CRITICAL ANALYSIS

Critical analysis





Articles

Clinical decision making and the provision of information in PEG feeding: an exploration of patients and their carers' perceptions

The Impact of Percutaneous Endoscopic Gastrostomy Feeding in Children; the Parental Perspective

Table of Contents

Introduction4

Literature Search6

Critical review of research articles8

Implications For Practice15

Conclusion18

References19

Introduction

Nutrition is a major factor in patients with neurological deficits that cause swallowing, dysphagia or failure of oral feeding enough. The placement of a nasogastric tube to supplement food is recommended when problem is temporary and if it should stay for a period not exceeding 2 months. The use of nasogastric tubes has the disadvantage to be uncomfortable for the patient and therefore poorly tolerated the lingering injuries it causes lying in the nose, sore throat and esophageal lesions lying in the lower esophagus and cardia, held open the lower esophageal sphincter and gastroesophageal reflux favors.

Feeding by nasogastric tube (Peg Feeding), also known as enteral feeding, comprising administering a liquid nutrient using a probe that passes through the nose and down to the stomach, specifically the duodenum (for the most recent probes). The ultimate goal of this technique of parenteral nutrition is to provide the patient with necessary nutrients for good health. These nutrients, it can not absorb them by natural means (mouth, oesophagus, and stomach, intestine). It is necessary to put a feeding tube in patients affected by acute or chronic with a state of malnutrition, impaired swallowing (swallowing), with anorexia (complete loss of appetite) in the inability to swallow food that can help their recovery. In this case, the minimum amount of calories needed for their healing is about 1800 kilocalories per day. Adynamic patients ("no energy") and continuing to lose weight despite proper treatment, is also an indication for placement of a nasogastric tube. (Andre, 2002, pp. 88-99)

A feeding tube may reduce the risk of child to choke. Medical conditions such as cerebral palsy or cancer of the mouth or oesophagus may cause swallowing problems. Child may have an injury that is causing difficulty swallowing. Child may need a feeding tube if we have gastroesophageal reflux. An endoscope is a small, flexible tube with a light and camera on a limb. One end of the feeding tube will be within child's stomach and the other is secured to abdomen. The child's abdomen is a cavity (space) that contains many of his organs as the stomach, intestines, and liver. (Appel, 2009, pp. 10-29)

Literature Search

There was no evidence that feeding via the transpyloric route versus the gastric route produces higher growth rates in preterm infants who require tube feeding. However, in many of the trials were not reported growth data of infants who developed complications during the study period or who were not able to place the enteral tube. In the largest trial included only included in the analysis of growth data for 41 of 80 newborns admitted to the study. In 1979 Drew, there were only outcome data for 44 of the 66 infants assigned to a supply ...