speaker / Author:

Jane Panaccio
Jane holds a bachelor’s degree in applied sciences (speech pathology) and a graduate diploma in rehabilitation studies. She has broad experience in rehabilitation and acute-care settings specialising in the assistance of those who have swallowing and communication disorders. Jane has conducted many inservices for hospital staff on swallowing disorders, and has been involved in hospital committees established to review the appropriateness of foods for people experiencing these disorders.

Jane has also worked in the Cognitive Dementia Assessment and Management Service at Melbourne Extended Care and Rehabilitation Service (Victoria, Australia) for many years. She is currently in private practice in Melbourne. She provides consultancy services to several private hospitals and to individuals in the community.

Leone Carroll
Leonne holds bachelor’s degrees in social science (psychology) and applied science (speech pathology) and has worked as a speech pathologist for more than ten years. She has been involved in the management of communication and swallowing difficulties in adults in hospitals (both acute and rehabilitation) and in residential care. Leone has worked in a variety of capacities - including clinician, manager, and project officer.

Most of Leonne's clinical work has been at Melbourne Extended Care and Rehabilitation Service (Victoria, Australia) where she worked on the Home Rehabilitation Service and the Complex Care Unit and was involved in developing a manual for activity workers in communication groups in residential-care facilities. She then managed the speech pathology departments at Broadmeadows Health Service (Sunshine Hospital) and Melbourne Extended Care and Rehabilitation Service for two years, before moving to Perth (Western Australia) in 2002. Leone is currently project officer with Speech Pathology Australia, the national professional association.

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