Details

Care Plan Detail

Dependent on tube feeding for nutrition and hydration, and is at risk for aspiration, other complications related to tube feeding.

Description
Feed-tube dependency for nutrition ... Please Login or Join to access this information
Record Id
25
Code
00025
Downloads
105
References
Blumenstein, I., Shastri, Y. M., & Stein, J. (2017). Gastroenteric tube feeding: Techniques, problems and solutions. World Journal of Gastroenterology, 20(26), 8505-8524. doi:10.3748/wjg.v20.i26.8505.
Hessels, L., Szczesniak, R., Rice, J., Brokamp, C., & Tullis, K. (2021). Aspiration and Diverse Dietary Administration Routes in Clinical Care: a Serious Concern. Clinical nutrition (Edinburgh, Scotland), 40(6), 3293–3298. https://doi.org/10.1016/j.clnu.2020.06.024.

Outcomes

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Will maintain adequate nutrition ... Please Login or Join to access this information
Description: Client will sustain ... Please Login or Join to access this information
Rationale: Ensuring adequate nutrition ... Please Login or Join to access this information
Record Id
1501
Downloads
10,397
Evaluate in days
90
Evaluation Date
03/12/2026
Outcome References
Karagiannis, S., & Papathanasiou, I. V. (2021). Complications of enteral nutrition: An updated review on prevention, recognition and management. Archives of Medical Sciences - Civil Diseases, 6(1), e89-e97. doi:10.5114/amscd.2021.106270
Elia, M., & Stratton, R. J. (2018). Considerations for the optimal use of enteral tube feeding in adults: an updated review. Clinical Nutrition, 37(6), 2011–2016. doi:10.1016/j.clnu.2017.12.002

Actions

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Observe for signs/symptoms of ... Please Login or Join to access this information
Description: Involves monitoring the ... Please Login or Join to access this information
Rationale: Monitoring for aspiration ... Please Login or Join to access this information
Record Id
527
Downloads
14,540
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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
14,540
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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
14,540
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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
14,540
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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
14,540
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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
14,540
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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
14,540
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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
14,540
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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
14,540
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Administer tube feeding and ... Please Login or Join to access this information
Description: Involves the delivery ... Please Login or Join to access this information
Rationale: Tube feeding and ... Please Login or Join to access this information
Record Id
2281
Downloads
14,540
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Monitor weight per facility ... Please Login or Join to access this information
Description: Involves tracking and ... Please Login or Join to access this information
Rationale: Monitoring weight lets ... Please Login or Join to access this information
Record Id
2133
Downloads
14,540
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Observe, document, report to ... Please Login or Join to access this information
Description: Involves monitoring for ... Please Login or Join to access this information
Rationale: Monitoring, recording and ... Please Login or Join to access this information
Record Id
2282
Downloads
14,540
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Discuss with client, family ... Please Login or Join to access this information
Description: Involves discussing with ... Please Login or Join to access this information
Rationale: Discussing tube feeding ... Please Login or Join to access this information
Record Id
2283
Downloads
14,540
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ST eval and treatment ... Please Login or Join to access this information
Description: An assessment and ... Please Login or Join to access this information
Rationale: The client needs ... Please Login or Join to access this information
Record Id
2120
Downloads
14,540
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Provide alternate activities for ... Please Login or Join to access this information
Description: The plan involves ... Please Login or Join to access this information
Rationale: Avoiding food-related activities ... Please Login or Join to access this information
Record Id
2284
Downloads
14,540
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Provide local care to ... Please Login or Join to access this information
Description: That involves undertaking ... Please Login or Join to access this information
Rationale: Providing localized care ... Please Login or Join to access this information
Record Id
2285
Downloads
14,540
Action References
Tjia, J., Mazor, K. M., Field, T., Meterko, V., Spenard, A., & Gurwitz, J. H. (2018). Nurse-Led Intervention to Improve Surrogate Decision Making for Patients With Advanced Critical Illness. Journal of Pain and Symptom Management, 56(6), 851–859. https://doi.org/10.1016/j.jpainsymman.2018.08.018
Day, J., Higgins, I., & Koch, T. (2017). The process of practice redesign in delirium care for hospitalised older people: A qualitative study. International Journal of Nursing Studies, 69, 60-70. https://doi.org/10.1016/j.ijnurstu.2017.01.014
Coyne, I., O''Neill, C., Murphy, M., Costello, T., & O''Shea, R. (2020). What does family-centred care mean to nurses and how do they think it could be enhanced in practice. Journal of Pediatric Nursing, 52, 7-14. https://doi.org/10.1016/j.pedn.2019.10.012
Adams, L. Y., & Maykut, C. A. (2018). Reframing emotions and thought processes in Cognitive Behaviour Therapy for psychosis: A case study. Archives of Psychiatric Nursing, 32(5), 749-755. https://doi.org/10.1016/j.apnu.2018.04.003
Lengel, M., & Cox, C. (2017). Engaging nursing home residents with food: The effect of communal dining activities on quality of life. Journal of Gerontological Nursing, 43(7), 42-49. https://doi.org/10.3928/00989134-20170222-01
Ellis, J., Wells, Y., & Ong, J. R. (2018). The role of the dining room in improving nutritional intake and quality of life in nursing homes. Journal of Aging and Health, 30(8), 1260-1277. https://doi.org/10.1177/0898264317703794
Bauer, M., Fitzgerald, L., Haesler, E., & Manfrin, M. (2018). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 27(17-18), 3182–3196. https://doi.org/10.1111/jocn.13420
Sångren, H., Reventlow, S., Hetmar, M., & Hvas, L. (2019). The involvement of supportive relatives in the hospital treatment of heart failure patients. European Journal of Cardiovascular Nursing, 18(1), 8-16. https://doi.org/10.1177/1474515118794785