Patients that receive PEG feeding is going to have a PEG tube also known as a gastrostomy tube inserted directly into their stomach. The tube allows all food, fluids and medications 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 is a risk of’aspirating’ on foods that is when foods’go the wrong way’ and can end up in the patient’s lungs causing problems. PEG feeding enables people to receive all the essential nutrients, maintain a healthy weight and improve overall wellbeing and quality of life. It can sometimes be used when people are unable to take in adequate nutrition themselves, e.g. if someone has severe anorexia. Though PEG feeding was originally developed for children, it is now commonly used for both adults and kids of all ages. The decision to fit 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. Check out the following website, if you are hunting for more information peg feeding courses.
However, if the person requires longer-term enteral feeding, PEG feeding could be considered. The PEG tube is often more comfortable and is relatively simple to take care of and manage at home. Many people opt for a PEG tube as they are a discreet alternative, which can be easily hidden under clothes. On the day of the procedure, patients shouldn’t eat for six hours and will need to quit 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 moved into a dedicated Endoscopy Unit. The procedure does not require a general anesthetic, although 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 into the stomach. During the procedure, suction equipment is used to remove saliva and other secretions in 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 entire procedure usually taking between 20-30 minutes. Usually, patients can receive their first feed after approximately four hours. Nurses or specially trained healthcare assistants will use a syringe or an electronic equipment to administer fluids, food and drugs. A qualified dietician will work with the health care team to establish the appropriate diet for each individual patient, as everyone will have varying nutritional requirements. It can take a few weeks for the site to initially heal. It’s essential that all staff know how to look after the insertion site and keep it clean. During the operation, there are risks associated with creating a hole in the stomach and passing the endoscope through, which could cause an operation. The procedure is considered to be safe with major complications just seen in rare cases. The complications range from breathing problems and bleeding to bowel perforation and inflammation inside the abdomen. There is a potential for discomfort if the food is not administered carefully as it can lead to pain, nausea and infection. The most frequent examples of complications during PEG feeding are the skin around the tube region beginning to swell.
If you are caring for a patient with a PEG tube you need to pay meticulous attention to hand hygiene and other aspects of infection control. Wash your hands carefully and always wear gloves and an apron, when administering the food or carrying out a job which involves touching the tube. The tube and the surrounding area must be cleaned each day with soap and water and thoroughly dried. The tube should also be flushed before and after each enteral tube feeding, to decrease the risk of infections or blockages developing. Food which is administered via a PEG tube is classed as prescribed drugs, so it needs adequate professional training. A PEG training course will provide you with the skills and knowledge needed to provide safe and comfortable care for patients with a PE tube. It’s likely that a training course will involve a practical session, which will introduce participants to various equipment required. This will be encouraged through knowledge-based learning, which will cover topics such as identifying complications, care and maintenance of the PEG site and the procedures required for successful mouth care.