2.50
Hdl Handle:
http://hdl.handle.net/10755/335687
Category:
Full-text
Type:
Presentation
Title:
SPECIAL SESSION: Preventing Complications Associated With Tube Feedings
Author(s):
Metheny, Norma
Author Details:
Norma Metheny RN, PhD, FAAN methenna@slu.edu
Abstract:
Session presented on Saturday, July 26, 2014: The session will include a discussion of evidence to support or refute a variety of commonly used methods to determine feeding tube placement. Among the methods to be evaluated are: pH testing of feeding aspirates, observing the appearance of feeding tube aspirates, auscultation for a bubbling sound over the epigastric region as air is injected through the tube, electromagnetic monitoring, and carbon dioxide detection devices. Because the pH method is the most widely recommended bedside placement method, factors that may affect its accuracy will be reviewed; among these are the use of gastric acid inhibitors and recent feedings. Variations in methods used to detect feeding tube placement will be discussed in relation to a patient's age and severity of illness. The pros and cons of the various methods will be reviewed and recommendations will be offered, based on the most current research findings. A comparison of the efficacy of a variety of methods to assess for aspiration will be presented. Methods to reduce risk for aspiration will be explored; among these are positioning of the head of the bed, positioning of the feeding tube within the gastrointestinal tract, and monitoring for signs of gastrointestinal intolerance to feedings. Controversy regarding the usefulness of gastric residual volumes as a predictor for aspiration risk will be discussed. Other possible indicators of gastrointestinal intolerance to feedings (such as hypoactive bowel sounds and vomiting) will be reviewed. Current guidelines issued by major practice organizations (including the American Society for Parenteral and Enteral Nutrition, the American Association of Critical Care Nurses Practice Alerts, and the National Patient Safety Agency) will be compared and discussed.
Keywords:
Enteral nutrition, Feeding tube placement, Risk for aspiration
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress, 2014
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleSPECIAL SESSION: Preventing Complications Associated With Tube Feedingsen
dc.contributor.authorMetheny, Normaen
dc.author.detailsNorma Metheny RN, PhD, FAAN methenna@slu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335687-
dc.description.abstractSession presented on Saturday, July 26, 2014: The session will include a discussion of evidence to support or refute a variety of commonly used methods to determine feeding tube placement. Among the methods to be evaluated are: pH testing of feeding aspirates, observing the appearance of feeding tube aspirates, auscultation for a bubbling sound over the epigastric region as air is injected through the tube, electromagnetic monitoring, and carbon dioxide detection devices. Because the pH method is the most widely recommended bedside placement method, factors that may affect its accuracy will be reviewed; among these are the use of gastric acid inhibitors and recent feedings. Variations in methods used to detect feeding tube placement will be discussed in relation to a patient's age and severity of illness. The pros and cons of the various methods will be reviewed and recommendations will be offered, based on the most current research findings. A comparison of the efficacy of a variety of methods to assess for aspiration will be presented. Methods to reduce risk for aspiration will be explored; among these are positioning of the head of the bed, positioning of the feeding tube within the gastrointestinal tract, and monitoring for signs of gastrointestinal intolerance to feedings. Controversy regarding the usefulness of gastric residual volumes as a predictor for aspiration risk will be discussed. Other possible indicators of gastrointestinal intolerance to feedings (such as hypoactive bowel sounds and vomiting) will be reviewed. Current guidelines issued by major practice organizations (including the American Society for Parenteral and Enteral Nutrition, the American Association of Critical Care Nurses Practice Alerts, and the National Patient Safety Agency) will be compared and discussed.en
dc.subjectEnteral nutrition, Feeding tube placement, Risk for aspirationen
dc.date.available2014-11-17T14:31:41Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T14:31:41Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congress, 2014en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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