Digestive System
eliminate waste products and to digest or breakdown nutrients
A nutritional formula delivered into the GI tract through a feeding tube
Enteral Nutrition
Surgically inserted into the small intestine
Jejunostomy
You should clean this part of the body every 4-8 hours depending on agency policy as it can cause pressure injury if a patient is on an NG tube
Nostrils
When a patient has an enteral tube feed. HCA should observe the skin feed site n for any...
swelling, redness, foul odor, wound drainage, and bleeding. Check dressing if it is dry, note COCA
tube feeding
Another term for tube feeding
Gavage
Surgically inserted into the stomach for continuous or intermittent feeds
Gastrostomy tubes
Role of Tube feeding as an HCA
Some agencies may permit a HCA to: Start feeding pumps, administer formula, irrigate the feeding tubes - MUST BE IN THE JOB DESCRIPTION AND WILL NEED TO BE SPECIFICALLY TRAINED BY A RHP and FOLLOW THE CARE PLAN***
These can cause the tubes to move out of place, as an HCA observe for...
coughing, sneezing, vomiting, suctioning, poor positioning, confused client may pull on it
What is provided through tube feeding? Name all 3
Enteral Nutrition
fluids
medications
This type of tube is inserted with the use of an endoscope that allows the doctor to see inside the body cavity or organ such as a stomach. They then create an ostomy through the skin and into the stomach. This tube is Called...
Continuous Feeds require...
an electronic feeding pump usually for nasointestinal and jejunostomy
Formula is kept in what temperature...
at room temperature. Cold formula can cause cramping
To prevent regurgitation...
client should sit semi-fowlers during feeding
Remain in this position for 1-2 hours after feeding
Left side lying position should be avoided
Backward flow of food from the stomach into the mouth...this term is called
Regurgitation. Cause of this is delayed stomach emptying and overfeeding
This tube is inserted through the nose into the small intestine
Nasointestinal Tube
Role and Responsibility - Scope of practice of an HCA regarding tube feed, setting up equipment, etc. is a...
RESTRICTED ACTIVITY. If your agency requires you to perform this task, you must take the appropriate steps (p.8.)
Comfort measures for dry mouth and dry lips, and sore throat
suck on hard candy or chew gum, ice bag applied externally to the throat.
Client is NPO when on tube feed.
HCA should report immediately if the patient is...
complaining of flatulence, increase pulse rate, respiratory distress, increased temp, redness swelling to ostomy site, nausea, discomfort during feeding, vomiting, diarrhea, distended abdomen, coughing
The Digestive System consist of...
Mouth, mouth cavity, pharynx, esophagus, stomach, pancreas, small intestine, large intestine, gallbladder, liver
this tube is inserted into the nose and down into the stomach
nasogastric tube
5 types of Enteral Tube feeding
1. Nasogastric Tubes
2. Gastrostomy Tubes
3. Jejunostomy Tube
4. Nasointestinal Tube
5. PEG tube
Aspiration - inhalation of fluid into the lungs
What 3 things can you find in the careplan about tube feeds?
What equipment to use
Formula - feeding formula
Specific care - repositioning, how often to feed, HCA role