Tube feedings: To pause or not to pause?

Nursing Students Student Assist

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Good evening!

I am working on a research paper for my Honor's program at my school. My topic is about patient positioning and pausing during enteral feedings.

For quite some time, it has been believed that when performing basic patient care that only take a few minutes, the enteral tube feedings should be paused to prevent aspiration. According to new evidence based research, pausing these feedings may be counterproductive and may actually contribute to the patient becoming malnourished.

I am still working on my research, but I would like some help from some experienced nurses if possible! This is a quick survey with some basic questions to help me with my research paper. Please take a couple of minutes to fill it out!

[h=4]1. When providing basic patient care (turning, perineal care, dressing change, etc), I always pause the patient's parenteral nutrition.[/h]True

False

[h=4]2. On average, in the last 3 months, I have forgotten to restart the parenteral nutrition...[/h]1-3 times

3-6 times

Never

[h=4]3. I pause the parenteral position when providing quick patient care because[/h]my hospital policy mandate us to do so.

it is the way I was taught in nursing school.

it is the way I have been doing it for years.

not sure.

[h=4]4. I'm aware that there is new evidence based research that says pausing tube feedings when providing basic patient care is not necessary.[/h]No

Yes

I have heard, but not looked into it

[h=4]5. I would stop pausing tube feedings for brief periods of time when providing basic patient care if evidence based research showed it was counterproductive.[/h]Absolutely.

No. One must always pause tube feedings.

Maybe. It would be a difficult adjustment, but I would try.

Also, feel free to share your thoughts on this matter!

Thank you so much for your time! :)

Specializes in Complex pedi to LTC/SA & now a manager.
We've had many patients in the last year have tube feed aspiration because their HOB was 30 (and for those patients who slump >45). Constant reinforcement for the families is also required

Response..

How can you be sure that is why they aspirated? Could it be the families slipping them drinks and food they aren't capable of swallowing properly or aspirating on the saliva they also can't swallow? Maybe you are assuming it is the tube feed because they were always taught that is what it must be when in fact it isn't really possible when the patient is tolerating the feeds? Something to think about. I have a gut feeling it isn't necessary to keep at 30 or more all the time. too busy to look into it right now. in the meanwhile I will keep at 30. we switch to bolus feedings when it becomes a problem and I think the little extra work is worth it sometimes.

good luck with your paper. I would love to read it

Considering the original oster poster hasn't been back since November 2016 I would hope the paper has been completed and graded by now. But good info

Considering the original oster poster hasn't been back since November 2016 I would hope the paper has been completed and graded by now. But good info

I was thinking the same thing.

Specializes in PICU, Sedation/Radiology, PACU.

But how did this thread progress two years ago without someone pointing out to the OP that "parenteral nutrition" is given intravenously?

Specializes in Complex pedi to LTC/SA & now a manager.
But how did this thread progress two years ago without someone pointing out to the OP that "parenteral nutrition" is given intravenously?

I thought the same but my letter P isn't working nice. Enteral is GT JT NGT NDT NJT GJT

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