Navigation Links
Tube versus IV feeding in malnourished pediatric cancer patients
Date:2/13/2013

About 60 percent of pediatric cancer patients experience malnourishment during treatment. At that point, patients and families have a choice: tube feeding or IV nutrition supplement. Which would you choose? A study published this week in the Journal of Pediatric Oncology Nursing shows that families' perceptions, especially of the discomfort of tube feeding, leads to choosing IV over tube despite the fact that tube feeding is usually the better choice, associated with better gut function and lower rates of infection.

"Despite the benefits of tube feeding, we found a strong preference among families and older pediatric patients for IV feeding," says Kitty Montgomery, MS, RN, PCNS-BC, CPHON, the study's senior author and pediatric clinical nurse specialist at Children's Hospital Colorado, a clinical care partner of the University of Colorado Cancer Center.

The study surveyed 49 parents and older pediatric cancer patients. Of 14 patients, all reported preferring IV feeding over tube feeding, for example saying, "I already had a port in for chemo, so we used that for TPN," and, "Tube feeding sounds disgusting and uncomfortable."

"When nutrition support is needed, most health care teams suggest tube-feeding first. Only, we tend to find resistance to the idea from parents or patients," Montgomery says. "This study shows us the reasons for those objections and we hope will help us learn to break down those barriers to the best method of support."

Parents of pediatric cancer patients were much more evenly split between preference for tube feeding (41 percent) and IV feeding (59 percent), with the parents who preferred tube feeding frequently citing information about the procedure given by the treatment team as the reason for their choice. For example, one parent said, "Tube feeding is helpful in giving meds and not as hard on the liver and keeps the digestive system working properly." Another parent who preferred tube feeding said they, "Chose tube feedings because it helped to keep digestive system active, making it easier to adjust back to food."

"This helps us tailor our message," says Montgomery. "We see now that the biggest barrier to tube feeding is perceived discomfort, so health care professionals may have better success with patients and parents by addressing that issue. What we need to do now is learn to translate these findings into action."


'/>"/>
Contact: Garth Sundem
garth.sundem@ucdenver.edu
University of Colorado Denver
Source:Eurekalert

Related medicine news :

1. PRT versus IMRT toxicity in Medicare beneficiaries with prostate cancer
2. New genetic clues to why most bone marrow transplant patients develop graft-versus-host disease
3. New Polar RCX3 Heart Rate Monitor Versus Suunto Quest
4. Breast-Feeding Still Less Common for Black Babies: CDC
5. Children with autism at significant risk for feeding problems and nutritional deficits
6. Breastfeeding tips women share intrigue doctors
7. Liver mitochondria improve, increase after chronic alcohol feeding in mice
8. Feeding microbials to chickens leads to mysterious immune response
9. Bottle-Feeding May Raise Babys Risk for Intestinal Trouble
10. The Care and Feeding of Olympic Athletes
11. Moms HIV Drugs May Pass to Baby in Womb, Breast-Feeding
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified ... be personalized through a fitness app. The fitness app plans to fix the two major ... only offer a one size fits all type program , They don’t eliminate ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users ... - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 ... Pro X . Simply select a ProHand generator and drag it above media or ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether ... latter, setting the bar too high can result in disappointment, perhaps even self-loathing. However, ... their goal. , Research from PsychTests.com reveals that behind the tendency ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... startling report released today, National Safety Council research shows ... plan to eliminate prescription opioid overdoses. Prescription Nation ... the worst drug crisis in recorded U.S. history, assigned a "Making ... , New Mexico , Tennessee ... states, three – Michigan , Missouri ...
(Date:6/23/2016)... Research and Markets has announced the ... report to their offering. ... favourable commercial environment for MedImmune to enter. The US ageing ... serve to drive considerable growth for effective anti-influenza medications. The ... sales considerably, but development is still in its infancy. ...
(Date:6/23/2016)... and BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of ... Farma Brasil as the company,s second affiliate in Latin America . ... ... Manager of Astellas Farma Colombia ... ...
Breaking Medicine Technology: