Editorial : Tube Feeding Old People
نویسنده
چکیده
The process of administering nutritious sustenance through a tube into the gut while avoiding the mouth and swallowing mechanisms is a nice example of collaboration or conflict between health care professionals arising from their medical, ethical and legal concerns. Two recent articles in the Journal' have drawn attention to these concerns and it is timely to analyse them further. When ethical and related legal issues arise in health care, consideration of the underlying medical aspects often clarifies, if not resolves, the dilemmas.
منابع مشابه
Decision-making for long-term tube-feeding in cognitively impaired elderly people.
BACKGROUND The decision to start long-term tube-feeding in elderly people is complex. The process by which such decisions are made is not well understood. The authors examined the factors involved in the decision to start long-term tube-feeding in cognitively impaired older people from the perspective of the substitute decision-maker. METHODS A telephone survey was administered to the substit...
متن کاملSubstitute decision-making for cognitively impaired older people.
Editorials Éditoriaux A bout 10% of elderly residents in chronic care facilities are tube-fed. Yet there is persuasive evidence that common beliefs about tube-feeding cannot be supported: tube-feeding is not similar to spoon-feeding, it is not necessarily indicated in patients with aspiration pneumonia , swallowing evaluations are not very helpful in selecting patients for tube-feeding, and whe...
متن کاملThe Role of Percutaneous Endoscopic Transgastric Jejunostomy in the Management of Enteral Tube Feeding
Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gastric passage during enteral nutrition and improving drainage of excessive gastric secretions. Thi...
متن کاملMaintaining Enteral Nutrition in the Severely Ill using a Newly Developed Nasojejunal Feeding Tube with Gastric Decompression Function
For nutritional support of critically ill patients, the enteral route is preferred over the parenteral route. Although nasojejunal feeding can be superior to gastric feeding when gastrointestinal symptoms occur, it does not necessarily solve the problem of large gastric residual volumes. We report the successful use of a newly developed nasojejunal feeding tube with gastric decompression functi...
متن کاملSpontaneous antegrade enteral migration of feeding jejunostomy tube.
Spontaneous migration of enteral feeding tubes is unusual. We report an 18-year-old man with corrosive stricture of the upper esophagus in whom feeding jejunostomy was performed using an 18F Levine's tube. Thirteen months later, he presented with absence of the tube. The patient was tolerating liquid diet and was managed conservatively. Serial radiographs and colonoscopy showed a steady progres...
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تاریخ انتشار 2010