Abstract
The general objective of this work was to assess approaches used by the nurses at the Laquintinie Hospital Douala in the care of patients with NG Tubes and so identify the challenges nurses faced when caring for patients with NG tubes. It was a descriptive cross sectional study design carried out from April to June, the sample technique and study population involved 20 nurses working at the medical, paediatric intensive care unit and the surgical unit, the data was collected using an observation and interview guide. The result collected shows that only (53%) of the nurse were able to manage patient effectively. From the findings of this work it is concluded that only few of the nurses could actually carry out care on patient with NG tubes effectively and all (75%) of the nurses who had carried out nasogastric intubation on patients had challenges like patient refusal to coorperate as they were educated on the importance of the procedure. Based on the findings the following recommendations were made like, the nurses at the L.H.D should attend seminars on the different strategies used in the care of patients with NG tubes. The nurses should also go in for more research on internet, textbooks and journals.
Highlights
Nasogastric intubation is a medical process involving the insertion of a plastic tube (Nasogastric tube or NG Tube) through the nose, past the throat, and down into the stomach. [1] Orogastric intubation is a similar process involving the insertion of a plastic tube (Orogastric Tube) through the mouth
Based on the contraindications of nasogastric intubations, 12 (60%) of the nurses knew the different contraindication of nasogastric intubation as they stated that severe mild face trauma is contraindicated for nasogastric intubation, 5 (25%) gave recent nasal surgery as another contraindications for nasogastric intubation 3 (15%) of nurses saw excessive manipulation during placement as a contraindication for nasogastric intubation which is in line with Dourgault and Bercik, which stated that excessive manipulation or movement by the patient during placement including coughing as seen in table 4. [10, 11]
With regards to the complications of nasogastric intubation, 37 (74%) of nurses knew diarrheal as a complication for nasogastric intubation as 10 (20%) of the nurses gave nausea and vomiting as another complication of nasogastric intubation and 3 (6%) of the nurses said aspiration of food contents is a complication of nasogastric intubation which is in line with Stock, which stated that diarrheal nausea and vomiting, aspiration of food are complication of nasogastric intubation
Summary
Nasogastric intubation is a medical process involving the insertion of a plastic tube (Nasogastric tube or NG Tube) through the nose, past the throat, and down into the stomach. [1] Orogastric intubation is a similar process involving the insertion of a plastic tube (Orogastric Tube) through the mouth. Nasogastric intubation is a medical process involving the insertion of a plastic tube (Nasogastric tube or NG Tube) through the nose, past the throat, and down into the stomach. [1] Orogastric intubation is a similar process involving the insertion of a plastic tube (Orogastric Tube) through the mouth. Nasogastric gastric tube insertions are carried on by nurses, junior doctors and sometimes by anaesthetists in the theatre. Nasogastric intubation which is an advanced nursing procedure is used for feeding, administration of medication and laboratory diagnoses. Nasogastric tubes are widely used in the world’s hospital, yet in spite of the fear campaigning to expose the dangers, still patient are dying from the complication of wrong insertion, further clinical research is needed in this care, but small studies suggested that magnet-tracking devices where a magnet is inserted into the tip may hold promise for the future.. According to the United States Conference of Catholic Bishops in 2001, they state “there should be a presumption in favour of providing nutrition and hydration to all patients including patients who require medically assisted nutrition and hydration as long as this is of sufficient benefit to outweight the burden involves to the patient. [9,10,11] On March 20th 204, Pope John Paul II addressed participants at a four-day conference sponsored by the Pontifical Academy for Life and the International Federation of Catholic Medical Associations. [10, 11] He addressed the issue of artificial hydration and nutrition in patient, he said, “if patients are not dying, artificial nutrition in principle, ordinary and proportionate and as such, morally obligatory, in so far as and until it seen to have attained its proper finality, which in the present consist in providing nourishment to the patient and alleviation of his suffering. [9,10,11]
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