Name of the Procedure:

Enteral Feeding Supply Kit: Pump Fed

• Common Name: Pump Feeding Kit
• Technical Terms: Enteral Nutrition Delivery Kit (HCPCS B4035)

Summary

An enteral feeding supply kit is a medical solution used for patients who cannot consume food normally. The kit delivers nutrients directly to the stomach or small intestine via a tube, ensuring that patients receive the necessary nutrition.

Purpose

Medical Conditions:

• Gastrointestinal disorders
• Neurological conditions affecting swallow
• Severe illness or injury

Goals:

• Provide essential nutrition
• Maintain hydration
• Support overall health and recovery

Indications

• Difficulty swallowing (dysphagia)
• Malnutrition or risk thereof
• Chronic conditions like cancer or neurological diseases
• Surgical recovery preventing normal feeding

Preparation

• Follow specific healthcare provider instructions
• Potential fasting based on medical advice
• Necessary assessments: Nutritional status evaluation, gastrointestinal exams

Procedure Description

1. Preparation of Kit: Sterilize hands and gather all kit components including feeding syringe, tubing, dressings, and tape.
2. Setup: Connect the administration set tubing to the feeding pump.
3. Tube Placement: Ensure the feeding tube is correctly positioned.
4. Feeding: Start the pump to deliver the prescribed nutritional formula.

5. Flushing: Use the syringe to flush the tube with water before and after feeding.

   • Tools and Equipment: Feeding syringes, administration set tubing, tape, dressings, enteral feeding pump.
   • Anesthesia: Generally not required, but a numbing gel might be used at the site of tube insertion.

Duration

Typically takes around 30 minutes per feeding session, but the entire process might be spread throughout the day based on the patient's needs.

Setting

• Home care settings
• Hospital
• Outpatient clinics

Personnel

• Healthcare providers: Nurses, dietitians, caregivers
• Training might be provided for at-home use

Risks and Complications

• Minor: Skin irritation or infection at the tube site
• Major: Aspiration pneumonia, blockage or dislodgement of the tube
• Management: Regular monitoring and hygiene, professional assistance if complications arise

Benefits

• Ensures nutritional needs are met
• Maintains or improves patient’s weight and strength
• Promotes recovery and overall health

Recovery

• Daily care: Clean and monitor the tube insertion site
• Regular follow-up appointments
• Expected ongoing use depending on the patient’s condition

Alternatives

• Oral Nutritional Supplements: For patients who can partially eat by mouth.
• Parenteral Nutrition: Administered intravenously, bypassing the gut.

Pros and Cons:

• Enteral Feeding: Direct nutrient delivery to the digestive system, avoiding complications from intravenous feeding.
• Parenteral Nutrition: Risk of infection and complications but used when the digestive system is not functional.

Patient Experience

• During Procedure: May feel slight discomfort during tube insertion or adjustment.
• After Procedure: Similar to normal feeding experiences but through a tube. Minimal pain expected.

Comfort measures include local numbing agents at the tube site and regular monitoring for any discomfort or complications.