[Dysphagia] Hydration

[eripley at yahoo.com (Irene Campbell-Taylor)]

I am posting this without identifying the source as it was a personal communication but as an example of the profound ignorance I run into all the time (this is not an isolated case) I must show it - the ignorance I refer to is on the part of the RN - and many MDs - not the original sender!
   
  "A case manager/RN for the home health care agency stated that hypodermoclysis is seldom used because so many patients have difficulty with circulation...can't quite get a vein. Also said it is "old usage" when IV wasn't available, and now G-tubes so easily placed, that is what's being done most frequently".
   
  I find it scary that an RN either is so uninformed as to make up something rather than admit he/she doesn't know anything about it or - worse - doesn't know the difference between IV and subcutaneous! And a G-tube for hydration? Give me strength.


Dr I Campbell-Taylor
Clinical Neuroscientist
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