NUTR 3150 Lecture Notes - Lecture 29: Gastrostomy, Duodenum, Feeding Tube
24 Jul 2018
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What are the risks: poor nutritional status malnutrition/dehydration. Impact on social interactions and quality of life: aspiration may lead to aspiration pneumonia, assessment and diagnosis, clinical or bedside swallowing assessment (bsa) Typically done by slp to evaluate for signs and symptoms of dysphagia. Involves chart review, oral mechanism history and testing. Test patients ability to eat different foods while palpating the swallow. Assessment and diagnosis: fibreoptic endoscopic evaluation of swallowing (fees, endoscope is inserted transnasally to view laryngeal/pharyngeal region, view controlled amounts of dyed foods/liquids as they are swallowed. Sitting up at 90 degrees: compensatory strategies. Teaspoon bolus: behavioral therapy ofalsetto (cid:858)e(cid:859) omasako opharyngeal swallow oshaker exercise, enteral feeding (tube feeds, nasogastric, nasojejunal, gastrojejunostomy, jejunostomy, texture modification. Short-term enteral nutrition: ng tubes are most common. Easiest to place tube fed down nose and placement of tip in stomach confirmed with an x- ray.
