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Nurses can use the list of barriers and facilitators provided here as a springboard to discuss the families' experiences with device use.

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Many children with neurodevelopmental disabilities require a nasogastric feeding tube for nutrition at some point in their lives. Because of impaired cognition, anatomical factors, excessive drooling, hyperactive gag reflexes, or some medications, nasogastric tube intubation may be extremely difficult. The case study described here is intended to provide the reader with some suggestions for making feeding tube placement easier for the patient, family, and nursing staff.

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