REFLECTIVE ESSAY ON PEG FEEDING
This essay discusses a clinical skill in which I have become competent during my placement in care home. I will use a reflective model to discuss how I achieved the necessary level of competence. Reflection can make a sense of the familiar and taken for granted situations and is an important human activity, in which people capture their experience, think about it and evaluate it (Driscoll, 1994). Here I have used the Gibbs model of reflection which includes description, feeling, evaluation, analysis, conclusion and action plan of a learning experience (Gibbs 1988). The clinical skill I have learned is PEG feeding. Percutanious endoscopic gastrostomy (PEG) feeding introduced into clinical practice in 1980, is now established as an effective way of providing internal feeding to patients who have functionally normal gastro intestinal tract but who cannot meet their nutritional needs because of inadequate oral intake (kurien M, 2010). It is mainly used when an individual is unable to maintain nutrition by eating or drinking. Today, an increasing number of patients cared for at hospital or at home have Percutanious gastrostomy feeding tubes (Jones et al, 2006). Dysphagia is the most common reason for initiating gastrostomy tube feeding commonly as a result of cerebro vascular accident, multiple sclerosis, motor neurone disease and cerebral trauma (Parker et al, 2006). There are two types of peg tubes, those that last 18 months to two years and balloon retained gastrostomy tubes which require replacement every 2-3 months (Collier, 2007). One of the most important responsibilities whilst PEG feeding is flushing the tube correctly with water after a feed or medication. Description
During my training in the care home, we have a resident who has a PEG feed. He suffers from Huntington’s disease. Since it is a congenital motor neural disorder, he is at high risk of aspirating oral foods due to the involuntary movements whilst...
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