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Patient Care Plan - Assignment Example

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Summary
Percutaneous endoscopic gastrostomy (PEG) tube is used to feed artificially and nutritionally support patients who require long-term enteral nutrition. These patients usually have none functional GI tracts. Therefore, nutritional needs cannot be met solely through the GI tract…
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Patient Care Plan

Bumper migration to subcutaneous tissue was found to be one of the most common complications reported after PEG placement (Marks & Dunkin, 2013). Approximately 70% of 97 patients who have percutaneous endoscopic gastronomy (PEG) placement have hospital revisits with complications (Naik, Joshipura, Patel, Haribhakti, 2008).
The purpose of this study is to explore the nursing treatment and management of a patient who has been diagnosed with the buried bumper syndrome in a clinical setting (Ramdass & Mann, 2013). It discusses the role of RN in managing the different needs of human beings as a consumer of health care in a patient-centered environment. The paper will base its in-depth exploration on previous healthcare literature and evidence from previous related cases.
Currently, the patient has obesity, hypoventilation syndrome as well as obstructive sleep apnea. The woman has obstructive sleep apnea which is characterized by obesity. On 14th October 2014, the patient’s condition was critical because she had a respiratory failure that was requiring endotracheal intubation. Patient’s history revealed that the PEG tube was inserted. The placement of endotracheal tube was delayed leading to a bradycardia asystolic arrest. The respiratory failure that the patient experienced on 14th October 2014 required intubation. However, the CT scan shows signs indicating that the endotracheal tube was not correctly placed. This placement may be one of the causes of hospital revisits. The CT scan revealed a bumper migration to subcutaneous tissue. CT scan also showed purulent discharge at the site of PEG. No edema was found; the patient was alert and oriented.
Although hospital policies and current nursing texts do not offer adequate recommendations for care of the patient with PEG tube (Simons & Remington, 2013), it is important not to neglect this area. It is important that care providers are aware of the complications that ... Read More
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