Tube feedings are a way to ensure proper nutrition for a person who can not get proper nutrition in the usual way. Feeding tubes are also placed in people who can not swallow or have difficulty swallowing, and are at risk of aspirating food or liquid they try to swallow. Ending the use of the feeding tube can be as simple as just stop feeding if it is no longer necessary, but individuals with swallowing difficulties may require extensive training in proper techniques on how to swallow in a way that will prevent aspiration.
Ingestion assessment by a certified speech-language pathologist
. Food of a consistency recommended by swallowing evaluation.
Have a gulp evaluation done to determine if there is any risk of aspiration during swallowing process. The speech-language pathologist will determine what consistency the food eaten should be. With proper training in how to chew and swallow food, a person may be able to develop from thickened fluids back to good food in a short time. The speech-language pathologist may also recommend a set of exercises to strengthen swallowing muscles.
Learn about feeding tube is ready to be removed or need to be in place for supplemental feedings. Supplemental feedings may be necessary if the individual can not take in enough nutrition to support themselves during the transition back to normal eating. If the tube is no longer needed, remove the nasogastric tube by pulling it slowly out of the nasal passage. It may be more comfortable for the individual if he takes a deep breath and let it out slowly as the tube is removed. This expands the larynx and makes the pipe passes through much easier. ; If the feeder tube to be removed is a peg or button-style tube, it is recommended that it be surgically removed, under general anesthesia, because of the large mushroom-shaped retaining button which is in the stomach to keep it in place. Some doctors may remove the stick tube in his office by pulling it through the abdominal wall, without the benefit of anesthesia, but this can be very painful for the individual.
give individuals any food of the right consistency and monitor the person closely for signs of suffocation. The individual may only be able to tolerate a small amount of food during the first days of resuming normal eating, but the amount the individual can eat should increase as he gets used to eating again.
Tips and Warnings
that the individual sitting upright during meals and remain upright for at least 30 minutes after the food is eaten to prevent reflux (partially digested food are trying to back up through the esophagus).
Never attempt to stop tube feedings on a person without medical consent and a proper evaluation of a technician.