Description
By the end of the course, candidates will be able to:
- Discuss legal and professional responsibilities associated with performing gastrostomy care with local and national guidance
- Follow procedures for gaining consent and correct documentation
- Describe the anatomy of the digestive system
- List related terminology and explain their meanings
- List indications and contraindications for a gastrostomy
- Understand the need to manage health and safety risk
- Identify and discuss the range of available tubes and equipment
- Demonstrate practical ability in performing daily care and hygiene tasks, giving feeds and water flushes, administering medications
- Demonstrate practical ability in tube replacement and changing inflation balloon water (nurses only)
- Follow correct procedures for minimising infection
- Identify potential problems, describing how to prevent them and what actions are required should they occur
Course content
- Legal and professional considerations and responsibilities
- Consent for care and treatment
- Anatomy and physiology of the digestive system
- Malnutrition
- Enteral feeding and route options
- PEG definition and benefits of gastrostomy feeding
- The initial PEG procedure
- Indications and contra-indications
- Ethical issues
- Types of gastrostomy tubes
- Percutaneous Endoscopic Jejunostomy
- Gastrostomy Jejunostomy Tube
- Infection Prevention and Control
- Fixation plate and tube rotation
- Stoma care and observations
- Checking balloon volume
- Replacing a balloon gastrostomy tube
- Psychological consequences
- Feeding methods
- Nutritional feeds and supplements
- Dietitian
- Water flushes
- Administering a feed – procedure, positioning, problems
- Administering medications
- Complications
- Documentation
- Principles of Nursing Practice
