Many adults with intellectual disabilities require nutritional support as feeding problems are prevalent in this population. While many types of nutritional support are available, enteral feeding tubes, such as nasogastric (NG) tubes, are considered safe and effective. NG tube feeding is a common clinical procedure carried out to maintain patients’ nutritional needs when they have swallowing difficulties or cannot tolerate oral feeding. Insertion of an NG tube provides adequate nutrition and improves positive health outcomes and quality of life, but being fed through an NG tube may alter patients’ perceptions of feeding and mealtimes.
Healthcare professionals, including intellectual disability nurses, should not underestimate the social aspect of mealtimes or the physical and psychological effects of NG tube feeding in patients with intellectual disabilities. Demonstrating competence and compassion with regard to insertion and care of an NG tube and applying best practice to ensure patient safety and well-being are critical to supporting patients with intellectual disabilities.
A series about conditions with common symptoms that constitute syndromes
A series about conditions with common symptoms that constitute syndromes
Second in a series about conditions with common symptoms that constitute syndromes
Dysphagia is a disorder of swallowing. The authors stress the importance of a comprehensive assessment leading to effective management and the involvement of a multidisciplinary team. People with the disorder depend on nurses and caregivers for adequate food and drink, so it is imperative that all involved are trained to recognise and manage the condition and to collaborate effectively. The signs and symptoms that staff and carers should look for are discussed and possible interventions suggested to enable more enjoyable mealtimes for everyone involved. Readers are encouraged to reflect on the impact that dysphagia can have on a person’s life and how adherence to strategies can improve quality of life.