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:5/5/2016)... , ... May 05, 2016 , ... ... Drago presented a talk highlighting the organization’s successful Care Transitions program ... , The talk was titled “Minimizing Costs in the Post-Acute Environment Through Effective ...
(Date:5/5/2016)... CA (PRWEB) , ... May 05, 2016 , ... The ... the Year, Derek Pittman, along with his university coaching staff. Together they bring their ... with separate sessions run for youth players ages 5-13, and high school players. Session ...
(Date:5/5/2016)... (NEW YORK, New York) , ... (PRWEB) May 05, 2016 , ... ... partnership with healthcare talent acquisition startup, HireNurses, on the eve of National Nurses ... for job seeking nurses and healthcare employers. With their enrollment into the Talent Tech ...
(Date:5/5/2016)... ... 05, 2016 , ... United Collection Bureau, Inc. (UCB) announces Sarah Clark as ... years of experience within the healthcare revenue cycle industry. With a primary focus of ... Patient Financial Services at Spectrum Health. While at Spectrum Health, Clark helped Spectrum achieve ...
(Date:5/5/2016)... ... ... Institute will celebrate its three-year anniversary on May 14 by giving away a free ... May. To date, the Lung Institute has treated over 2,000 people at their five clinics ... the success of this treatment and to the patients who refuse to give up,” says ...
Breaking Medicine News(10 mins):
(Date:5/4/2016)... Yissum Research Development Company ... that it had signed an exclusive world-wide licensing and ... novel protein degradation and immunomodulatory drugs for cancer and ... candidates representing first-in-class therapy for hematologic and solid malignancies. ... The novel technology was developed by Yinon ...
(Date:5/4/2016)... , May 4, 2016 ... of the  "Global Acute Ischemic Stroke Market ... to their offering.       (Logo: ... Global Acute Ischemic Stroke Market and Competitive ... Acute Ischemic Stroke pipeline products, Acute Ischemic ...
(Date:5/3/2016)... Global Insulin Needles Industry ... key companies and supported with 272 tables and ... on the current state of the Insulin Needles ... including definitions, classifications, applications and industry chain structure. ... the international market including development history, competitive landscape ...
Breaking Medicine Technology: