Download Gastrostomy Care: A Guide to Practice by Catherine Barrett PDF

By Catherine Barrett

Useful booklet is easy-to-read and assists in educating vital medical talents in relation to tube feeding.

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Extra info for Gastrostomy Care: A Guide to Practice

Sample text

2001). ’ feeding in a person with dementia, quality of life and the wishes of the person should be foremost in the minds of the decision-makers. In some cases, people with dementia might be able to indicate their wishes, or might have previously indicated their preference. As discussed above, tube feeding can complement or supplement oral feeding. A person with dysphagia might be able to tolerate small amounts of food and fluid orally, but not enough to maintain nutritional needs or comfort. g.

Indd 36 24/05/2004 2:01:39 PM 37 Making Decisions on Tube Feeding 15. Action plan (include outcome of family conference/team meeting) 16. 3 A proforma for reviewing tube feeding (continued) For family members, a decision to cease tube feeding can effectively be a decision to let their loved one die (Van Rosendaal & Verhoef 1999). SDMs need assistance and support in coming to understand that it is ethically acceptable to discontinue tube feeding and to allow death to occur (if this is inevitable).

Indd 32 24/05/2004 2:01:36 PM 33 Making Decisions on Tube Feeding often used in people who are very unwell. It can be difficult to identify the benefits and disadvantages of tube feeding when many other factors influence a person’s physical condition. Studies that identify the potential disadvantages of tube feeding—such as increased mortality—therefore need to be interpreted with caution. ’ disease (Rabeneck, Wray & Petersen 1996). It is therefore unclear whether the use of the gastrostomy tube introduces significant additional morbidity (Mitchell, Keily & Lipsitz 1998), and whether increased mortality is a result of the gastrostomy tube or the underlying illness (Rabeneck, Wray & Petersen 1996).

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