There are a number of different methods in which to administer enteral feeding and each have advantages and disadvantages. For short-term feeding, the most common methods include nasogastric and nasoenteric tubes. Nasogastric (NG) tubes are inserted through the nose and deliver formula to the stomach. These tubes are generally used in patients with normal gastrointestinal function, and can be administered through bolus injection or by intermittent or continuous infusions. The main advantage of NG tubes is that it utilizes normal digestive function. (Kr) Because it allows digestion to begin in the stomach, formula can be released into the stomach at a controlled rate and thus decreases the risk of dumping syndrome. It also allows for flexibility in administration, the tube can be inserted at the bedside, and medications can administered through this tube. The disadvantages of this method include a higher risk of aspiration, possible discomfort for the patients, tube displacement, and permanent damage to the nose and throat if used for a long period of time. (NTP) …show more content…
(NTP) Nasoenteric tubes are usually indicated for patients who have impaired gastric emptying or cannot tolerate gastric feedings but have normal small intestine function. (Es-St, NTP) Advantages of these tubes include decreased risk of aspiration since the stomach is bypassed, bedside insertion, flexibility in administration, and medications can be placed in the tube. (NTP). Disadvantages of nasoenteric tube feeding include an increased risk of dumping syndrome, nasal or throat irritation and erosion, tube displacement, discomfort to the patient, and required pump administration (NTP,Kr). Also, because these tubes go straight to the intestine, there is a higher risk of infection because the bactericidal effect of hydrochloric acid in the stomach is
The specialized vent allows the Rectal Rocket to stay in place by allowing flatulence to escape without expelling the suppository. This ensures the suppository is in constant contact with the affected tissues.
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
bottom edges are not tightly shut, and acid moves form the stomach up into the
Are intubated patients placed at a greater chance of infection based on the initiation of parenteral verses enteral nutritional support?
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
...tic patients with jaundice.” The authors concluded that their study demonstrated that supplemental enteral feedings provided no additional benefit to patients being treated for cirrhosis. Additionally, the authors argued that the risk of associated complications (e.g. infection, encephalopathy, bleeding) outweighed any benefit patients may receive through supplemental enteral feedings.
Dianne is a single woman who has just graduated from nursing school. She has always loved traveling the United States, meeting new people, and experiencing new cultures. Dianne wonders how she can be successful with her career as a nurse but still get to do what she loves. Before settling down and establishing a career in one particular hospital or clinical setting, Dianne is trying to figure out a way to experience something new in the medical field. She has researched and is considering travel nursing. Travel nurses are nurses who are hired to typically contract to work specific periods in one location and then move around the country, depending on where they want to go and where they are needed; this is an opportunity many new nurses are
Many people confuse nursing homes with assisted living facilities, but there are several important differences between them. There is a very thin border, which separates the nursing homes from the assisted living facilities. The primary purpose of both of them is to provide medical care and assistance to the residents. However, there is a difference in the level of care provided in each of them, their eligibility criteria, privacy provided, their cost of living, amenities, social activities, and the coverage by the insurance.
The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers deliver a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, sub acute care, assisted living, residential care, elderly housing options and community based adult services (Pratt, 2010). A great majority of these providers are already taking care of the many baby boomers that are present today and will be present in the future. “Baby boomers” are individuals who were born between the years 1946-1964. Since 2011, every day 10,000 baby boomers turn 65 years old (Pratt, 2010). This
Wright, Kelly J. “Administering medication to adult patients with dysphagia.” Nursing Standard. 23.29 (2009): 61-68.*
Imagine waking up everyday in a home where there is nobody you can call mom or dad. Foster care is a system in which a minor has been placed into a ward, group home, or private home of a state-certified caregiver referred to as a "foster parent". The placement of the child is usually arranged through the government or a social-service agency. The institution, group home or foster parent is compensated for expenses. The state will inform through the family court and child protection agency stand in loco parentis to the minor, making all legal decisions while the foster parent is responsible for the day-to-day care of the minor throughout the time the child is in the system.
The long term care course was very interesting and helped me learn more about what is involved. In the LTC are not only nursing homes, but also adult day care, hospice and home health service. Long-term care is service and supports that a person would need for their own care. A lot of long-term care is not medical care and is considered assisting on everyday personal tasks. I learned that long-term care services are determined by chronic disease and disability. There will always be a need for long-term care.
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
Foster care is a system in which a minor has been placed into a ward, a group home, or a private home of a state certified caregiver. It offers children in need of a place to live a safe environment. Although this helps out the child tremendously, it takes so much more to be a foster family, or someone who provides housing for the child in need. I began to learn this myself when my family volunteered to take in children and become a foster home.
1. Nasogastric (NG): The most common route used in intensive care. Here a feeding tube