Extended Feeding Techniques

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CU2653 Prepare For and Carry Out Extended Feeding Techniques 1.1Anatomy and physiology of the gastro-intestinal tract: Digestion of food begins in the mouth. When you swallow, food is pushed down into the oesophagus, a muscular tube that carries food to the stomach where it is digested. From the stomach, food travels to the small intestines, where digestion continues and nutrients are absorbed into the bloodstream. 1.2 The importance of fluid and nutritional balance: Eating food provides you with nutrients that are necessary for your body to function, grow, and repair its self. We need to consume six types of nutrients to sustain life: carbohydrates, protein and fat, which all provide energy, but in different forms, vitamins and minerals,…show more content…
If this fails, a pancrelipase and sodium bicarbonate solution may be instilled in order to "digest" the clog. Metabolic complications: Metabolic complications of enteral nutrition are similar to those that occur during PN, although the incidence and severity may be less. Careful monitoring can minimize or prevent metabolic complications. Refeeding syndrome: Refeeding of severely malnourished patients may result in "refeeding syndrome" in which there are acute decreases in circulating levels of potassium, magnesium, and phosphate. The sequel of refeeding syndrome adversely affect nearly every organ system and include cardiac dysrhythmias, heart failure, acute respiratory failure, coma, paralysis, nephropathy, and liver dysfunction. The primary cause of the metabolic response to refeeding is the shift from stored body fat to carbohydrate as the primary fuel source. Serum insulin levels rise, causing intracellular movement of electrolytes for use in metabolism. The best advice when initiating nutritional support is to "start low and go slow". Recommendations to reduce the risk of refeeding syndrome…show more content…
Every person has the right to refuse treatment/food even if it is in their best interests. Talk to the individual about any problems they may have with carrying out the procedure and explain the benefits 5.4 It is important to check the equipment to be used is for the individual and procedure to be carried out and has no sign of damage. Failure to do so could cause infection and/or illness. 5.5 The individual should be made comfortable and settled into a safe place usually at an angle of 30 degrees or more to prevent reflux. Refer to agreed way of working and ask the individual where they would like to settle during this time, they may have already agreed on a preferred place. Ensure the individual is in a place of safety and that facilitates extended feeding process. 6.1 Ensure when attaching the feeding tube that it is screwed tight enough so as not to come loose and leak but not tight enough so as no one can undo it again and it causes damage to the connecting mechanisms. Position the feeding tube so as to not cause any kinks, keep it close to the body so it can not catch on anything and is out of sight. This should prevent discomfort and promote
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