Must maintain nutritional status via tube feeding related to [inability to swallow/refusal to eat/low cal intake].

Description
Struggling with swallowing or ... Please Login or Join to access this information
Record Id
21
Code
00021
Downloads
122
References
Bailey, A., Coughlin, B., Griffin, L., & Hodges, A. (2019). Evidence-Based Practice: Management of Dysphagia in the Elderly. Researchgate. https://doi.org/10.13140/RG.2.2.11218.76483
Bruno, A. J., & Nicastro, L. A. (2022). Tube feeds: Indications, Types, and Complications. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK534877/

Outcomes

Collapse/Expand
Will be free of ... Please Login or Join to access this information
Description: Client will remain ... Please Login or Join to access this information
Rationale: Ensuring the client ... Please Login or Join to access this information
Record Id
112
Downloads
12,798
Evaluate in days
90
Evaluation Date
06/10/2026
Collapse/Expand
Will maintain a clean, ... Please Login or Join to access this information
Description: Client aims to ... Please Login or Join to access this information
Rationale: Maintaining a clean, ... Please Login or Join to access this information
Record Id
113
Downloads
12,798
Evaluate in days
90
Evaluation Date
06/10/2026
Outcome References
Canbaz Kabay, B., Ayhan, H., Argon, G., Gok Ahmetoglu, E., Miral, S., & Kaya, E. (2019). The Effect of Follow-Up by a Nurse on the Rate of Morbidity Related to Percutaneous Endoscopic Gastrostomy: A Randomized Controlled Trial. Journal of Parenteral and Enteral Nutrition, 43(1), 98-105. https://doi.org/10.1002/jpen.1201
Fordtran, J. S. (2021). Prevention of aspiration and other complications of tube feeding. Baylor University Medical Center Proceedings, 34(2), 204-207. https://doi.org/10.1080/08998280.2021.1935992
Salomé, G. M., de Almeida, S. A., Silveira, M. M. D., Trevisan, D. D., Mendonça, A. E., & de Gouveia Santos, V. L. C. (2017). Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Journal of Coloproctology, 37(1), 55-70.
Krouse, R., Grant, M., Ferrell, B., Dean, G., Nelson, R., & Chu, D. (2016). Quality of Life Outcomes in 599 Cancer and Non-Cancer Patients with Colostomies. Journal of Surgical Research, 102(2), 111-118

Actions

Collapse/Expand
Check residual every shift ... Please Login or Join to access this information
Description: Calls for monitoring ... Please Login or Join to access this information
Rationale: Checking residual during ... Please Login or Join to access this information
Record Id
1076
Downloads
21,107
Collapse/Expand
Discard continuous enteral feeding ... Please Login or Join to access this information
Description: Involves replacing containers ... Please Login or Join to access this information
Rationale: Discarding enteral feeding ... Please Login or Join to access this information
Record Id
1078
Downloads
21,107
Collapse/Expand
Elevate HOB during bolus ... Please Login or Join to access this information
Description: Involves raising the ... Please Login or Join to access this information
Rationale: Elevating the head ... Please Login or Join to access this information
Record Id
1070
Downloads
21,107
Collapse/Expand
Irrigate tube every 4-6 ... Please Login or Join to access this information
Description: Involves cleaning a ... Please Login or Join to access this information
Rationale: Irrigating the tube ... Please Login or Join to access this information
Record Id
1072
Downloads
21,107
Collapse/Expand
Keep HOB elevated at ... Please Login or Join to access this information
Description: Involves consistently maintaining ... Please Login or Join to access this information
Rationale: Elevating the HOB ... Please Login or Join to access this information
Record Id
1071
Downloads
21,107
Collapse/Expand
Monitor fluid and electrolyte ... Please Login or Join to access this information
Description: Oversee client's fluid ... Please Login or Join to access this information
Rationale: This task ensures ... Please Login or Join to access this information
Record Id
1069
Downloads
21,107
Collapse/Expand
Monitor for presence of ... Please Login or Join to access this information
Description: Entails observing and ... Please Login or Join to access this information
Rationale: Monitoring bowel sounds ... Please Login or Join to access this information
Record Id
1068
Downloads
21,107
Collapse/Expand
Monitor for proper placement ... Please Login or Join to access this information
Description: Involves observing the ... Please Login or Join to access this information
Rationale: Ensuring correct tube ... Please Login or Join to access this information
Record Id
1067
Downloads
21,107
Collapse/Expand
Monitor for sensation of ... Please Login or Join to access this information
Description: Involves observing the ... Please Login or Join to access this information
Rationale: Monitoring these symptoms ... Please Login or Join to access this information
Record Id
1075
Downloads
21,107
Collapse/Expand
Monitor pump rate hourly ... Please Login or Join to access this information
Description: Refers to the ... Please Login or Join to access this information
Rationale: Keeping a regular ... Please Login or Join to access this information
Record Id
1074
Downloads
21,107
Collapse/Expand
Secure N/G tube with ... Please Login or Join to access this information
Description: Involves fastening the ... Please Login or Join to access this information
Rationale: Securing the N/G ... Please Login or Join to access this information
Record Id
1066
Downloads
21,107
Collapse/Expand
Use clean technique in ... Please Login or Join to access this information
Description: Involves sanitizing the ... Please Login or Join to access this information
Rationale: Using a clean ... Please Login or Join to access this information
Record Id
1073
Downloads
21,107
Collapse/Expand
Monitor I&O Q shift ... Please Login or Join to access this information
Description: Implies regularly tracking ... Please Login or Join to access this information
Rationale: Monitoring input and ... Please Login or Join to access this information
Record Id
82
Downloads
21,107
Collapse/Expand
Change dressing per doctor's ... Please Login or Join to access this information
Description: Involves updating a ... Please Login or Join to access this information
Rationale: Changing dressing as ... Please Login or Join to access this information
Record Id
1045
Downloads
21,107
Collapse/Expand
Change N/G tube, PEG ... Please Login or Join to access this information
Description: Involves replacing nasogastric ... Please Login or Join to access this information
Rationale: Changing N/G or ... Please Login or Join to access this information
Record Id
1853
Downloads
21,107
Collapse/Expand
Clean stoma site as ... Please Login or Join to access this information
Description: Involves cleaning the ... Please Login or Join to access this information
Rationale: Maintaining stoma cleanliness ... Please Login or Join to access this information
Record Id
1854
Downloads
21,107
Collapse/Expand
Monitor bowel movements Q/shift. ... Please Login or Join to access this information
Description: Involves tracking the ... Please Login or Join to access this information
Rationale: Monitoring bowel movements ... Please Login or Join to access this information
Record Id
823
Downloads
21,107
Action References
Balduzzi, S., Rücker, G., & Schwarzer, G. (2016). How to perform a meta-analysis with R: a practical tutorial. Evidence-based mental health, 22(4), 153-160.
Nathan, M. J. & Wagner Alibali, M. (2017). Gesture’s Role in Speaking, Learning, and Creating Language. Annual Review of Psychology, 68, 507-30.
Marquis, B. L., & Huston, C. J. (2019). Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins.
Arnold, E. C., & Boggs, K. U. (2018). Interpersonal relationships: Professional communication skills for nurses. Elsevier Health Sciences.
Reeve, K. L., Shumaker, C. J., Yearwood, E. L., Crowell, N. A., & Riley, J. B. (2017). Perceived stress and social support in undergraduate nursing students'' educational experiences. Nurse Education Today, 51, 28-33. doi:10.1016/j.nedt.2016.11. 010
Chick, N., & Meleis, A. I. (2021). Transitions theory: Middle range and situation specific theories in nursing research and practice. Springer Publishing Company.
Schoberer, D., Leino-Kilpi, H., Breimaier, H., Halfens, R. J., Lohrmann, C. (2018). Educational interventions to empower nursing home residents: A systematic literature review. Clinical Interventions in Aging, 13, 381-394. https://doi.org/10.2147/CIA.S140994
Reynolds, J., Griffiths, C., Cunningham, C., Bennett, M., & Hallett, N. (2019). Pain and self-management: An exploratory study of the process of responding to chronic pain in an elderly population. International Journal of Older People Nursing, 14, e12229. https://doi.org/10.1111/opn.12229
Mather, M. A., & Bakas, T. (2018). Nursing Interventions to Improve the Health of Men with Prostate Cancer Undergoing Radiotherapy: A Review. Oncology Nursing Forum, 45(3), 414-424. https://doi.org/10.1188/18.ONF.414-424
Shear, M. K., & Ghesquiere, A. (2021). Clinical interventions for bereavement-related depression and complicated grief. https://doi.org/10.1097/HRP.0000000000000341
Blackwood, B., Albarran, J. W., & Ringdal, M. (2019). Enhancing empowerment and leadership among student nurses in clinical practice: a participatory action research. Nurse Education Today, 79, 50-56.
Rose, C., & Nies, M. A. (2017). Independence, Autonomy, and Self Efficacy in the Elderly Population: A Review of the Literature. Journal of Aging and Gerontology, 5(1), 1-7.
Östman, M., & Ung, E. J. (2017). The importance of patient involvement in stroke rehabilitation. PLoS one, 12(6), e0178492. doi:10.1371/journal.pone.0178492
Nice, F., Bennett, P., & Neville, B. (2020). Family-guided care in the ICU: A practical, evidence-based approach. Nursing in critical care, 25(1), 36-43. doi:10.1111/nicc.12482
Jefferies, D., Johnson, M., & Griffiths, R. (2018). A meta-study of the essentials of quality nursing documentation. International Journal of Nursing Practice, 24(2). https://doi.org/10.1111/ijn.12654
Tzeng, H.-M., & Yin, C.-Y. (2017). Nurses’ solutions to prevent patient falls in hospital patient rooms: an exploratory descriptive study. International Journal of Nursing Sciences, 4(1), 40-45. https://doi.org/10.1016/j.ijnss.2017.01.007
The Joanna Briggs Institute. (2018). Management of peripheral intravenous catheters: Maintaining patency and preventing complications within the emergency department (Best Practice 4). https://joannabriggs.org/sites/default/files/2022-01/Care%20of%20indwelling%20devices_BG_ED_2018.pdf#page=12
Hignett, S., Edmunds Otter, M., & Keen, C. (2016). Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings: A systematic review. International journal of nursing studies, 59, 1-14. https://doi.org/10.1016/j.ijnurstu.2016.02.015