Percutaneous endoscopic gastrostomy

The goals of a dietitian must be measurable, realistic and a reachable outcome of favor elongating and improving quality of life. Geriatric patients with advanced dementia are the highest at risk population for getting a percutaneous endoscopic gastrostomy tube (PEG) placed in order to receive tube feeding. AND’s position does not support the use of PEG tubes for this population. Research evidence denies the benefits of prolonging life, prevent aspiration pneumonia, improve function and reducing risks such as pressure ulcers, infections or provide palliation. This procedure appears to be physician driven; it appears that their recommendation were of high influence in the decision making process. The newest evidence recommends physicians to recommend hand help reduce dietary restrictions and allow the patient’s be the deciding factor of what and how much food will be provided. This will aid in reducing the amount of stress and agitation, in comparison to a demented patient with…

All the general documents outlined activities and processes relating to the tube placement phase with 69.23% identifying that children would need to have an assessment by a medical officer and/or dietitian prior to tube insertion. Mode of delivery of enteral feeding and route selection information was outlined in 61.54% of the documents. Tube selection procedures (including sizing) was mentioned in 76.92% of the documents and insertion procedures and how to check positioning was outlined in…

Background and introduction Daniel Jackson was admitted into hospital for a right sided cerebrovascular accident. The impact of this has caused Mr Jackson to develop expressive dysphasia/aphasia, where he is able to understand what is being communicated to him but unable to respond verbally or in writing (Labreche et al. 2016). Mr Jackson is to be discharged to his mother’s house with a package of supportive care since she refused to have him at home unless he has a Percutaneous endoscopic…

Artificial nutrition and hydration should not be used for end of life patients because intravenous hydration can have a negative impact on the quality of their life. According to RJ Ackermann, M.D (Medical Doctor), “There is always a risk when someone is fed through a tube. Liquid might enter the lungs. This can cause coughing and pneumonia… They can become plugged up, causing pain, nausea and vomiting” (Artificial Hydration and Nutrition par. 19). This quote shows that it is risky to use a…

Coronary artery disease continues to maintain its status as the leading cause of morbidity and mortality in the United States. It is a high priority of clinicians not only to manage the acute symptoms of coronary artery disease, but also to prevent future major adverse cardiac events, such as acute myocardial infarction and cardiac death. Percutaneous coronary intervention is a nonsurgical procedure to treat atherosclerosis within the heart’s vessels (cite). Percutaneous coronary intervention, a…

teaching clinicals to, and each one of the students had one patient. One of them was in her group but that student went to an infusion sweet for the day. When coming back she mentioned that she got to do one IV, but the instructor had to finish putting it in for her. I have four students who take two patients each. Anne gave the average of one or two medications per patient. Due to being there so early at the University my students give at least twenty medications a day. I have my students…

normal range if heparin received during previous 48 hours; platelet count 1/3 cerebral hemisphere) o Patient or family members not able to weigh and understand potential risks and benefits of treatment  Extended exclusion criteria for thrombolysis within 4.5 hours include: o Age >80 years o All patients taking oral anticoagulants o National Institute of Health (NIH) Stoke Scale >25 o History of stroke and diabetes • Tissue plasminogen activator (tPA): o Intravenous tPA is given 220…

seven was transferred to a surgical floor having advanced to a regular diet. On postoperative day eight the patient began to complain of shortness of breath while speaking, followed by several episodes of emesis. A nasogastric tube was placed without difficulty in response, to recurrent emesis of coffee ground appearing liquid, which produced 3.5 L of gastric fluid. A CT of the abdomen was obtained, showing marked distension of a fluid filled stomach. (Figure 1) Figure 1: Computed tomography of…

Best (2011, p. 3) asserted that this method is superior to endoscopic tube placement since shining a light on a distended stomach is readily achievable with PFG. Furthermore, the researcher, implied that PFG is a safe technique for patients who are a candidate for long-term enteral feeding. After completion of this intervention, the patient is returned to his room. Physical therapy is on hold for that day pending medical clearance. Physical therapy implications: For PFG placement includes…

intolerances. Knowledge of the specifications for therapeutic diets, such as type and quantities of foods that are suitable for a patient, is essential when assisting patients with meal selection. A practitioner may therefore ensure that patients have chosen foods based on their specific dietary requirements, and may encourage them to a healthy food choice and improve their eating habits. Undertaking the clinical nutrition module at St Mary’s University provided me an insight and…