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Gastrointestinal Nursing Care

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Caring for the Stoma, Caring for the Patient: Enterostomal Therapy Nursing

Overview:

Ostomy surgery is a life-changing event. It is the job and function of the healthcare professional caring for the post-ostomy patient to provide care for the stoma. However, the healthcare professional should also understand that he/she plays a pivotal role in helping the patient with overwhelming emotions that often go along with ostomy.

This course reviews the digestive system in brief and a few of the most frequently performed ostomies, the main medical conditions that may lead to an ostomy, post-operative and daily care for different ostomies. It also focuses on helping the patient prepare for discharge and life post-ostomy.

The purpose of this program is to provide nurses and others an understanding of the importance of providing patients with appropriate care of stoma following ostomy procedures and addressing both physical and emotional issues involved in living with a stoma in order to assist the patient's continuing care.

Objectives:

After watching this program viewers should be able to:

Define the terms "stoma" and "ostomy".
Describe the steps involved in caring for the stoma.
Define common ostomy procedures.
Describe the factors of a patient's self-care of his/her stoma.
Describe possible complications and irrigation technique.
Develop a list of problematic foods that can produce odor, gas and other intestinal ailments that can cause the post-ostomy patient pain and embarrassment.
Describe the types of sexual dysfunction both male and female ostomy patients may experience and suggest ways these patients may help themselves overcome some of these issues.

Common Feeding Tubes: Nasogastric Intubation

Series Overview:

Usually placed by a nurse, nasogastric tubes are found in a wide variety of clinical situations due to their versatility and ease of use for both diagnostic and therapeutic treatment of patients. In a similar way, the use of gastrostomy tubes for long term feeding and other treatments has become common and made the replacement of balloon gastrostomy tubes an increasingly routine nursing procedure.

To provide an understanding of nursing practices associated with these common feeding tubes, this series demonstrates the basic techniques for nasogastric intubation and the replacement of a balloon gastrostomy tube.

The programs in this series are:

M270A Common Feeding Tubes: Nasogastric Intubation
M270B Common Feeding Tubes: Replacement Balloon Gastrostomy Tubes

This series is designated for 1 contact hour of continuing nursing education.

Overview:

Placing a nasogastric tube is a critical skill for nurses providing care in many different care settings. Their use is often indicated for both diagnostic and therapeutic treatment of patients, including to assess and treat upper gastrointestinal tract bleeding, withdraw gastric contents for analysis, allow gastric lavage, to provide long- and short-term feeding, to administer medications, and for gastric decompression.

Objectives:

After completing this course, the learner should be able to:

Describe the different types of nasogastric tubes
List indications and contraindications for the use of nasogastric tubes
Describe the process of placing a nasogastric tube
Identify signs of respiratory distress indicating the tube has passed into the trachea
Describe three methods of verifying placement of the tube in the stomach
Explain the procedure for removing a nasogastric tube
List key items that must be documented when placing and removing a nasogastric tube

Common Feeding Tubes: Replacement Balloon Gastrostomy Tubes

Series Overview:

The programs in this series are:

M270A Common Feeding Tubes: Nasogastric Intubation
M270B Common Feeding Tubes: Replacement Balloon Gastrostomy Tubes

This series is designated for 1 contact hour of continuing nursing education.

Overview:

The increased use of gastrostomy tubes for long-term feeding and other treatments has made the replacement of balloon gastrostomy tubes an increasingly common nursing procedure. Nurses need to know the basic techniques for the care and replacement of balloon gastrostomy tubes to assist and ensure positive patient outcomes. The purpose of this course is to teach nurses and other qualified caregivers the basic techniques for the care and replacement of a balloon gastrostomy tube.

Objectives:

After completing this course, the learner should be able to:

List health conditions that commonly require use of a gastrostomy tube
Identify the key features of replacement balloon gastrostomy tubes
List steps required for proper care of all components of a balloon gastrostomy tube
Describe the use of a daily maintenance checklist for the gastrostomy tube, including checking the patient for pain, discomfort or pressure around the tube exit site
List supplies needed for replacement of a balloon gastrostomy tube
Describe the steps required for proper replacement of a balloon gastrostomy tube

Enteral Feeding Tubes: A Guide for Nurses Part 1: Tube Identification

Overview:

Advances in treatment and technology have made enteral feeding tubes common in a wide range of healthcare settings. As a result, familiarity with enteral feeding tubes and their use and care is a useful skill for all healthcare providers. To begin this process, this course identifies the various feeding tubes and their components.

Objectives:

After completing this course, the learner should be able to:

Describe gastrostomy tubes and their components
Describe jejunal tubes and their components
Describe nasogastric tubes and their components/ul>

Enteral Feeding Tubes: A Guide for Nurses Part 2: Administering Formula and Medication

Overview:

From acute care to long term care, enteral feeding tubes are found in a broad range of healthcare settings. Healthcare providers, from surgeons to nursing assistants, must be familiar with a wider variety of enteral feeding tubes than ever before. This second in a three-part series on enteral feeding tubes, focuses on administering formula and medication using the various types of tubes.

Objectives:

After completing this course, the learner should be able to:

Describe precautions to take when administering formula using enteral feeding tubes.
Describe and utilize the three different methods of administering feeding-tube formulas: bolus feeding, intermittent feeding and continuous feeding.
Explain the four ways to verify tube placement.
List the “five rights” of safe medication administration

Enteral Feeding Tubes: A Guide for Nurses Part 3: Daily Care and Troubleshooting

Series Overview:

Advances in treatment and technology have made enteral feeding tubes common in a wide range of healthcare settings. As a result, familiarity with enteral feeding tubes, and their use and care is useful skill for all healthcare providers.

This series provides the information nurses and other healthcare professionals need to identify various types of enteral feeding tubes, and demonstrates general guidelines and techniques for their care and use.

Overview:

Enteral feeding tubes technology has also brought more design and feature options, increasing the complexity of feeding tubes. As a result, familiarity with enteral feeding tubes, and their use and care, is a useful skill for all healthcare providers. This program presents general guidelines and techniques for care and troubleshooting procedures for enteral feeding tubes.

Objectives:

After completing this course, the learner should be able to:

List the steps required to properly clean and maintain various types of enteral feeding tubes.
Identify and address signs of irritation or infection at the tube entry/exit site.
List steps required to flush feeding tubes.
Describe how to perform weekly maintenance on the balloon of a balloon gastrostomy tube.
List the steps in the Daily Maintenance Checklist
Describe troubleshooting various problems that can occur with enteral feeding tubes, including patient distress, pain, tube leakage, dislodgment and clogging of tubes.

Nasogastric Intubation, Balloon Gastrostomy Tube Replacement

Product code: M140 Reviewed for accuracy: 2011

Overview:

Demonstrates the skills needed to perform a nasogastric intubation and place a replacement balloon gastrostomy tube. The indications and contraindications for a nasogastric intubation are discussed and the various types of nasogastric tubes are identified and described.

Nurses' Guide to Enteral Tube Feeding

Product code: M133

Overview:

Identifies and describes the usage and care of the major enteral feeding tube groups: gastrostomy tubes, jejunal tubes, and nasogastric feeding tubes. Proper formula and medication administration techniques are demonstrated with an emphasis on preventing tube clogs. Troubleshooting clogged tubes, excess leakage and other complications are shown.

Ostomy Care

Product code: M121

Overview:

Emphasizes the care of the ostomy patient while addressing patient's concerns, illustrating the relevant human anatomy, and providing live scenes of actual ostomy patients to demonstrate procedures.