How To Prepare for the Transition to an Enteral Feeding Tube

Enteral feeding is a common medical necessity for individuals living with digestive complications, but adjusting to such a major life change can be challenging both physically and emotionally.

Understanding the purpose of enteral feeding and learning the different types is a solid first step. Your doctor will instruct you and provide resources on proper feeding techniques.

Preparing a clean, organized area at home is essential. Once everything is in order, establishing a consistent feeding and cleaning routine ensures hygiene and sets you up for success.

As a caregiver, the heaviest responsibilities fall on you. Bracing yourself emotionally for this change might seem overwhelming, but you’re not alone. Look for online support groups and rest assured that this will become a normal part of your life over time.

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1. Introduction
2. Understanding the Purpose of Enteral Feeding
3. Learning About Tube Types and Placement
4. Gathering Necessary Supplies
5. Receiving Training and Education
6. Preparing the Home Environment
7. Emotional Preparation and Support
8. Establishing a Routine
9. Conclusion

Enteral feeding changes everything about how a patient eats. Whether it is permanent or temporary, understanding the why and how can give caregivers the guidance they need to best serve their loved ones.

There are a few different types of feeding tubes, and each has its own placement and purpose. Indications vary from digestive or neurological disorders to bowel irrigation or medication administration.

Nasogastric (NG) tubes go through the nose, down the throat, and into the patient’s stomach.

Gastronomy (G) tubes are inserted via incision through the patient’s abdomen and into their stomach.

Jejunostomy (J) tubes, like g-tubes, also go through the abdomen, but instead of the stomach, they feed into the small intestine.

Transitioning to a feeding tube can be both physically and mentally distressing for both the caregiver and the patient. It’s extremely important to find support and resources during this colossal lifestyle change. Practical and emotional preparation help ensure a safe and smooth adjustment to the world of enteral feeding.

Enteral feeding is the answer for individuals who cannot meet their nutritional needs orally. Even though it might sound daunting, it’s essential to the patient’s well-being. Collaborating with a medical professional ensures that your loved one maintains proper nutrition and hydration.

Tube Feeding Indications:

• Dysphagia
• Neurological disorders
• Gastroparesis
• Gastroesophageal reflux
• Post-surgery nutrition

Feeding tube placement is determined based on duration and patient condition. Some tubes feed into the patient’s stomach through their nose. Others are surgically implanted directly into their stomach or small intestine. Understanding the type of tube helps caregivers manage feeding and maintenance confidently.

Nasogastric Feeding Tubes

• Also known as NG tubes
• Inserted through the nose and travel down the esophagus and into the stomach
• Used for bowel irrigation, medication administration, gastric decompression, and formula delivery

Gastrostomy Tubes

• Also known as G-tubes
• Inserted through the abdomen into the stomach
• For post-surgical enteral feeding
• Available in various balloon sizes
• Discreet with a low profile
• Single, double, and triple port options
• Single port - one for food
• Double port - one for food, one for medication
• Triple port - one for food, one for medication, and one for a balloon

Jejunostomy Tubes

• Also known as J-tubes
• For long-term feeding
• Inserted through the abdomen into the small intestine
• For individuals with severe gastroesophageal reflux or gastroparesis

• Feeding pumps / gravity feeding bags
• Extension sets
• Syringes
• Connectors
• Formula
• Cleaning tools

• Ready-to-hang bags and cans don’t need additional mixing or diluting.
• Liquid nutrition bottles require preparation before use.

We’re here to help. Check out Vitality Medical’s selection of enteral feeding kits, formulas, and accessories.

The more you familiarize yourself with the enteral feeding process, the better you will be able to attend to your loved one’s needs. A medical professional should give you hands-on training before you start at-home enteral feeding. Don’t hesitate to ask questions either during this tutorial or after you get home.

Your doctor should also provide additional enteral feeding brochures and resources for reference. Consider joining online platforms or local communities with other caregivers who are also trying to navigate the world of enteral feeding.

Feeding Tube Education Topics:

• Tubing connection
• Formula preparation steps
• Troubleshooting tube issues
• Cleaning instructions
• Emergency feeding guidelines

After your initial training, keep written instructions readily available along with a list of emergency contacts.

Creating a clean, organized feeding area helps reduce stress and prevent contamination. Choose an area where your loved one can be as comfortable and relaxed as possible during meal times. Regularly tidy up the room to ensure a sanitary and peaceful environment.

Store equipment in a well-organized bin or closet for easy inventory checks and to facilitate finding supplies when it’s time to replace components of your enteral feeding system.

Formula Storage Tips

Each bottle or bag of formula should include its own storage guidelines. Common instructions include:

• Store in a cool, dry place
• Only hang the formula for the time limit listed on the bottle
• Refrigerate uneaten formula after opening
• Use leftover prepared formula within the recommended time frame from the manufacturer

Hygiene and Maintenance Tips

• Wash your hands before preparing formula
• Wipe down can lids before opening
• Clean and replace enteral feeding equipment regularly as instructed by your doctor