AIMS
To be able to support and care for those with PEGs
LEARNING OUTCOMES
By the end of this course you will:
- 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 Management
- What is a PEG?
- Indications for PEG placement
- Alternatives to PEGs
- Anatomy and Physiology of PEG
- Anatomy of the Digestive System
Dysphagia
- Mechanics of Swallowing
- Phases of Swallowing
- Conditions that affect swallowing
PEG Feeding Regimes and their Management
- Feeding Regimes - Factors to Consider
- Indicators for Nutrition Support in hospital and the Community
What to give in the Hospital and the Community
- What Patients will Need
- Criteria for Dtermining People at High Risk of deveoloping refeeding problems
- Infusion (Feed Delivered by Pump)
- Bolus Feeding (Without Pump)
- Administration of Feed using an Enteral Feeding Pump
- Routes of administration of Medication
- Enteral Administration of Medication
Stoma Care & Hygiene
- Skin Care
- Hand Washing
- Bathing & Showiering
- Oral Hygiene
Flushing Tubes & Obstructions
- Flushing Tubes
- Blocked Tubes
Clinical Complications
- Peritonitis
- Haemorrhage
- Aspiration
- Blockage
- Leakage
- Site Infection
- Granuloma Formation
- Buried Bumper Syndrome
- Urgent Complication
- Refeeding Syndrome
Roles & Responsibilities
- Responsibilities
- Documentation around PEG Management
- Managing Pain
