Evaluation of a Discharge Education Protocol for Pediatric Patients With Gastrostomy Tubes

Schweitzer, Michelle; Aucoin, Julia; Docherty, Sharron L.; Rice, Henry E.; Thompson, Julie; Sullivan, Dori Taylor

doi:10.1016/j.pedhc.2014.01.002

Cited by 28 publications

(56 citation statements)

References 15 publications

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“…20–22 However, while comprehensive multidisciplinary discharge protocols have demonstrated reduced emergency department visits for minor gastrostomy tube complications, they have not been able to reduce the rate of complications. 21 …”

Section: Discussionmentioning

confidence: 99%

Surgical Feeding Tubes in Pediatric and Adolescent Cancer Patients: A Single-institution Retrospective Review

Hamilton

Curtin

Slack

et al. 2017

Journal of Pediatric Hematology/Oncology

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The purpose of our study was to evaluate surgical enteric access in pediatric cancer patients to determine factors associated with postoperative complications. We performed a single institution retrospective review of all patients<21 years old with a primary cancer diagnosis who underwent surgical procedures for enteral access between 2004–2014. Multivariate logistic regression was performed to determine independent predictors of postoperative complications. During the study period, 122 patients had surgically placed feeding tubes, of whom 58% developed one or more complication(s) and 16% experienced a major complication. No single factor was significantly associated with developing any complication or major complication. Several trends were noted including increased complications associated with jejunostomy tubes, percutaneous endoscopic gastrostomy tubes, and abdominal radiation. Surgically placed enteric access in pediatric and adolescent cancer patients is associated with an extremely high complication rate emphasizing the importance of careful evaluation of these patients prior to embarking on surgical feeding access. Future work should evaluate mechanisms to decrease complications and/or explore alternative methods to provide supplemental nutrition in children and adolescents with cancer.

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Section: Discussionmentioning

confidence: 99%

Surgical Feeding Tubes in Pediatric and Adolescent Cancer Patients: A Single-institution Retrospective Review

Hamilton

Curtin

Slack

et al. 2017

Journal of Pediatric Hematology/Oncology

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“…Caregivers should be taught about feeding practices and complication prevention to ensure that PEG patients receive optimal care. Furthermore, the training content should be prepared according to current international guidelines . Research shows that PEG care training protocols and hands‐on training increase caregivers’ knowledge .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the training content should be prepared according to current international guidelines . Research shows that PEG care training protocols and hands‐on training increase caregivers’ knowledge . The simulation teaching method, which is a practical and repetitive education method, can provide to prevent PEG‐related complications due to caregivers’ errors in stoma care, tube feeding, and medication administration …”

Section: Discussionmentioning

confidence: 99%

Home Percutaneous Endoscopic Gastrostomy Feeding: Difficulties and Needs of Caregivers, Qualitative Study

Sezer

Köken

Çelik

2019

J Parenter Enteral Nutr

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Background Percutaneous endoscopic gastrostomy (PEG) may cause complications when adequate and appropriate care is not provided. To avoid these complications, caregivers’ experiences and practices must be considered. Methods This study used the phenomenological qualitative research method. Twenty‐one caregivers underwent in‐depth interviews and were observed for PEG practices. Interview and observational data were analyzed using content analysis. Results This study revealed 8 themes and 24 subthemes under 3 categories of PEG management, social‐emotional change of the caregivers, and expectations, and it was observed that caregivers made errors in stoma care, tube feeding, and medication administration through the PEG tube. Conclusion Results indicated that comprehensive and practical discharge training, and home care and counseling services should be provided to effectively address the challenges faced by caregivers of patients with PEG.

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“…There is evidence that delivery of education in a multimedia format can be effective, as families will have varied learning styles. Assessing their learning styles and providing education through the most suitable format can be advantageous 19 . The multiple formats that can be provided include print material, audio recordings, videos, teaching kits, and a doll customized for GT care 19 …”

Section: Components Of Successful Transition To Henmentioning

confidence: 99%

“…The methodology included educational changes to the primary team and delineating responsibilities; developing resources to standardize processes, such as worksheets, supply lists, and patient education records; and developing teaching materials, such as pamphlets and a gastrostomy device toolkit 21 . Additionally, development of preprocedure to postprocedure education improved patient outcomes and caregiver knowledge and confidence 19 . Providing education prior to placement of the GT can minimize anxiety, decrease postoperative pain, increase knowledge, and improve compliance 19 …”

Section: Components Of Successful Transition To Henmentioning

confidence: 99%

Optimizing Transition to Home Enteral Nutrition for Pediatric Patients

Sevilla

McElhanon

2016

Nut in Clin Prac

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Enteral nutrition is delivered via the gastrointestinal tract when oral intake is not sufficient to maintain nutrition status. There is evidence that long-term home enteral nutrition (HEN) can be advantageous to pediatric patients by improving quality of life and function. Data from pediatric patients receiving either nasogastric tube or gastrostomy tube feeds indicate good outcomes in terms of maintaining and improving nutrition status as evidenced by anthropometric measurements. As the number of pediatric patients requiring HEN increases, development of an effective program to allow smooth transition to the home is necessary. The formation of a multidisciplinary HEN management team can achieve the important task of taking care of children requiring HEN who are technology dependent. Members of a multidisciplinary HEN team can include care coordinators, nurses, physicians, dietitians, and speech therapists. Planning for patient discharge to home should start well before the actual discharge, with timely identification of home caregivers, the family's learning style, and completion of other requirements for safe administration of HEN. Education should be provided in a continuum, starting at the identification of nutrition support while still in the hospital and continuing after discharge to address concerns and long-term complications of HEN.

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Evaluation of a Discharge Education Protocol for Pediatric Patients With Gastrostomy Tubes

Cited by 28 publications

References 15 publications

Surgical Feeding Tubes in Pediatric and Adolescent Cancer Patients: A Single-institution Retrospective Review

Surgical Feeding Tubes in Pediatric and Adolescent Cancer Patients: A Single-institution Retrospective Review

Home Percutaneous Endoscopic Gastrostomy Feeding: Difficulties and Needs of Caregivers, Qualitative Study

Optimizing Transition to Home Enteral Nutrition for Pediatric Patients

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