Capacity for oral ingestion regained by rehabilitation of swallowing despite prolonged PEG tube placement: a case study
10.14442/generalist.33.393
- VernacularTitle:PEG造設後放置されていたが, 嚥下リハビリテーションにより経口摂取可能となった一症例
- Author:
Katsumasa Akieda
;
Kazuhiro Murata
;
Yuka Kimura
- Publication Type:Journal Article
- Keywords:
PEG;
special nursing home;
swallowing rehabilitation;
PEG tube for survival;
PEG tube for eating
- From:An Official Journal of the Japan Primary Care Association
2010;33(4):393-399
- CountryJapan
- Language:Japanese
-
Abstract:
As a result of introducing swallowing rehabilitation at a special nursing home for the elderly, a resident became able to take food orally for the first time in about 4 years since having a PEG tube inserted. Further, the resident's FIM, FG, and DSS values improved to some extent. While nutritional care using the PEG tube is recognized as a long-term enteral nutritional therapy, the tube is mostly used as a “PEG tube for survival” and scarcely used as a “PEG tube for eating”, which indicates a PEG tube for supporting oral ingestion. The result indicates that it is preferable to use the PEG tube “for eating” in addition to its use as an option for long-term enteral nutritional therapy. The result also indicates the need to conduct, with the cooperation of nurses and nursing care workers, the nutritional care and regular follow-ups of all nursing home residents, as well as to maintain and improve the residents' swallowing function and their activities of daily living (ADL) by continuing swallowing rehabilitation, oral care, and measures against gastroesophageal reflux disease.
