Level 2 PEG Feeding Training
What does PEG feeding stand for?
Percutaneous - through the skin
Endoscopic - the use of endoscope to insert tube into stomach
Gastrostomy - opening in the stomach
In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel).
Endoscopy is a nonsurgical procedure used to examine a person's digestive tract. A gastrostomy is a hole (stoma), from the skin into the stomach. A PEG feeding device is put in the stoma so that the child can have a liquid feed, water or medication straight into the stomach.
An operation is needed to make the stoma and to place the feeding device into the stomach. In general medicine, enteral nutrition or drug administration (Greek enteros , "intestine") is feeding or drug administration by the digestion process of a gastrointestinal (GI) tract, such as the human gastrointestinal tract by using PEG feeding.
PEG Feeding Key Terms
Aspiration - food or fluid entering the lungs
Bolus feed - measured amount of feed and water given via PEG tube over 15 – 20 minutes
Connector - pointed end on the giving or pump set that attaches to the end of the PEG tube
Continuous feeding - via the PEG over night or throughout the day using a pump
Feed - food for special medical purposes for use under medical supervision Gastrostomy or Percutaneous
Endoscopic Gastrostomy (PEG) - The tube that goes into the stomach which is used to feed the person
Giving set or pump set- tubing that goes with the feeding set
Granulation tissue pinkish red, slightly raised ring of newly growing healthy skin around the stoma
Intermittent feeding- feeds are given a number of times during the day using a pump
Low profile tube or button tube - A gastrostomy tube that sits flush to the skin on the abdomen
What is Enteral PEG Feeding?
Enteral feeding refers to the delivery of a nutritionally complete feed, containing protein, carbohydrate, fat, water, minerals and vitamins, directly into the stomach, duodenum or jejunum It is considered for malnourished patients or those at risk of malnutrition It can be short term or long term
What is the Digestive System?
The digestive system also known as digestive tract is a series of hollow organs joined in a long, twisting tube from the mouth to anus Other organs also help the body break down and absorb food The mucosa, which is a lining within the digestive tract, contains tiny glands that produce juices to help digest food/water The digestive tract also contains a layer of smooth muscle that helps break down food by churning and moves it along the tract
Feed preparations
Various nutritionally complete prepackaged feeds are available for PEG feeding: Standard enteral feeds: These contain all the carbohydrate, protein, fat, water, electrolytes, micronutrients (vitamins and trace elements) and fibre required by a stable patient.
'Predigested' feeds: These contain nitrogen as short peptides or free amino acids and aim to improve nutrient absorption in the presence of pancreatic insufficiency or inflammatory bowel disease. The fibre content of feeds is variable and some are supplemented with vitamin K, which may interact with other medications.
Nutrients such as glutamine, arginine and essential omega-3 fatty acids are able to modulate immune function. Enteral immunonutrition may decrease major infectious complications and length of hospital stay in surgical and some critically ill patients. Further research is on-going
What do learners receive?
· Course notes
· Certificate
Course Length
6 Hours
Number of attendees
Attendees minimum 6 to maximum 15
Availability
This training course is available as in-house training at a venue of your own choice throughout the UK.
Certification
All delegates will receive an Advantage accredited certificate.