Chapter 3: Inserting a Gastrostomy Tube
Overview:
- Tabulated summary of issues to be considered before inserting a gastrostomy tube
- A proforma of a care plan developed before tube insertion
- Step-by-step diagram outlining the technique for inserting a gastrostomy tube
- Tabulated summary of issues to be considered after inserting a gastrostomy tube
- A proforma of a care plan after tube insertion
- Tabulated summary of the potential complications after insertion of a gastrostomy tube
Description:
This chapter first discusses care needs before the insertion of a gastronomy tube. The chapter then presents an overview of the procedure for inserting a gastrostomy tube and concludes with a discussion of care needs after insertion of a tube.
Topics:
- Introduction
- Care before insertion
- Informed consent
- Biochemistry and other tests
- Pain management
- Prophylactic antibiotics
- Fasting
- Psychosocial issues
- Staff preparation
- Inserting the first tube
- Care after the tube is inserted
- Vital signs and potential complications
- Tube length
- Stoma
- Commencing tube feeding
- Residual volume
- Pain management
- Bowel motions
- Mouth care
- Psychosocial considerations
- Care plan after tube insertion
- Conclusion
Speakers / Authors:
Michelle Allen
Michelle holds a diploma of nursing (St Bartholomew and Princess Alexandra College of Nursing and Midwifery, London, UK) and a certificate of middle management. Michelle worked at the Royal London Hospital for one year on an acute admissions ward before returning to Melbourne (Australia) where she began working at Melbourne Extended Care and Rehabilitation Service as associate nurse unit manager on a complex care unit. She participated in a falls research project as a nurse researcher for the National Ageing Research Institute. Michelle later served as a veterans’ project officer and now works for Lundbeck Australia Pty Ltd as a medical representative.
Catherine Barrett
Catherine is a registered nurse who holds a bachelor’s degree in nursing science and certificates in gerontic nursing, advanced management, sexual and reproductive health and assessment and workplace training. She is a member of Geriaction Victoria, the Australian Association of Gerontologists, and the Royal College of Nursing, Australia. Catherine has been working in aged care since 1982 as a nurse unit manager, an external assessor for the Standards and Accreditation Agency, a veterans’ project officer, and a consultant nurse for the National Ageing Research Institute.
Catherine is currently a PhD candidate at the University of Melbourne (Victoria, Australia). The subject of her thesis is practice change to enhance patient-centred care. Catherine’s research interests include sexuality in aged care, person-centred care, organisational change, practice development, and action research. She is also co-director of Desirable Outcomes Pty Ltd, a business that is committed to promoting sexual and sensual health for adults in aged-care and disability services.
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