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Conclusion on technology in the medical field
The use of technology in the medical field
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The Use of Technology at the Bedside to Place Feeding Tubes
Amy D. Kramer
Point Loma Nazarene University Introduction
Artificial nutritional support is often necessary to enhance the nutritional status of acutely or critically ill patients. Nasogastric and post-pyloric feeding tubes are relied upon to provide the caloric and nutritional support required. There are approximately 1.2 million feeding tubes placed annually in the United States (Koopmann, Kudsk, & Szotkowski, 2011; Krenitsky, 2011). Out of these, it is estimated that approximately 1.9% of feeding tubes are misplaced with complications ranging from pneumothorax, hydrothorax, empyema, pneumonia and death (Krenitsky, 2011; Taylor et al., 2014). Traditional
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(2102). Cortrak ® 2 EAS fact sheet product literature. Confident Placement without X- ray [Brochure]. Buffalo Grove, IL: Author. http://www.corpakmedsystems.com/Supplement_Material/SupplementPages/cortr ak/COR_FactSht.html
Fulton, J. (2014). Evolution of the clinical nurse specialist role and practice in the United States. In J. S. Fulton, K. A. Goudreau, & B. L. Lyon (Eds.), Foundations of clinical nurse specialist practice (2nd ed.) (pp. 1-15). New York, NY: Springer Publishing Company.
Koopmann, M., Kudsk, K., Szotkowski, M., & Rees, S. (2011). A team-based protocol and electromagnetic technology eliminate feeding tube placement complications. Annals Of Surgery, 253(2), 287-302. doi:10.1097/SLA.0b013e318208f550
Krenitsky, J. (2011). Blind bedside placement of feeding tubes: treatment or threat? Practical Gastroenterology, 3, 32-42.
Metheny, N. A., Stewart, B. J., & Mills, A. C. (2012). Blind insertion of feeding tubes in intensive care units: a national survey. American Journal Of Critical Care, 21(5), 352-360. doi:10.4037/ajcc2012549
Simons, S., & Abdallah, L. M. (2012). Bedside Assessment of Enteral Tube Placement: Aligning Practice with Evidence. American Journal Of Nursing, 112(2),
Abstract: The objectives of this lab was to identify the internal and external anatomy of the fetal pig. The experiment was conducted by dissecting a fetal pig and actively seeing the external anatomy, Oral Cavity, Digestive System, Circulatory System, Respiratory System, Urogenital System, and Nervous System.
SALAMUCHA, AGNIESZKA. Forum Philosophicum: International Journal for Philosophy, Spring2009, Vol. 14 Issue 1, p166-168, 3p
A person who has a G- tube can have a normal lifestyle so as an individual with a nasogastric tube. Medical personnel will teach people on how to replace a g-tube or nasogastric tube (DeBruyne & Pinna, 2012). G- tube bolus feedings are the easiest and simplest way. However, for intermittent feeding; it is a little different. The delivery rate is slower, and it runs for a longer period, and sometime the insurance company will not pay for the formulas (DeBruyne & Pinna,
Based on the Oxford Edition. 2nd ed. New York: W.W. Norton & Co, 2008. 815-24.
Timeout was called. Consent signed. IV sedation administered. The forward-viewing endoscope was passed into the esophagus without difficulty. I was able to advance the scope without obstruction through the neo gastric esophageal anastomosis. There is slight narrowing seen, nonobstructive. The stomach was entered and at that point, I found residual food contents. The pylorus was located
“‘The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition’” (Thomas Edison). Artificial nutrition and hydration dates back to about 3,500 years ago. During this time, Ancient Greeks and Egyptians were performing “rectal feedings”. They injected enemas to insert nutrients into the rectum to preserve health. This was to protect inflamed bowel surfaces or treat diarrhea. It was made from liquids such as wine, milk, whey and wheat or barley broths. Later on, they added eggs and brandy to the mix. Nutrition is the process of consuming food that is necessary for life, health and growth. Hydration is drinking water that is from either fluids or foods. Artificial nutrition and hydration (N&H) is a treatment that gives someone fluids and/or nutrition for their body without them taking it in their mouths and swallowing it. There has been some disagreements whether or not to withdraw or withhold artificial nutrition and hydration for end of life care. “End of life care” is when healthcare workers take care of people who are at the end of their life. Whether it is because they are in old age, very ill or injured, or sick with a disease. The disagreements exist because of it being based on if it is necessary or required to use artificial nutrition and hydration.
American Philosophical Quarterly 21, no. 3 (1984): 227-36.
In the critical care population, patients on ventilator support require nutritional supplementation. To support the metabolic processes, healthcare providers address the initiation of feedings within the plan of care (Khalid, Doshi, & DiGiovine, 2010). For therapeutic nutritional support, providers compare the risks and benefits of enteral and parenteral feedings. Following intubation, one goal is to initiate feedings within 24 to 48 hours, to provide optimal patient outcomes, and decrease the risk of ventilator-acquired pneumonia (Ridley, Dietet, & Davies, 2011).
McKenzie S, Evers BM. Small intestine. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds.Sabiston Textbook of Surgery. 19th ed. St. Louis, Mo: WB Saunders; 2012:chap 50.
Kant, I. Werkausgabe, herausgegeben von Wilhelm Weischedel, vierte Auflage, Frankfurt am Main, Suhrkamp Taschenbuch Verlag, 1982, Bänder VII, VIII
(19) See J. Austin, Lectures on Jurisprudence or The Philosophy of Positive Law, London (1869), pp. 1122-1123.
The Capsule Endoscopy was one of the most innovative medical advances that happened in years. The Capsule Endoscopy is a small pill that has a camera attached to it, used on patients with problems in their small gastrointestinal tract. Patients are supposed to swallow it and it will take pictures of the small gastrointestinal tract while going through it (Gregorski). The camera on the pill has an own light source and it takes pictures of places in the small gastrointestinal tract, which contains the Duodenum, Jejunum, Ileum (Gregorski). Approaching these places is very difficult by the typical upper and lower endoscopy, and the only other way than the capsule endoscopy is to rip open the stomach and look inside. “Many such
One of my high school best friends was diagnosed with anorexia my junior year of high school. Her condition was not severe, but still very serious because it led her to attempt to kill herself. After coming back to school from being in a mental health institution, she had gained weight from being forced to eat and was more than ever determined to lose the weight that she had gained. Clearly, being forced to eat made her condition worse. Patients with anorexia nervosa who are alarmingly thin, around 15% or so below their expected body weight, are sometimes force fed, more often than not through a tube inserted through their nose. This has raised many questions about if the practice ethical, safe, and the right thing to do. Over the course of the semester, I will explore and examine the issues with forced feeding and argue that forced feeding actually does more harm and the decision should be left up to the patient, their family or a court appointed guardian with the power to make healthcare decisions. As a social work major and someone who has seen what can happen as a result of force feeding anorexic patients, I have a strong interest in this issue because as a social work major, I have a particular interest in working with mental illness patients and this issue not only affects patients suffering from anorexia, but the medical and mental health professionals trying to help them. This topic is important because there are high stakes for the patients and they need effective treatment to recover and be healthy.
feeding tube. In essence you are dead. Your body is no longer able to sustain