Gastrostomy Care
Indications for Tube Feeding
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...
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Inserting a Gastrostomy Tube
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 the insertion of a tube...
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Nutritional Assessment and Tube Feeding
This chapter gives an overview of nutritional assessment, selection of formulae, the equipment and methods used for tube feeding, feeding regimens and pumps...
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Living with a Gastrostomy Tube
This chapter describes some of the psychological responses to tube feeding. In addition, a process for assessing psychosocial challenges is outlined to help health care professionals understand and facilitate the person’s adjustment to tube feeding...
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Reintroducing Meal Choices
People with a gastrostomy tube can have difficulty adjusting to a lifestyle that lacks food-centered activities. This chapter explores the symbolism of food and the losses experienced by people who can no longer take food orally...
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Stomal Care
This chapter outlines the fundamental principles of care required to maintain a healthy gastrostomy stoma and discusses how to identify and treat some of the problems that are commonly associated with stomas...
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Care of Gastrostomy Tube
This chapter discusses the common problems encountered when managing gastrostomy tubes and the likely causes of these problems. The chapter also offers suggestions to reduce (or prevent) their occurrence...
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Mouth Care (in people with gastrostomy)
This chapter discusses the steps involved in assessing a person’s oral health, identifying risk factors and the provision of care to optimise oral health and minimize the development of mouth disorders associated with gastrostomy tubes...
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Troubleshooting (PEG tubes)
This chapter identifies some common problems associated with gastrostomy feeding and provides guidance in resolving and preventing them...
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Changing a Gastrostomy Tube
The range of gastrostomy tubes on the market continues to increase. Tubes vary in size, shape, length, outlet, skin disc, internal bumper, life expectancy and cost. This chapter outlines the various types of tubes and how and when they should be changed.
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Selecting and Administering Medications (gastrostomy)
Most people with a gastrostomy tube require medication at some time. This chapter discusses various issues relating to the selection and administration of medications in tube-fed people...
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Nasogastic Tubes
This chapter presents an overview of the indications for using nasogastric tubes and the care of a person with a nasogastric tube. This chapter also highlights the special issues to be considered when tube feeding is provided through a nasogastric tube...
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Transferring Care from Hospital to Home - Gastrostomy
This chapter discusses the transition of care to another institution or to home. It refers to the passing on of information and documentation, education, the practicalities of gastrostomy feeding at home, supplying formula and equipment and monitoring..
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