Enteral feeding outcomes and evaluation

Enteral feeding outcomes and evaluation

ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9

Nursing Skill

STUDENT NAME _____________________________________

SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________

ACTIVE LEARNING TEMPLATE:

Description of Skill

Indications

Outcomes/Evaluation

CONSIDERATIONS

Nursing Interventions (pre, intra, post)

Potential Complications

Client Education

Nursing Interventions

Enteral feedings through a G-Tube

This skill is when a RN provides Enteral nutrition via a gastrostomy tube.

Monitor client tolerance to feeding, Monitor

for complications of the Feeding, Perform

appropriate checks to ensure placement of

the G-Tube.

Diarrhea three times or more in a 24 hour

period, Nausea, Vomiting, Aspiration of

formula, Skin irritation around the tubing site

Educate the client on the type of formula that

is to be administered via the G-Tube.

Educate on the possible side effects from

this type of therapy. Educate on side effect

prevention to family or care takers.

Outcomes: The client will have nutrietional

needs meet by the administration of this

formula, with minimal side effects.

Evaluation: The client showcases no

significant drop in weight, or symptoms of

complications from the feedings.

Pre:Set up equipment for feeding (tubing,

feeding bag, syringe, stethoscope),Suction

equipment, Appropriate enteral formula

Intra:Assist client to semi fowler's, Auscultate

for bowel sounds, monitor tube placement,

flush tubing, Administer formula per provider

orders.

Post: Monitor for complications of the feeding.

Critical illness/ trauma, neurological and

muscular disorders, Cancer affecting the

head, neck, or upper GI tract, GI disorders,

Respiratory failure with prolonged intubation,

Inadequate oral intake

What are the outcomes of enteral feeding?

There is evidence that enteral tube feeding can improve wound healing, reduce length of hospital stay, prolong life and relatively save costs [11].
When beginning enteral feedings, monitor the patient for feeding tolerance. Assess the abdomen by auscultating for bowel sounds and palpating for rigidity, distention, and tenderness. Know that patients who complain of fullness or nausea after a feeding starts may have higher a GRV.

Why is enteral feeding important?

A person on enteral feeds usually has a condition or injury that prevents eating a regular diet by mouth, but their GI tract is still able to function. Being fed through a tube allows them to receive nutrition and keep their GI tract working.