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    Feeding & DressingComatose Patients

    Barte, Anne Bernadette B.

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    Discussion:

    What is comatose?

    Who will help after brain injury?

    Feeding

    What is a nasogastric tube feeding?

    Dressing demonstration

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    What is coma?

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    A coma is a prolonged state of unconsciousn

    Head injuries can cause the brain to swell or bleed and fluid pushes upthe skull. The swelling may eventually cause the brain to push down onbrain stem, which can damage the RAS (Reticular Activating System) --the brain that's responsible for arousal and awareness.

    During a coma, a person is unresponsive to his or her environment.

    The person is alive and looks like he or she is sleeping.

    However, unlike in a deep sleep, the person cannot be awakened by anstimulation, including pain.

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    Causes:

    Swelling/Bleeding

    Blood sugar

    Oxygen deprivation

    Infection

    Toxins

    Seizures

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    Who will help the patient?

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    Team members:

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    FeedingNGT

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    What is a nasogastric tube feedin

    (NGT)

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    A nasogastric (NG) tube- is a small tube that goes into the stomach thrthe nose. Breast milk, formula, or liquid food isgiven through the tube directly into the stomagiving the individual extra calories. Feeding thway helps your love one get enough nutrition tgrow, develop & recover from illness.

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    Materials needed:

    NGT

    Syringe with pump

    Liquid food prescribed by the doctor

    Blender

    500 ml measuring cup

    Clean food container

    Hot water

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    NGT special tube

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    Syringe & Pump

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    Food

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    Hot water

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    Blender

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    Measuring cup

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    Procedure:

    Make sure hands are clean. Prepare the needed materials.

    Measure enough food formula (liquid) with tolerable warm.

    If solids, mix with hot water & blend until a liquid state is achieve

    Pour contents into the measuring cup until 300 ml.

    Elevate the head of the patient.

    Untangled the feeding tube.

    Connect syringe into the feeding tube.

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    In an upright position, carefully pour the liquid contents into thecover with pump.

    Check if everythings good.

    As the formula empties, refill the syringe. Continue until enough acquired by the patient. (still holding it up)

    After feeding, maintain the head elevation for the next 30 mins. (want turn on the televsion at this time)

    Do the clean-up.

    Feedings done!

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    Dressingdemonstration

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    Materials:

    Clean Clothes Towel

    Alcohol

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    Alcohol

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    Towel

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    Dress

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    Procedure:

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    Dressing Done

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