i guess is can just document a real life experience i had where mom blends regular food into puree and mixes it with liquids,and she gives it through the gt.
Supervisor said nothing we can do. in this case kid is 24 yrs old.
A crusty old bat nurse (I mean that in the most loving and respectful way) once told me that back in the good old days, before tube feedings were readily available, tube fed patients did get the same food as everyone else. There was a blender in the med room, and the nurse took everything from the dinner tray - even the coffee and dessert! - and dumped it into the blender. Voila! Tube feeds.
When you think about it, the food does the same thing once it's in the stomach, whether it gets there via swallowing and peristalsis, or being pushed, dripped, or pumped in via a tube.
Yes, normal kids i see no problems with parents giving otc meds to their kids.
The issue for me i guess is with "non normal kids".
I had a med error once where Mom did not tell me that she gave the kid ibuprofen an hr before my shift and i gave it again.
I did not know until i gave her reportat end of shift(she leaves 5 minutes after i arrive)
My old agency did require parents to sign the Mars to avoid confusion.
Point is understood.
i guess is can just document a real life experience i had where mom blends regular food into puree and mixes it with liquids,and she gives it through the gt.
Supervisor said nothing we can do. in this case kid is 24 yrs old.
I'm not understanding what the issue is with that either. If it's blended to a consistency that doesn't clog the GT, why is it a problem? The patient is being fed. What Mom's doing may, in fact, give the patient a better variety of Nutrition than the standard formulas that most GT fed patients get.
Specializes in Complex pedi to LTC/SA & now a manager.
When the child is in the parent's home the parent may give OTC medications and supplements as they prefer.
The 24 year old still qualifies as the parent's child, especially if they are developmentally delayed.
Funny that we would be concerned about providing actual real food rather than a canned pharmaceutical product for nutrition through a GT.
I currently have 3 pediatric patients on a blended diet via GT. Cincinnati Children's have an evidenced based protocol for the puréed by g-tube diet (PBGT) especially for chronic vomiting, failed fundoplication, intolerance of commercial formula, and/or failure to thrive.
Based on the stools (frequent to constant foul-smelling liquid stools) and nausea that result from adult ICU pts' tubefeeds, I'm thinking a blended diet would be a lot easier on little tummies. The reason for the tubefeeds is b/c the pts can't take their meals po, right? If they were sick but able to chew and swallow, they would be eating the meals their parents cooked for them, right? Like PP's I don't see any problem w/ that as long as the consistency is thin enough to not clog the G tube.
I'm not understanding what the issue is with that either. If it's blended to a consistency that doesn't clog the GT, why is it a problem? The patient is being fed. What Mom's doing may, in fact, give the patient a better variety of Nutrition than the standard formulas that most GT fed patients get.
I guess you are right,but she does this in addition to his regular tube feedings.
He has been hospitalized often as he gets pneumonia frequently.
The main nurse on that case thinks he is aspirating from too much feedings,
The 24 yr old has gained a large amount of weight from those foods too.
Delicate Flower
207 Posts
A crusty old bat nurse (I mean that in the most loving and respectful way) once told me that back in the good old days, before tube feedings were readily available, tube fed patients did get the same food as everyone else. There was a blender in the med room, and the nurse took everything from the dinner tray - even the coffee and dessert! - and dumped it into the blender. Voila! Tube feeds.
When you think about it, the food does the same thing once it's in the stomach, whether it gets there via swallowing and peristalsis, or being pushed, dripped, or pumped in via a tube.