2.50
Hdl Handle:
http://hdl.handle.net/10755/182491
Category:
Abstract
Type:
Presentation
Title:
Do We Need to Check Gastric Residuals in the Sub-Acute Patient?
Author(s):
Gately, Terri
Author Details:
Terri Gately, RN, BS, MS, CRRN, Providence Holy Cross Medical Center, Mission Hills, California, USA, email: Terri.gately@providence.org
Abstract:
Enteral tubes for feeding are frequently used to maintain the health of chronically ill patients. Traditionally, nurses have checked residual volumes of enteral tube feedings on a routine basis to decrease the risk of aspiration related to excessive amounts of liquid nutrition in the stomach, and monitor gastric emptying. To promote evidence-based practice a retrospective study was conducted to determine whether residual volumes leading to aspiration pneumonia are a significant problem. This project took place in a Sub Acute unit of a 250 bed community hospital. A retrospective chart review of chronically ill patients receiving enteral tube feedings was conducted. A total of 10,950 gastric aspirations for residuals from fifteen individual patients over one year were assessed. Variables examined included residuals necessitating holding subsequent enteral feedings, aspiration pneumonia and site infection or tube clogging requiring enteral tube change. To be included in the group of fifteen patients, all participants must have had continuous enteral tube feedings for a minimum of one year. The patients ranged in age from twenty-six to eighty-eight with a variety of chronic illness/disorders receiving four different gastric feeding formulas. Of 10,950 gastric aspirations for residuals there were no cases of aspiration pneumonia or enteral feedings held due to residuals. There were five instances of tube clogging or need for replacement, and two of gastric tube insertion site infection. Residual volumes leading to aspiration pneumonia are not a significant problem in our population. There is adequate evidence for eliminating the practice of routine gastric residual monitoring. References: Keithley, J. and Swanson, B. Clinical Know-How: Nutrition. Enteral Nutrition: An Update on Practice Recommendations. Medsurg Nursing. April 2003.Vol.13, No.2; McClave S., Chang W., & Chao Y. (2004) Enhancing interpretation of gastric residual volume by refractometry. Nutrition in Clinical Practice, Vol. 19, No. 5, 455-462.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDo We Need to Check Gastric Residuals in the Sub-Acute Patient?en_GB
dc.contributor.authorGately, Terrien_US
dc.author.detailsTerri Gately, RN, BS, MS, CRRN, Providence Holy Cross Medical Center, Mission Hills, California, USA, email: Terri.gately@providence.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182491-
dc.description.abstractEnteral tubes for feeding are frequently used to maintain the health of chronically ill patients. Traditionally, nurses have checked residual volumes of enteral tube feedings on a routine basis to decrease the risk of aspiration related to excessive amounts of liquid nutrition in the stomach, and monitor gastric emptying. To promote evidence-based practice a retrospective study was conducted to determine whether residual volumes leading to aspiration pneumonia are a significant problem. This project took place in a Sub Acute unit of a 250 bed community hospital. A retrospective chart review of chronically ill patients receiving enteral tube feedings was conducted. A total of 10,950 gastric aspirations for residuals from fifteen individual patients over one year were assessed. Variables examined included residuals necessitating holding subsequent enteral feedings, aspiration pneumonia and site infection or tube clogging requiring enteral tube change. To be included in the group of fifteen patients, all participants must have had continuous enteral tube feedings for a minimum of one year. The patients ranged in age from twenty-six to eighty-eight with a variety of chronic illness/disorders receiving four different gastric feeding formulas. Of 10,950 gastric aspirations for residuals there were no cases of aspiration pneumonia or enteral feedings held due to residuals. There were five instances of tube clogging or need for replacement, and two of gastric tube insertion site infection. Residual volumes leading to aspiration pneumonia are not a significant problem in our population. There is adequate evidence for eliminating the practice of routine gastric residual monitoring. References: Keithley, J. and Swanson, B. Clinical Know-How: Nutrition. Enteral Nutrition: An Update on Practice Recommendations. Medsurg Nursing. April 2003.Vol.13, No.2; McClave S., Chang W., & Chao Y. (2004) Enhancing interpretation of gastric residual volume by refractometry. Nutrition in Clinical Practice, Vol. 19, No. 5, 455-462.en_GB
dc.date.available2011-10-28T15:26:35Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:26:35Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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