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[Dysphagia] turn off feeding???
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I would suggest letting the dietitians make those recommendations since =
we (SLPs, OTs) don't really know how high a person's nutritional and =
hydration needs are and we are not able to determine how much of that =
the person will lose during that time. Nutrition is so very important to =
recovery from any medical problems that I am careful not to put a =
person's nutritional status at risk.
You may run across patients who have reflux issues and can't handle it. =
You will also run across many patients (at least I have) who eat just =
fine with a continuous TF. For example, some patients with major wound =
issues have nutritional needs which are so far above what a person could =
consume orally in a day. If their needs are not met then their wounds =
will not heal. They often tolerate continuous TF and still eat a normal =
amount of food. If some patients can tolerate and some can not, then it =
would not make sense to me to have a blanket recommendation for all =
patients either way. So, I let the dietitians deal with those issues =
since they are the experts.
----- Original Message -----=20
From: Ron McClanahan=20
To: dyspha=20
Sent: Saturday, March 08, 2003 3:52 AMSubject: [Dysphagia] turn off =
feeding???
I was wondering if one should turn off the feeding during oral feeding =
of a patient...I have always requested this especially since one patient =
regurgitated .... would like to know if there is a physiologically-sound =
reason or just a coincidence...usually I request turning off the machine =
1 hr prior and post to oral feeding....thank you....spkez
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<DIV><FONT face=3D"Times New Roman">I would suggest letting the =
dietitians make=20
those recommendations since we (SLPs, OTs) don't really know how high a =
person's=20
nutritional and hydration needs are and we are not able to determine how =
much of=20
that the person will lose during that time. Nutrition is so very =
important to=20
recovery from any medical problems that I am careful not to put a =
person's=20
nutritional status at risk.</FONT></DIV>
<DIV><FONT face=3D"Times New Roman"></FONT> </DIV>
<DIV><FONT face=3D"Times New Roman">You may run across patients who have =
reflux=20
issues and can't handle it. You will also run across many patients (at =
least I=20
have) who eat just fine with a continuous TF. For example, some =
patients=20
with major wound issues have nutritional needs which are so far above =
what a=20
person could consume orally in a day. If their needs are not met =
then their=20
wounds will not heal. They often tolerate continuous TF and still =
eat a=20
normal amount of food. If some patients can tolerate and some can not, =
then it=20
would not make sense to me to have a blanket recommendation for all =
patients=20
either way. So, I let the dietitians deal with those issues since they =
are the=20
experts.</FONT></DIV>
<DIV><FONT face=3D"Times New Roman"></FONT> </DIV>
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<DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV style=3D"FONT: 10pt arial"><B>From:</B> <A =
title=3Drmcclana@kvmo.net=20
href=3D"mailto:rmcclana@kvmo.net";>Ron McClanahan</A> </DIV>
<DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Ddysphagia@medonline.com=20
href=3D"mailto:dysphagia@medonline.com";>dyspha</A> </DIV>
<DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Saturday, March 08, 2003 =
3:52=20
AM<B>Subject:</B> [Dysphagia] turn off feeding???</DIV>
<DIV><BR></DIV>
<DIV>
<DIV><FONT face=3DArial size=3D2>I was wondering if one should turn =
off the=20
feeding during oral feeding of a patient...I have always requested =
this=20
especially since one patient regurgitated .... would like to know if =
there is=20
a physiologically-sound reason or just a coincidence...usually I =
request=20
turning off the machine 1 hr prior and post to oral feeding....thank=20
you....spkez</FONT></DIV></DIV></BLOCKQUOTE></BODY></HTML>
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