Information about PEG Feeding: Making the Decision - Northern Lincolnshire and Goole ...
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Information for patients and visitors Information about PEG Feeding: Making the Decision For patients and their relatives, carers and friends Adult Speech & Language Therapy and Nutrition & Dietetics Community & Therapy Services This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that you may have.
Information for patients and visitors
Introduction
It has been suggested you have a PEG tube
inserted. This leaflet aims to give you
information about PEG feeding to enable you
to decide whether or not to have a PEG tube
inserted.
It contains the following information:
What is a PEG?
Why do I need a PEG tube?
How is a PEG inserted?
What are the risks of the procedure?
What are the benefits of having a PEG
tube?
How is food and drink delivered through
the tube? Why do I need a PEG tube?
Problems that can occur A PEG tube is often recommended for
people who are unable to get all the food and
Making the decision fluids they need from eating and drinking
Further information and support normally. This may be for a number of
reasons, including:
It’s Your Decision! You may find eating and drinking very slow
You do not have to make the decision to and effortful or may have a poor appetite and
have a PEG tube entirely on your own. The cannot eat enough to keep you healthy.
medical, nursing and therapy team are Your Dietitian can talk to you about this.
available for you to discuss any concerns
you may have, and this leaflet also aims to
answer some common questions about PEG
feeding, but ultimately it is up to you to
decide if it is the right thing for you.
What is a PEG?
A PEG tube is a feeding tube inserted
directly into the stomach through the
abdomen wall. It allows you to receive
water, liquid feed and medication without
having to chew or swallow.
Information for patients and visitors
You may have an impaired swallow which passed through your mouth, into the
means that food and fluid often goes down back of your throat and down into your
the ‘wrong way’. This may cause you to stomach
cough or choke, and leaves you at high risk
A small cut is made in the skin on your
of developing chest infections or pneumonia
abdomen and the PEG is inserted
which can be a very serious illness. Your
Speech & Language Therapist can talk to Finally, a dressing will be placed over the
you about this. site. The whole procedure usually takes
around 15-20 minutes from start to finish
You will stay in the endoscopy recovery
area for approximately 1 hour
The Upper GI Nurse has more
information about this
How is a PEG tube inserted?
The procedure will take place in the
endoscopy unit in the hospital
You must not have anything to eat or
drink for 6 hours before the procedure.
Any tube feeding will also be stopped if
you are receiving this
Antibiotics will be given to stop the risk of
infection
You will be given sedation medication to
make you drowsy and relaxed. This is
not a general anaesthetic
You will be given a local anaesthetic to
numb the area on your stomach where
the tube will be inserted
An endoscope (a flexible tube with a light
and a camera at one end) will then beInformation for patients and visitors
What are the risks of the How is food and drink delivered
procedure? through the tube?
Having a PEG tube inserted is a relatively Your Dietitian will recommend a special liquid
low risk procedure. However, as with any feed that contains all the nutrients you need
medical intervention, some risks do exist: (e.g. calories, protein, fat, minerals,
vitamins). The feed can be given via a pump
You will be sedated during the procedure
or a syringe attached to the tube. It is
and the sedatives used could affect your
important not to put anything down the tube
breathing
that has not been recommended as this
While inserting the tube, there is a small could cause the tube to become blocked.
but serious risk of perforating the bowel
or causing internal bleeding
During the procedure there is a small risk
of aspirating fluid into the lungs which
could cause a chest infection
To minimise these risks, you will be fully
assessed for your suitability before the
procedure and carefully monitored
throughout. The Upper GI Nurse will be able
to give you more information
What are the benefits of having a
PEG tube?
Having a PEG tube means that you can get
enough food and fluids without the need to
chew or swallow. You can also have all your
medication put through the tube if necessary.
If you are finding eating and drinking very
tiring, or if you are unable to swallow safely,
a PEG tube can ensure that you get good
nutrition and hydration. This may:
Improve your feelings of well-being
Help your body to fight infection
Give you the stamina you may need to
participate in your rehabilitation activities
Your Dietitian and members of the therapy
team will be able to give you more
information about this.Information for patients and visitors
Problems that can occur Further Information and Support
Some of the problems people may encounter You may find some useful information on the
with PEG tubes include: PINNT (Patients on Intravenous and
Nasogastric Nutrition Therapy) support group
Tube blockage
website:
Infection at the PEG site www.pinnt.com
Leaking
Contact Details for Further
Displacement Information
Diarrhoea Adult Speech and Language Therapy –
Constipation Grimsby 01472 875405
Scunthorpe acute team 01724 290043
Nausea Scunthorpe community team 01724 203751
Vomiting Nutrition and Dietetics –
Your Dietitian and Upper GI Nurse will advise Grimsby 01472 875218
you on how to deal with these problems and Scunthorpe acute team 01724 290043
who to contact should they occur. Scunthorpe community team 01724 203751
Making the Decision Concerns and Queries
Hopefully, you now have the information you If you have any concerns / queries about any
need to help you make the decision about of the services offered by the Trust, in the
whether a PEG tube is the right thing for you first instance, please speak to the person
or not. If you have any further questions, or providing your care.
concerns you wish to discuss, you and your For Diana, Princess of Wales Hospital
relatives are welcome to talk to one of your
care team at any time. This includes: Alternatively you can contact the Patient
Advice and Liaison Service (PALS) on
Doctors (01472) 875403 or at the PALS office which
Ward / community Nurses is situated near the main entrance.
Physiotherapists For Scunthorpe General Hospital
Occupational Therapists Alternatively you can contact the Patient
Advice and Liaison Service (PALS) on
Speech & Language Therapists (01724) 290132 or at the PALS office which
Dietitians situated on C Floor.
Alternatively you can email:
Upper GI Nurse
nlg-tr.PALS@nhs.net
There is also a further leaflet related to this
one containing ‘frequently asked questions’.Information for patients and visitors
Confidentiality Risk Management Strategy
Information on NHS patients is collected in a The Trust welcomes comments and
variety of ways and for a variety of reasons suggestions from patients and visitors that
(e.g. providing care and treatment, managing could help to reduce risk.
and planning the NHS, training and Perhaps you have experienced something
educating staff, research etc.). whilst in hospital, whilst attending as an
Everyone working for the NHS has a legal outpatient or as a visitor and you felt at risk.
duty to keep information about you Please tell a member of staff on the ward or
confidential. Information will only ever be in the department you are attending / visiting.
shared with people who have a genuine
need for it (e.g. your GP or other
Moving & Handling
professionals from whom you have been
receiving care) or if the law requires it, for The Trust operates a Minimal Lifting Policy,
example, to notify a birth. which in essence means patients are only
ever lifted by nursing staff in an emergency
Please be assured however that anyone who
situation.
receives information from us is also under a
legal duty to keep it confidential. Patients are always encouraged to help
themselves as much as possible when
Zero Tolerance - Violent, mobilising, and if unable to do so, equipment
Threatening and Abusive Behaviour may be used to assist in their safe transfer.
The Trust and its staff are committed to If you have any questions regarding moving
providing high quality care to patients within and handling of patients within the Trust,
the department. However, we wish to advise please speak to a member of staff in the
all patients / visitors that the following ward or department you are visiting.
inappropriate behaviour will not be tolerated:
Northern Lincolnshire and Goole NHS
Swearing Foundation Trust
Threatening / abusive behaviour Diana Princess of Wales Hospital
Scartho Road
Verbal / physical abuse
Grimsby
The Trust reserves the right to withdraw from 01472 874111
treating patients whom are threatening /
Scunthorpe General Hospital
abusive / violent and ensuring the removal of
Cliff Gardens
those persons from the premises.
Scunthorpe
All acts of criminal violence and aggression 01724 282282
will be notified to the Police immediately.
Goole & District Hospital
Woodland Avenue
Goole
01405 720720
www.nlg.nhs.ukInformation for patients and visitors Date of issue: February, 2016 Review Period: February, 2019 Author: Speech & Language Therapy / Nutrition and Dietetics IFP-883 © NLGFT 2016
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