User talk:Dquilliot

Tube feeding

Self-insertion of naso-gastric (NG) tube for home enteral nutrition Enteral tube feeding can be a source of discomfort, and reluctance from patients. Self-insertion of naso-gastric (NG) tube for home enteral nutrition may be efficacious and well tolerated in patients receiving enteral nutrition for chronic conditions (ref quilliot et al. JPEN 2013). At first, an educational diagnosis of spatial and temporal orientation, learning ability, sight and hearing capabilities, adequate housing condition, and personal hygiene is necessary. It includes instructions on indications and principles on EN. In a second step, a personalized therapeutic patient education (TPE) program with learning priorities is defined. Throughout this second step, patient education’s evaluation was based on acquisition of skills (preparation and administration of EN products, role of hydration, administering medications, related care of the NG tube. Finally, the implementation of skills and TPE into clinical practice is assessed: assessment on disease, treatment, hygiene, adaptability to a new situation, management and control of treatment and technical processes. The patient was given a booklet about self-insertion of naso-gastric tube, including information about the NG tube position, storage and administration conditions of EN, inventory of necessary equipment, steps of installation of EN products, screening for complications, conduct to adopt in case of adverse events, and contact information about nutrition medical staff. After a 3 day-hospitalization of TPE program, patients went back to home. Enteral nutrition products and materials necessary for home enteral nutrition are dispensed by services healthcare. They are followed by nurse’s phone calls. Patients were seen in outpatient at day 14 and day 30 and thereafter every 2 to 3 months. A detailed report was made each month by services healthcare to medical staff. Improvement in home activities, social activities, family relationship, physical well-being and mental well-being were the major benefits reported by patients. In addition, all patients were able to remove their feeding tubes for part of the day. Importantly, if patients had the choice between self-inserted NG tube and long-term NG tube, all of them would prefer self-insertion of NG tube. The partnership with the nursing staff of the hospital played an important part throughout the program. These patients would have preferred self-insertion of NG tube. Self-insertion of NG tube can only be achieved through a program of therapeutic education and after careful assessment of the patient's skills. It may be effective and well tolerated in patients who were eligible for this program and who require EN for home enteral nutrition. The benefits in terms of quality of life is obvious. <Self-Insertion of a Nasogastric Tube for Home Enteral Nutrition: A Pilot Study Didier Quilliot, Camille Zallot, Aurélie Malgras, Adeline Germain, Laurent Bresler, Ahmet Ayav, Marc-André Bigard, Laurent Peyrin-Biroulet, and Olivier Ziegler JPEN J Parenter Enteral Nutr, 0148607113502544, first published on October 18, 2013>

Welcome!

Hello, Dquilliot, and welcome to Wikipedia! Thank you for your contributions, especially what you did for Nasogastric intubation. I hope you like the place and decide to stay. Here are a few links to pages you might find helpful:

Please remember to sign your messages on talk pages by typing four tildes (~~~~); this will automatically insert your username and the date. If you need help, check out Wikipedia:Questions, ask me on my talk page, or ask your question on this page and then place {{help me}} before the question. Again, welcome! Blue Rasberry (talk) 19:27, 30 October 2013 (UTC)[reply]

I posted about changes I made to some content you added. Any response you have would be welcome. Blue Rasberry (talk) 19:30, 30 October 2013 (UTC)[reply]