Course Outline

Relationship to High Intensity Daily Personal Activities.

This module supports delivery of the enteral (naso-gastric tube-jejunum, duodenum or P.E.G) feeding and management practice standard.

Where a participant requires enteral feeding and has dysphagia, workers should also ensure they are trained to deliver support consistent with the dysphagia support skills descriptor.

CONTEXT: A support plan for enteral feeding and management has been developed and is overseen by a relevant health practitioner and each participant is involved in the assessment and development of their support plan.

LEARN ABOUT: The support plan. enteral tube feeding supports, the type of feeds, the feeding delivery mechanism, specific mealtime assistance techniques, stoma care, what risks to look for and actions required to respond to risks, incidents, and emergencies.

Workers will understand the importance of policies and procedures, equipment, and consumables required to provide enteral feeding and management.

SCOPE: This skills descriptor also provides guidance on additional skills and knowledge for workers who support the participant to take medication through a feeding tube. In this case, they should also refer to a medication plan that outlines the medication requirements and procedures for delivery.

TRAINING: In addition to this general best practice training, workers are encouraged to follow the self-assessment tool for reflection and development It may be required by your employer for you to have initial supervised practice, to meet the specific needs of each participant you support

Nurses and Nursing Education - P.E.G. Dysphgia

Preparation skills & Knowledge

  • Understanding the support plans, and scope of responsibilities including supervision and delegation arrangements.

  • Communicating with the participant on their expectations, capacity, and preferences for being involved in the delivery of support.

  • Demonstrated an understanding of the structure and functions of the gastrointestinal tract and stoma care.

  • The impact of associated health conditions and complications that interact with enteral feeding, for example, reflux, constipation, breathing difficulties and dysphagia, diarrhoea, vomiting and bloating.

  • Explained why a client may need a gastrostomy tube.

  • Purpose and methods for correct participant positioning.

  • Understand the Consumables, Types of feeding, the main equipment components, and their function, for example, types of tubes, pump, feeding mechanism including gravity drip feed or syringe feed and refilling balloon of feed tube

  • Prepares for hygiene and infection control. PPE

  • Explore ways to enjoy mealtime and feeding, for example, timing, frequency, choice of environment and social company.

  • Demonstrated the safe administration of feeds and medication.

  • Supports the participant to maintain oral health.

Preparation skills & Knowledge

  • Monitors and records information required by the support plan.

  • Follows hygiene and infection control procedures including hand washing, clean environment, and wearing gloves.

  • Delivery of support in ways that are least intrusive or restrictive and that fit into the participant’s daily routines, preferences, and support plan.

  • This module will guide you to: sets up the water flush, assembles the feed, positions the tube, and introduces food.

  • Observes and regulates feeding including the rate, flow, and volume of formula.

  • Observes and takes action in response to feeding equipment alarms or malfunctions.

  • Take appropriate action when required such as in response to broken or displaced feeding tube, indicators of health-related complications or other high-risk indicators.

  • Understanding timing, frequency and type of support required.

  • Types and safe handling of formulas, including storage and preparation requirements.

  • Identifies common alarms and action required to deactivate alarms, and address issues such as a pump alarm associated with a kinked or blocked feed in the tube and dislodged tubes.

Review of outcomes

  • High risk indicators identification include coughing, vomiting and changes in bowel habits.

  • Health-related indicators such as unexpected weight gain or loss, dehydration, allergic reaction a wet cough, diarrhoea and constipation.

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