Follow Up After PEG Tube Insertion
نویسنده
چکیده
Follow up aFter peG tube insertion. Editor, Having a feeding tube in situ made me have more than an academic interest in the article Who Follows Up Patients After Peg Tube Insertion? 1. Because of complete oesophageal blockage my gastrostomy was performed at laparotomy. However to all intents and purposes the insert is a PEG tube. Before discharge from the Royal Victoria Hospital, Belfast, my daughter and I were well trained in the use and care of the tube and how to get help in an emergency. A dietician and a specialist nutrition nurse advised on amounts of liquid feed to use and as to the necessity for flushing the tube frequently. My General Practitioner was informed of the date of my discharge as were the District Nursing Service, the Community Dietician and the Occupational Therapists so all necessary equipment was waiting for me at home. A District Nurse visited my daughter before my discharge and met me at her home on the day of discharge to ensure that necessary equipment had been delivered and we were fully trained in the care of the tube. During my second night at home the alarm on the feeding pump activated and feeding stopped. Next morning a District Nurse confirmed that the tube was still in the stomach and that the balloon was intact. No cause for alarm was found. It was comforting to know that expert help was available as and when required. The Article states 'Ideally all patients should have community follow-up by a dietician, speech and language therapist, and an appropriately trained professional who can deal with problems and advise accordingly' 1. In the area covered by the former Ulster Community & Hospitals Trust the District Nurses are performing that duty admirably. I cannot speak too highly of my treatment in hospital and since my discharge. Editor The article on PEG Tubes by Lowry and Johnston 1 fails to mention if the patients in the survey were referred to the District Nursing Service which is best placed for the seamless transfer from secondary to primary care. The successful discharge of a patient requiring enteral feeding requires good forward planning and liaison between hospital and community nursing staff. Best practice would dictate the District Nurse visiting the patient in the ward for an holistic assessment but if this is not possible, a visit to the home before discharge to introduce herself, …
منابع مشابه
Who follows up patients after PEG tube insertion?
BACKGROUND Community follow-up is often inadequate for patients discharged from hospital following commencement of PEG tube feeding. OBJECTIVE AND METHODS We performed a postal questionnaire to assess if patients/carers were trained in the care of the PEG tube pre-discharge and whether appropriate community follow-up was in place. RESULTS Of 166 PEG tubes inserted during the study period, 6...
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BACKGROUND Many patients with cancer or other systemic illnesses can experience malnutrition. One way to mitigate malnutrition is by insertion of a percutaneous endoscopic gastrostomy feeding tube (PEG tube). The goal of this retrospective matched cohort study is to evaluate if PEG tube placement improved nutritional status and overall survival (OS) in advanced gastroesophageal (GE) cancer pati...
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ورودعنوان ژورنال:
- The Ulster Medical Journal
دوره 76 شماره
صفحات -
تاریخ انتشار 2007