Making sense of percutaneous endoscopic gastrostomy

Article Abstract:

Patients who need long term enternal nutrition may undergo a percutaneous endoscopic gastrostomy (PEG) procedure. Tubes may be sutured into position or positioned via a collapsable retention balloon. Endoscopy is difficult to achieve where there is previous gastric surgery or oesophageal obstruction. Gastrostomy feeding may be necessary for patients who need supplementary feeding, who are unable to feed orally or who are dysphagic. Dressings are not usually applied unless the stoma leaks. Tubes can remain in position for as long as two years. The care and technique of PEG is examined.

Methods, Endoscopic surgery

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Multidisciplinary bedside notes: an experiment in care

Article Abstract:

A multidisciplinary medical record system was established in an acute elderly care ward. The new system involved a new medical notes folder for each new patient with all members of the multidisciplinary team encourage to contribute. The folders were made available at the foot of the patient's bed so that all disciplines could approach the patient more frequently. To overcome the problems of confidentiality, a confidentiality statement was placed at the front of the folder.

Medical records, Access control

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A multidisciplinary PEG service and the nurse specialist

Article Abstract:

The work of the percutaneous endoscopic gastrostomy (PEG) advisory team at the Royal Victoria Infirmary in Newcastle, England, is discussed. It has been found that the outpatient environment is very suitable for following up many PEG patients, with an estimated two-thirds of PEG follow-up patients attending the outpatient clinic.

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