The Registered Dietitian Nutritionist’s Guide to Homemade Tube Feeding

Walia, Cassandra L. S.; Hoorn, Megan Van; Edlbeck, Angela; Feuling, Mary Beth

doi:10.1016/j.jand.2016.02.007

Cited by 23 publications

(69 citation statements)

References 4 publications

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“…Baniardalan et al concluded that in the absence of ready‐to‐hang sterile products, use of BTF and/or reconstituted CF demands, “comprehensive and documented guidelines for preparation, storage and transportation of these products.” Klek et al reported improved outcomes of home enteral nutrition patients when oversight by HCPs was provided regardless of BTF or CF use . The current project demonstrated that BTF prepared according to recommended methods can have equivalent and acceptable bacterial loads of CF even when the time/temperature limits of the tube feeding exceeded healthcare facility recommendations by 2 hours.…”

Section: Discussionmentioning

confidence: 68%

“…The BTF‐WF recipe was blended for 4–5 minutes in a high‐velocity blender in each trial, and no occlusions occurred. Consistency in nutrition value and viscosity are optimized by following recommended procedures for recipe development and analysis . In this study, selected recipes were developed according to recommended procedures, analyzed for nutrition completeness, and prepared according to safe food‐handling methods expected of a U.S. healthcare facility.…”

Section: Discussionmentioning

confidence: 99%

“…Exacerbating the problem, many HCPs are unaware of the potential benefits of BTF or how to assist their patients who want to explore this feeding option . BTF is not appropriate for all tube‐fed individuals (eg, jejunal feeding), and care must be taken to avoid pitfalls particular to whole food tube feeding …”

Section: Introductionmentioning

confidence: 99%

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Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding

et al. 2018

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Background Many healthcare facilities and providers prohibit blenderized tube feeding (BTF) for patients who request it due to concerns of high microbial load. The current project compared microbial loads of a standard ready‐to‐feed polymeric commercial formula (CF), a BTF made using baby food (BTF‐BF), and a BTF prepared from blending whole food (BTF‐WF), following food safety standards expected of U.S. hospitals. Methods Three tube‐feeding formulas (CF, BTF‐BF, BTF‐WF) were prepared in a U.S. hospital and delivered in vitro to an unoccupied patient room. Samples were collected at zero hour, 2 hours, and 4 hours and compared for growth of aerobic microorganisms, Staphylococus aureus, coliforms, and Escherichia coli. The experiment was conducted in triplicate, 1 week apart. Results No S. aureus or coliform/E. coli were detected at any time point following preparation, and total bacterial count was well below acceptable limits. All 3 feeding formulas at zero hour, 2 hours, and 4 hours for each of the 3 sampling dates were acceptable for human consumption. Conclusion Judicious BTF recipe selection and adherence to safe food handling provide a safe feeding substrate equivalent to CF in the hospital setting. Due to increased use and interest in BTF by patients and their caregivers, healthcare facilities may need to reexamine their policies prohibiting BTF use.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

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Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding

et al. 2018

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“…Frequent patient assessment and analysis/revisions of BTF recipes by the RDN is of particular importance in pediatric populations in which growth and higher susceptibility to malnutrition impact care. Resources are available to assist RDNs with patient screening, transitioning, and oversight …”

Section: Specific Patient‐related Issues (Tube Weaning Formula Prefementioning

confidence: 99%

Addressing Frequent Issues of Home Enteral Nutrition Patients

et al. 2019

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The home enteral nutrition (HEN) population is a medically diverse group whose number has increased substantially in recent decades. Although medically stable compared with acute care patients requiring nutrition support, HEN population needs are unique and require a team approach to manage nutrition. Frequently encountered issues by the HEN team include mechanical issues of the tube site, gastrointestinal and metabolic problems, and patient preferences regarding tube weaning, formula selection, and compliance. A thorough search of the published literature on how to manage these issues was conducted using scientific healthcare databases with the following inclusion criteria: English only, last 10 years, and reviews and clinical trials. Where appropriate, references from the retrieved articles were hand‐searched for relevant articles older than 10 years and cited in this review. The purpose of this review is to provide the HEN team with strategies to address the top issues of home enteral feeding.

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“…Several publications have produced thorough guidelines outlining the practicalities of having patients receive BTF 9 – 11 . Careful consideration by the physician and registered dietitian should be given to the patient and caregiver's ability to safely transition to BTF before proceeding (Table 1).…”

Section: Implementing a Blenderized Tube Feedmentioning

confidence: 99%

Deconstructing Pediatric Blenderized Tube Feeding

Zettle

2016

Nut in Clin Prac

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Blenderized tube feeding has been steadily gaining in popularity among parents and caregivers of tube-fed children. Numerous websites and social media accounts are devoted to the topic, and the parent may be the one to initially broach the subject of implementing this type of feeding plan. This article discusses several different approaches to planning a blenderized tube feeding. As practitioners build their knowledge of and familiarity with blenderized tube feeding, they may feel more comfortable recommending this method to a wider variety of patients.

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The Registered Dietitian Nutritionist’s Guide to Homemade Tube Feeding

Cited by 23 publications

References 4 publications

Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding

Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding

Addressing Frequent Issues of Home Enteral Nutrition Patients

Deconstructing Pediatric Blenderized Tube Feeding

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