Patients who receive PEG feeding will have a PEG tube inserted directly into their stomach.The tube allows all food, fluids and drugs to pass directly into the digestive tract. As a PEG tube goes directly into the stomach it can be used for people who have difficulty swallowing food or liquids. It may also be used if there’s a danger 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 of the essential nutrients, maintain a healthy weight and improve overall wellbeing and quality of life. It can sometimes be used when individuals are not able to take in adequate nutrition themselves, e.g. if somebody has severe anorexia. Though PEG feeding was initially developed for kids, it’s now commonly used for both adults and children of all ages. Browse the following website, if you are searching for more details concerning peg feeding courses.
The decision to insert a PEG tube will always be made on an individual basis following discussions with the patient and the multi-disciplinary team. When someone only needs temporary enteral tube feeding it’s sometimes possible to pass a thin tube through the nose into the stomach. However, if the person requires longer-term enteral feeding, PEG feeding could be considered. Generally speaking, PEG tubes are better tolerated than NG tubes. They have fewer interruptions and are easier to use and they also have fewer risk/complications than NG tubes. The PEG tube is frequently more comfortable and is relatively simple to take care of and manage at home. Many people opt for 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 through to a dedicated Endoscopy Unit. The procedure doesn’t require a general anesthetic, even though 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. Throughout the procedure, suction equipment is used to remove saliva and other secretions from 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 small plastic disc on both the inside and outside stops the tube from becoming dislodged, with the whole procedure usually taking between 20-30 minutes. If you are caring for a patient with a PEG tube you must 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 task 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 decrease the risk of infections or blockages developing.