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Br J Community Nurs ; 29(4): 162-170, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38564442

RESUMO

Home enteral tube feeding (HEF) has many benefits and is largely safe practice. Some complications have historically required intervention in the acute setting, including traumatic displacement of feeding tubes (i.e. internal bumper/balloon removed intact), and evidence to support the safe replacement of these tubes in the community is lacking. To address this, a service enabling community homecare nurses (CHN) to replace traumatically displaced feeding tubes was designed and evaluated. Adult patients presenting with a traumatically displaced feeding tube over 29 months were included in the service evaluation. Baseline characteristics and outcomes at day 1, 7 and 6 months post-replacement were recorded. A total of 71 tube replacements were performed by CHNs in 60 patients. No clinical complications were recorded at any follow-up points. A simple cost analysis estimated savings of £235 754.40. These results suggest that nurse-led replacement of traumatically displaced feeding tubes in adults in the community is low-risk and offers potential cost savings.


Assuntos
Gastrostomia , Enfermeiras e Enfermeiros , Adulto , Humanos , Papel do Profissional de Enfermagem , Nutrição Enteral/métodos , Intubação Gastrointestinal
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