PEG Care
AIMS
To be able to support and care for those with PEGs.
LEARNING OUTCOMES
By the end of this course you will be able to:
- Understand what a PEG is, and the indications for its use
- Know the anatomy and physiology of a PEG
- Understand the mechanics of swallowing
- Be aware of conditions that can affect swallowing
- Know how to care for and clean stoma sites
- Be aware of the common complications of PEGs
- Recognise the signs of urgent complications, and what to do when indicated
- Understand the roles and responsibilities of professionals regarding PEGs
LESSONS AND TOPICS – PEG CARE
PEG Management
- What is a PEG?
- Indications for PEG Placement
- Alternatives to PEGs
- Anatomy and Physiology of the PEG
- Anatomy of the Digestive system
Dysphagia
- Mechanics of Swallowing
- Phases of Swallowing
- Conditions that Effect Swallowing
Stoma Care and Hygiene
- Skin Care
- Hand washing
- Bathing and Showering
- Oral Hygiene
Clinical Complications
- Peritonitis
- Haemorrhage
- Aspiration
- Blockage
- Leakage
- Site Infection
- Granuloma Formation
- Buried Bumper syndrome
- Urgent Complication
- Refeeding Syndrome
Roles and Responsibilities of Healthcare Professionals
- Responsibilities
- Documentation around PEG Management
- Managing Pain
PEG Feeding
AIMS
To be able to provide nutrition and support for those with PEGs.
LESSONS AND TOPICS – PEG FEEDING
By the end of this course you will be able to:
- Be aware of the factors that can affect the prescription of PEG feeds
- Recognise who might require additional nutritional support
- Understand how to administer feed using a pump
- Know how to administer feed using a bolus
- Be aware of issues surrounding administering medication through PEGs
- Know when and how to flush a PEG tube
- Understand how to deal with a blocked tube
LESSONS AND TOPICS – PEG FEEDING
PEG Feeding Regimes and their Management
- Feeding Regimes – Factors to Consider
- Indications for Nutrition Support in hospital and the Community
What to give in the Hospital and the Community
- What Patients will Need
- Criteria for Determining People at High Risk of Developing refeeding Problems
- Infusion (Feed Delivered by Pump)
- Continuous
- Bolus Feeding (Without Pump)
- Administration of Feed Using an Enteral Feeding Pump
- Routes of administration of Medication
- Enteral Administration of Medication
Flushing Tubes and Obstructions
- Flushing Tubes
- Blocked Tubes
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