G-Tube Home Care - Family Resource Center Network -...
Transcript of G-Tube Home Care - Family Resource Center Network -...
![Page 1: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/1.jpg)
Agenda12:00 Welcome
12:05 G-Tube Home Care – Arlene Lovejoy
12:35 Enteral Feeding: Overview and Practice Guidelines – Sara Swindle
1:05 Questions & Answers
1:30 Conclude1
![Page 2: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/2.jpg)
Arlene Lovejoy, CNS
Arlene Lovejoy, MS, RNP, CNS, RNC-NIC, C-NPT, RRT has worked for 34 years in neonatal and pediatric health care, and currently is the Clinical Nurse Specialist at LAC+USC Medical Center. Arlene oversees the discharge planning from the NICU and acts as a resource to pediatric clinics and the surrounding community’s pediatric acute care services.
2
![Page 4: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/4.jpg)
Common PartsInternal anchor• Mushroom tip• Balloon
External anchor• Disc• Tape/gauze bolster
Length of tubing• Varies with device
Clamp• Optional• Soft is more desirable
Rubber bandAdaptor end• Connects to feeding
tubeCorpak® or Mic-Key® brands4
![Page 5: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/5.jpg)
Common PartsFoley Catheter• Balloon as internal
anchor• Varies in diameter as
child varies• Two external ports
One with valve to the balloonOne without valve for feeding/draining
• Needs “adaptations”Tape/bolsterConnector device 5
![Page 6: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/6.jpg)
Common PartsMic-Key® “Button” or Low-Profile Gastrostomy Feeding Tube• Balloon as internal
anchor• One-way value in place
of clamp• Varies in diameter and
length as child varies• Snap-on tubing
connects to feeding tube
6
![Page 7: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/7.jpg)
Common Problems
“Pops out”• Urgent care?……• Back-up tube
Same diameter size Foley
• PreventionStockinetteOnsies on smaller kids
7
![Page 8: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/8.jpg)
Tips and AidsSTOCKINETTE:An elastic knitted fabric used especially in making undergarments, bandages, and babies' clothes.
http://www.comfortoandp.com/8
![Page 9: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/9.jpg)
Onsies
9
![Page 10: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/10.jpg)
Common Problems
Skin Care• Daily care
Cleansing• Remove moist goo (no smell)• Soak crusting to remove (half hydrogen peroxide)
Quarter turn of tube in the stomaGauze pad/bolster and taping
• Creams and ointmentsAvoid ointments with latex/rubber
• Home remediesSee Resources
10
![Page 11: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/11.jpg)
Common Problems
Infections• Redness• Separate red spots at the edge of the redness
Possible yeast infection
• Pus (smells)Antibiotics
Granulations• Moist light pink extra tissue• Usually controlled with silver nitrate sticks
11
![Page 12: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/12.jpg)
Infection or Irritation?
12
![Page 13: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/13.jpg)
Common Problems
Leaks• At the stoma opening
“Normal” growth of child?~Monthly routine replacement of tube
• At the connection to the feeding tubeRubber band or new connecting set
• Internal valve or external “clamp”Rubber band
• Internal balloonWithdraw water weekly in syringe and replace
13
![Page 14: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/14.jpg)
Common Problems
Tube Migration (with Foley-types)• Measure length of tube regularly• Pull back on tube gently to seat balloon
against to stomach wall.
14
![Page 15: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/15.jpg)
Plugging/Clogging
Prevention• “Flush” with small amounts of water or air
after feeding/medications
Home remedies (use w/ caution)• Discuss with pediatrician/nurse practitioner• Coca Cola• Seltzer • Meat tenderizing• Baking soda
15
![Page 16: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/16.jpg)
General Care - - Spanishhttp://www.cincinnatichildrens.org/visit/spanish/info/abdomen/home/g-tube-care.htm
General Care - - Englishhttp://www.cincinnatichildrens.org/health/info/abdomen/home/g-tube-care.htm
Care Tips from Parents:http://hydranencephaly.com/Care/tipsandtricks.htm
Resources
16
![Page 17: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/17.jpg)
More ResourcesManufacturers:http://www.mic-key.com/index.asp
Stockinette:http://www.comfortoandp.com/index2.php?option=com_
docman&task=doc_view&gid=29&Itemid=101
17
![Page 18: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/18.jpg)
Sara Swindle, MS, RD
Sara has been a dietitian in home care for almost 4 years with Shield Healthcare. Her specialty lies in in-home enteral nutrition support. She sees both children and adults and provides education on home enteral equipment use and proper nutrition.
18
![Page 19: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/19.jpg)
Enteral Feeding:Overview and Practice Guidelines
Sara Swindle, MS, RDShield HealthcareLos Angeles, CA
July 21, 2010
19
![Page 20: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/20.jpg)
Objectives1. Identify feeding tubes 2. Identify appropriate feeding regimens3. Recognize proper formula preparation, storage, and
hang times4. Explain safe enteral feeding precautions5. Discuss transition to oral feeding
20
![Page 21: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/21.jpg)
Enteral Access Options• Nasogastric Tubes
– short term feeding – pre-term infants
• Percutaneous Endoscopic Gastrostomy (PEG)– outpatient vs inpatient surgery, local anesthesia – requires:
• functional stomach • free from obstruction or fistula
21
![Page 22: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/22.jpg)
Enteral Access Options• Gastrostomy tube (G-tube)
– surgical placement in operating room • contraindication to placing PEG • may be placed during concurrent surgery
– infants and children• Balloon gastrostomy
– Placed after establishedstoma site– Low-profile option
22
![Page 23: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/23.jpg)
Low Profile Tube
23
![Page 24: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/24.jpg)
Enteral Access Options• Jejunostomy tube
– surgically placed– gastric outlet obstruction, gastroparesis, severe reflux/aspiration of gastric contents
• PEG Jejunostomy tube (PEGJ)– tube placed via gastric site with tubing extension into
jejunum – may need more adjustments/hospital stays due to tubing
displaced from jejunum up to stomach
24
![Page 25: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/25.jpg)
When to Start Tube Feedings• NG/NJ
– as soon as placement verified• PEG (current recommendations)
– 2 hrs adults – 6 hrs in infants/childrenPrevious recommendation: wait 24 hrs
• Surgical placement G/J tubes– initiate feedings within 24-48 hrsPrevious recommendation: waited for flatus or
BM post-op25
![Page 26: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/26.jpg)
Appropriate Feeding Regimens• NG or G-tubes
– Bolus– Gravity– Pump infusions
• J-tubes – Most require pump infusion
• Bolus/Gravity vs. Pump– Bolus/gravity –ambulatory, more freedom – Pump – longer infusion times, equipment
26
![Page 27: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/27.jpg)
Feeding Regimens• Bolus feedings
– use syringe (with or without plunger) – 10-20 min/fdg
• Gravity feedings – use gravity bag– 30-60 min/fdg
• Pump feedings– feeding times varies based on pump rate & goals
27
![Page 28: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/28.jpg)
Feeding Regimens - Children• Bolus/Gravity
– start with 25% of goal volume – divide into number of daily feedings– increase by 25% per day as tolerated until at goal
• Pump – 1-2mL/kg/hr, advanced by 0.5-1mL/kg/hr q 6-24 until
goal– “Pre-term, critically ill or malnourished children may
require lower initial volume of 0.5-1mL/kg/hr”28
![Page 29: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/29.jpg)
Preparation of Formula• Bottled or distilled water standard
– Sterile water for immunocompromised infants
• Controlled conditions for reconstituting powdered formulas– clean work area– proper hand washing to elbows– avoid cross-contamination of utensils
29
![Page 30: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/30.jpg)
Storage of Formulas• Unopened liquid formula should be stored in dark, dry
and cool conditions• Breast Milk
– use or refrigerate up to 48 hrs of expression – otherwise freeze, use within 3 months
• Reconstituted powder formulas – use or refrigerate immediately within 24 hrs– only 4 hrs at room temp
30
![Page 31: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/31.jpg)
Hang Times for Formula• Reconstituted powdered formula + modulars
– 4 hours • Breast milk
– 4 hours• Neonates & immunocompromised of any age
– 4 hours• Canned formula in open system
– 8 hours– up to 12 hrs if continuous feeding
• Sterile formula in closed system– 24-48 hrs
31
![Page 32: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/32.jpg)
Precautions for Safe Feedings
• HOB elevated to 30-45 ̊̊
– help prevent aspiration/pneumonia• If cannot elevate HOB
– pt laying flat but entire bed angled so head elevated
32
![Page 33: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/33.jpg)
Safe Feedings
• Why do Tubes Clog?– Slow feeding rate of calorie-dense or fiber-containing
formula (sediment)– Small diameter (French size) of tube– Inadequate flushing– Improper administration of meds
33
![Page 34: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/34.jpg)
Safe Feedings• Prevention of Clogging - Flushing
– Pump Feeds Adult: 30 ml water flush every 4 hours– Bolus Feeds Adult: before & after each feeding– Pump Feeds Pediatrics: Flush every 4-6 hours
• <10 years of age = 1mL per year w/ 3mL minimum• >10 years of age = 10-30mL
– Bolus Feeds Pediatrics: Before and after feeds/meds• Follow your doctor’s recommendations for amount
34
![Page 35: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/35.jpg)
Safe Feedings• Clean tops of cans and shake well before opening
• Proper Medication Administration– Do not add meds directly to formula– Administer each medication separately – Flush w/ 15mL w/adults before & after each med – Flush w/ at least 3-5mL w/ pediatrics unless fluid
restriction indicated35
![Page 36: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/36.jpg)
Safe FeedingsProper Med Administration (cont.) • Liquid meds when possible• Enteric / film-coated meds
– Don’t crush – Clump when diluted
Note: Sweeteners & stabilizers in liquid meds can increase osmolality and cause diarrhea
36
![Page 37: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/37.jpg)
Safe FeedingsProper Med Administration (cont.)
• Crushing meds– Fine powder mix– Use sterile water if indicated– Do not crush modified-release meds (less effective
dose vs. excessive dose release at 1 time)• Hard gelatin capsules
– Open capsule & mix with water
37
![Page 38: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/38.jpg)
Safe Feedings
Unclogging tubes• Use warm water
– No data shows that carbonated beverages work better
38
![Page 39: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/39.jpg)
Safe FeedingsGastric Residual Volume (GRV) – when to check and
how much residual volume is too much
GRV for Acutely Ill Pediatrics• Continuous feedings
– check GRV q 4 hrs– hold TF if GRV is > feeding rate
• Bolus feedings– check GRV before feedings– hold if volume > ½ previous feeding volume
No general guidelines listed for stable peds 39
![Page 40: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/40.jpg)
• Feeding tubes removed when eating well by mouth and growing well for several months– Outpatient removal– Protect skin w/ gauze and barrier cream, heal on its own
• Allow infant or child to have pleasant sensations during meal times– hold during feedings– suck on a pacifier – sit in a high chair
• Breast feeding, bottle feeding, solid diet– Combination feeds– Modified diet– Ask your nurse or doctor about therapy to help w/oral skills
Transitioning Feeds
40
![Page 41: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/41.jpg)
Take Home Knowledge• Three feeding access sites
– NG, G- and J-tubes• Three administration methods
– bolus, gravity & pump• Specific guidelines available for preparing, storing and
using formulas• Precautions for safe enteral feedings • Advice for transitioning feeds
41
![Page 42: G-Tube Home Care - Family Resource Center Network - …familyresourcenetworklac.org/doc/Webinars-PDF/English/G-Tube...Agenda 12:00 Welcome 12:05 G-Tube Home Care – Arlene Lovejoy.](https://reader031.fdocuments.in/reader031/viewer/2022030510/5aba962b7f8b9a76038baf2f/html5/thumbnails/42.jpg)
Thank You
Shield Healthcare 1 800-372-6205www.shieldhealthcare.comReference:ASPEN -American Society of Parenteral and Enteral NutritionASPEN Enteral Nutrition Practice Recommendations: JPEN J
Parenter Enteral Nutr 2009; 33; 122 originally published online Jan 26, 2009
42