Stroke: Ineffective tube securement reduces nutrition and drug treatment

Taylor, Stephen J.; Brazier, Sophie; Allan, Kaylee; Clemente, Rowan; Toher, Deirdre

Abstract

© 2017 MA Healthcare Ltd. Stroke patients with dysphagia often depend on nutrition, hydration and medication via nasogastric (NG) feeding tubes. Securing tubes using tape is associated with repeated tube loss. In this study, the authors determined cause and effect by auditing tube placement methods, delays incurred, duration and costs. Of 202 NG tube placements in 75 patients, 67 placements occurred in 17 patients over a full course of enteral nutrition (EN) and 40 of these placements were tracked. Tubes were secured by tape in 100%, mittens 31% and special observation 5.4%. However, over an EN course, inadvertent tube loss occurred in 82% of patients and was associated with age (p=0.049) and mitten use (p

Citation

Taylor, S. J., Brazier, S., Allan, K., Clemente, R., & Toher, D. (2017). Stroke: Ineffective tube securement reduces nutrition and drug treatment. British Journal of Nursing, 26(12), 656-663. https://doi.org/10.12968/bjon.2017.26.12.656

• Journal Article Type: Article
• Acceptance Date: May 1, 2017
• Online Publication Date: Jun 22, 2017
• Publication Date: Jun 22, 2017
• Deposit Date: Jul 6, 2017
• Publicly Available Date: Aug 1, 2017
• Journal: British Journal of Nursing
• Print ISSN: 0966-0461
• Publisher: MA Healthcare
• Peer Reviewed: Peer Reviewed
• Volume: 26
• Issue: 12
• Pages: 656-663
• DOI: https://doi.org/10.12968/bjon.2017.26.12.656
• Keywords: enteral nutrition, delay, drugs, tube securement
• Public URL: https://uwe-repository.worktribe.com/output/885652
• Publisher URL: http://dx.doi.org/10.12968/bjon.2017.26.12.656