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EN for Patients with Head and Neck Cancer – Tuesday Tube Facts

Did you know…?

Head & neck cancer and the treatment modalities have significant nutritional impacts. Patients often need nutrition support which can include enteral nutrition. The type of feeding tube placed, when the EN begins, and the type of formula can all impact patient clinical outcomes.[1]

References:

  1. Heneghen, Lisa, MPH, RDN, SNSC, CSO. Enteral Nutrition for Patients with Head and Neck Cancer. ASPEN Videos and Podcasts. 2022; https://www.youtube.com/watch?v=8YjOwB3cuPg

EN-related readmissions – Tuesday Tube Facts

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Among EN-related readmissions, 44.6% (33/72) documented enteral access device-related issues, 40.5% (30/74) cited symptoms attributed to EN, and 14.9% (11/74) attributed sodium imbalance from dehydration.[1]

References:

  1. Palchaudhuri, S, Mehta, SJ, Snider, CK, et al. Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr. 2022; 1- 5. doi:10.1002/jpen.2331

The danger of tube misconnections – Tuesday Tube Fact

Did you know…?

It is common to see patients in the hospital with a feeding tube, an arterial catheter, and a central venous catheter, which all have the same connector. A misconnection is physiologically incompatible with life, and if enteral feeding is placed inside the IV line, it would be like concrete pouring into a patient’s heart.[1]

References:

  1. Simmons, Debra. “Keeping Everyone Safe: Tubing Misconnections.” The Oley Foundation, accessed 21 Feb. 2022, https://oley.org/page/DebSimmonsTubeMis

20% of patients discharged with EN – Tuesday Tube Facts

Did you know…?

More than 20% of patients discharged with EN have readmissions related to EN, many within 90 days of initiating EN.[1]

Quality improvement interventions targeting post-discharge care to address these causes may decrease hospital readmissions in this high-risk and medically complex population of patients.[1]

References:

  1. Palchaudhuri, S., Mehta, S.J., Snider, C.K., Parsikia, A., Hudson, L., Compher, C., Lewis, J.D., Wu, G.D. and Pickett-Blakely, O. (2022), Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr.. Accepted Author Manuscript. https://doi.org/10.1002/jpen.2331

Data on malnutrition and Covid-19 – Tuesday Tube Facts

Did you know…?

Those recovering after serious illnesses such as Covid-19 often need significant rehabilitation because of profound weakness and loss of muscle mass. Emerging data highlights the prevalence of inadequate nutrition therapy and malnutrition, which is likely contributing to these long-lasting effects.[1]

References:

  1. Suliman, S, McClave, SA, Taylor, BE, Patel, J, Omer, E, Martindale, RG. Barriers to nutrition therapy in the critically ill patient with COVID-19. JPEN J Parenter Enteral Nutr. 2021; 1– 12. https://doi.org/10.1002/jpen.2263