scholarly journals The development of consensus‐based guidelines for dietetic practice in nasogastric tube feeding under restraint for patients with anorexia nervosa using a modified Delphi process

2020 ◽  
Vol 33 (3) ◽  
pp. 287-294 ◽  
Author(s):  
S. J. Fuller ◽  
U. Philpot ◽  
Nicole Barrett ◽  
Emma Cooper ◽  
Mairéad Doyle ◽  
...  
2003 ◽  
Vol 27 (4) ◽  
pp. 268-276 ◽  
Author(s):  
JN Zuercher ◽  
EJ Cumella ◽  
BK Woods ◽  
M Eberly ◽  
JK Carr

2019 ◽  
Vol 8 (3) ◽  
pp. 124-128 ◽  
Author(s):  
Sarah Fuller ◽  
Oliver Street ◽  
Lee Hudson ◽  
Dasha Nicholls

Background Children and adolescents who require inpatient admission for the treatment of anorexia nervosa often require medical stabilisation – administration of adequate nutrition – which can be lifesaving. In the majority of cases, this can be achieved through oral intake. However, in extreme cases, when a patient refuses to eat and/or drink, nasogastric tube feeding may be required. If there is resistance to this, subject to the appropriate legal framework to ensure valid consent, staff can apply physical interventions (restraint) to ensure the patient and staff's safety during this process. Methods A survey of 134 (99%) of child and adolescent mental health units and eating disorder units was undertaken in the United Kingdom and Ireland to identify current practice and makes recommendations for future guidelines to standardise practice. Results A total of 58 units (43.3%) reported that they were able to facilitate nasogastric tube feeding. Of these, 46 units (79%; 34% of total) reported that they could facilitate this with physical interventions; however, two units had no experience of this. Conclusions Many, but not all, units apply the ‘least restrictive practice’ principle and reduce the number of feeds a day while increasing the volume up to 1000 ml and deliver these feeds quickly via syringe bolus and not enteral pump.


2020 ◽  
Vol 78 (4) ◽  
pp. 663.e1-663.e7
Author(s):  
Shigeo Ishikawa ◽  
Kenichiro Kitabatake ◽  
Kaoru Edamatsu ◽  
Ayako Sugano ◽  
Kazuyuki Yusa ◽  
...  

2018 ◽  
Vol 4 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Kazi Mohibur Rahman ◽  
Sharif Uddin Khan ◽  
ATM Hasibul Hasan ◽  
Sirajee Shafiqul Islam ◽  
Rajib Nayan Chowdhury ◽  
...  

Background: Nasogastric tube feeding is an integral part of management of stroke patients with feeding difficulties.Objectives: The purpose of the present study was to evaluate the nasogastric tube feeding practice and its complication on stroke patients.Methodology: One hundred (100) adult patients aged ≥ 18 years with stroke were enrolled in the study. The diagnosis of stroke was established by the clinical presentation, neuroimaging. Patients requiring nasogastric tube feeding was included in the study. They were thoroughly examined for any complications from possible use of nasogastric tube. Their caregivers were also thoroughly interviewed using a standard preformed questionnaire regarding any complications as well. Results: A total number of 100 patients were recruited for this study. In this study population, 63.0% patients had ischaemic stroke; 26.0% had haemorrhagic stroke and 9.0% population had sub-arachnoid haemorrhage. The most common indication for NG feeding was difficulty in swallowing (39.0%) followed by semi consciousness (26.0%), unconsciousness (22.0%), inability to maintain feed (10.0%). About 71.0% of the patients had complications from NG tube feeding such as nasal irritation (53.0%), electrolyte imbalance (43.0%), aspiration pneumonia (40.0%) and diarrhea (38.0%).Conclusion: Nasal irritation, aspiration pneumonia, electrolyte imbalance, diarrhea are common complications associated with NG tube feeding which in part may be related to faulty feeding technique.Journal of National Institute of Neurosciences Bangladesh, 2018;4(1): 23-27


2021 ◽  
Vol 42 (3) ◽  
pp. 102857
Author(s):  
Karolina A. Plonowska ◽  
Edgar Ochoa ◽  
Aaron L. Zebolsky ◽  
Neil Patel ◽  
Kathryn R. Hoppe ◽  
...  

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