Dietitians’ perceptions and experience of blenderised feeds for paediatric tube-feeding

Article English OPEN
Armstrong, Janis ; Buchanan, Elaine ; Duncan, Hazel ; Ross, Kathleen ; Gerasimidis, Konstantinos (2017)

Objective: There is an emerging interest in the use of blenderised food for tube-feeding (BFTF). This survey explored paediatric dietitians' perceptions and experiences of BFTF use.\ud \ud Design: A web-based questionnaire was distributed to the Paediatric group of the British Dietetic Association. The survey captured dietitians' personal opinions and experience supporting children on BFTF, and the perceptions of carers.\ud \ud Results: Of the 77 respondents, 19 were aware of professional guidelines and 63 had never received training on BFTF. Thirty-four would not recommend BFTF and 11 would advise against its use; yet 43 would recommend it to supplement commercial feeds. Fifty-seven would change their perception about BFTF if there were evidence-based guidelines. Forty-four would feel confident to support a patient using BFTF. Forty-three had previous experience supporting a patient with BFTF. The main concerns perceived by dietitians, pertinent to the use of BFTF, were nutritional inadequacy (n=71), tube blockages (n=64) and increased infection risk (n=59) but these were significantly higher than those experienced by themselves in clinical practice (p<0.001 for all three). A reduction in reflux and vomiting and increased carer involvement were the main perceived and observed benefits by both dietitians and carers.\ud \ud Conclusions: The use of these feeds for tube-fed children is increasingly being seen as a viable choice. Dietitians experienced significantly fewer issues with the use of BFTF in clinical practice compared with their self-reported apprehensions in the survey. Well-controlled studies are now needed to objectively assess the benefits, risks, costs and practicality of BFTF.
  • References (24)
    24 references, page 1 of 3

    1. Smith TM, A. Hirst A. Stratton, R. Baxter, J. . Artificial Nutrition Support in the UK 2000 - 2010. In: Smith T, ed. Annual BANS report 2011.

    2. Johnson TW, Spurlock A, Pierce L. Survey study assessing attitudes and experiences of pediatric registered dietitians regarding blended food by gastrostomy tube feeding. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 2015;30:402-5 doi: 10.1177/0884533614564996.

    3. Hurt RT, Edakkanambeth Varayil J, Epp LM, et al. Blenderized Tube Feeding Use in Adult Home Enteral Nutrition Patients: A Cross-Sectional Study. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 2015;30:824-9 doi: 10.1177/0884533615591602.

    4. BDA. Policy Statement: Use of Liquidised Food with Enteral Feeding Tubes. In: Association BD, ed.2015.

    5. Braegger C, Decsi T, Dias JA, et al. Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition. Journal of pediatric gastroenterology and nutrition. 2010;51.

    6. Klek S, Hermanowicz A, Dziwiszek G, et al. Home enteral nutrition reduces complications, length of stay, and health care costs: results from a multicenter study. The American journal of clinical nutrition. 2014; doi: 10.3945/ajcn.113.082842.

    7. Santos VF, Morais TB. Nutritional quality and osmolality of home-made enteral diets, and follow-up of growth of severely disabled children receiving home enteral nutrition therapy. J Trop Pediatr. England2010:127-8.

    8. Kendell BD, Fonseca RJ, Lee M. Postoperative nutritional supplementation for the orthognathic surgery patient. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 1982;40:205-13.

    9. Tanchoco CC, Castro CA, Villadolid MF, et al. Enteral feeding in stable chronic obstructive pulmonary disease patients. Respirology (Carlton, Vic). 2001;6:43-50.

    10. Mokhalalati JK, Druyan ME, Shott SB, Comer GM. Microbial, nutritional and physical quality of commercial and hospital prepared tube feedings in Saudi Arabia. Saudi medical journal. 2004;25:331-41.

  • Similar Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark