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pretest

introduction

feeding skills and behaviors

assessment of feeding skills

influence of special health care needs

management of tube feedings

making clinical decisions

posttest

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Types of Tube Feeding

Nasogastric tube feeding

A tube that is placed through the nose into the stomach is called a nasogastric tube. When tube feeding is required for short periods of time, this type of tube is sometimes used.

Gastrostomy tube feeding

Gastrostomy tubes go through an opening from the abdomen to the stomach. They can be placed surgically or through percutaneous endoscopy. This type of tube feeding is generally used with individuals who will need the tube to meet nutrient and/or fluid needs long-term. The gastrostomy tube is generally larger than the nasogastric tube, and thus, use of a more viscous formula is possible.

Jejunal tube feeding

Jejunostomy tubes deliver formula to the jejunum. They can be placed in the jejunum through an opening in the abdomen or placed in the stomach and passed through the pyloric sphincter into the jejunum. Like the gastrostomy, a jejunal tube can also be placed surgically or through percutaneous endoscopy. This modality is used by individuals who cannot use their upper GI tract or for whom aspiration is a problem. Typically, continuous drip feedings are required, and the use of semi-elemental or elemental formulas may be necessary because the stomach is being bypassed.

 

   
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