What are the nursing considerations before NGT feeding?
It is never easy to see a family member with a feeding tube. A feeding tube (or nasogastric tube) is often required for patients who have difficulty swallowing. This allows them to receive the necessary nutrients in a safe way. First time caregivers in particular, may find feeding tube management challenging. Show
At Jaga-Me, we believe in empowering caregivers to care for their loved ones. In this article, we will be sharing tips from Jaga-Me nurses on performing tube feeding care at home. If you still do not feel confident, our expert nurses can also perform feeding tube insertion services at home. How often should I change the feeding tube?
*Do check the manufacturer’s note for exact recommendations. Hygiene should always be a top priority when performing feeding tube care at home. Syringes should be washed with water (do not boil) and thoroughly dried after each use. They should be changed every 2-3 days, and more frequently if there are visible marks in the syringe. Tube Feeding Checklist
Frequently Asked Questions about Feeding Tube Care at HomeHow do I check if the tube is still in place?You can measure the exposed length of the feeding tube, and check that the micropore tape has not shifted. What should I do if the tube has been displaced?We recommend a trained nurse to assess the situation in person. Do not attempt to re-insert the feeding tube on your own. How do I maintain the oral and nasal hygiene of the patient?Carrying out feeding tube care at home doesn’t just involve changing and handling the tube. It also means maintaining your loved one’s oral and nasal hygiene to avoid debris, liquid, or plaque build up that can lead to health issues.
How often should I replace the micropore tape?The micropore tape should be replaced once a day, when cleaning your loved one’s face. Using a warm cloth, gently loosen the micropore tape. Remove the tape from the face and from the tube. Reattach a new micropore tape. Why is the milk not flowing down during the feeding?It is most likely that the tube is stuck with milk or medicine. You may reposition your loved one to the left and observe if the milk flows. If it does not, contact your home care nurse for replacement of the feeding tube. Do not use the syringe and plunger to attempt to force through the obstruction as you could cause significant discomfort to your loved one. Expert tips from a Jaga-Me NurseOur Jaga-Me nurse has these expert tips to share to help you safely and easily carry out feeding tube care at home:
Expert Opinion on Feeding Tube Care at Home
How can I get more expert support?You can contact Jaga-Me for medical assistance regarding feeding tube care at home. Alternatively, you can seek advice from your JagaPro in person when you engage Jaga-Me’s Home Care Services. Award winning Home Care trusted by health professionals – Jaga-Me What should the nurse assess before inserting a nasogastric tube?Assess his nostrils for obstruction and choose the nostril with better airflow for tube insertion. Measure the distance from the tip of his nose to his earlobe to the xiphoid process. Mark this length on the tube with a piece of tape.
What are your nursing considerations in caring for a patient with an NGT?The following are the nursing considerations you should watch out for: Provide oral and skin care. Give mouth rinses and apply lubricant to the patient's lips and nostril. Using a water-soluble lubricant, lubricate the catheter until where it touches the nostrils because the client's nose may become irritated and dry.
What should I do before tube feeding?Prior to administering a feeding through a nasogastric tube, check for residual and validate the tube position has not changed. checking for residuals, administering medications or intermittent feedings, and every 4 – 6 hours during continuous feeding is ideal for preventing tube occlusion.
What are nursing considerations when administering an enteral feeding?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.
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