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Psychosocial implications of gastrostomy placement.

Chloe Gunton-Bunn¹, Peter McNee

¹Southampton General Hospital.

Paediatric Nursing

|October 2, 2009

Summary

This review highlights the psychosocial challenges faced by children undergoing gastrostomy procedures and their families. Implementing a key worker model could significantly improve support and services for these children with complex needs.

Area of Science:

Pediatric Gastroenterology
Child Psychology
Healthcare Services Research

Background:

Gastrostomy placement significantly impacts children and families psychosocially.
Existing literature reveals key concerns including information provision, perceived abnormality, and professional support.
There is a recognized deficiency in current service provision for these families.

Purpose of the Study:

To review and synthesize existing literature on the psychosocial implications of gastrostomy.
To identify critical areas of concern for children and their families.
To propose improvements in service delivery.

Main Methods:

Systematic literature review of studies on psychosocial aspects of gastrostomy.
Thematic analysis of identified literature.

Related Experiment Videos

Synthesis of findings to identify service gaps.

Main Results:

Identified themes: information giving, failure/abnormality, professional support, concerns, and outcomes.
A significant gap in service provision was evident across the reviewed literature.
Children and families experience considerable psychosocial distress.

Conclusions:

The psychosocial needs of children with gastrostomy require greater attention.
A key worker approach is proposed to enhance support and coordination.
Improved service models are crucial for better outcomes in pediatric gastrostomy care.