[Three-Step Interdisciplinary Team Program for Nasogastric Tube Care].

Area of Science:

• Medical Care
• Patient Safety
• Clinical Nutrition

Background:

• Patients with chewing disorders and dysphagia often require nasogastric tube feeding.
• Indwelling nasogastric tubes can cause patient discomfort, leading to self-extubation and slippage.
• Improper nasogastric tube management poses risks like aspiration pneumonia, gastrointestinal trauma, and pneumothorax.

Purpose of the Study:

• To highlight the importance of interdisciplinary team collaboration in nasogastric tube care.
• To advocate for standardized procedures in nasogastric tube management.
• To present an evidence-based model for optimizing nasogastric tube care and patient outcomes.

Main Methods:

• Review of current literature and clinical practices in nasogastric tube management.
• Emphasis on interdisciplinary team involvement throughout the nasogastric tube lifecycle.
• Development of standardized protocols for placement, indwelling care, and removal.
• Integration of swallow screening, oral care, and patient training.

Main Results:

• Standardized, interdisciplinary care reduces nasogastric tube complications such as self-extubation and slippage.
• Early initiation of swallow screening and oral care improves patient tolerance and preparation for removal.
• A structured approach to nasogastric tube removal facilitates a safe transition to a tube-free state.

Conclusions:

• Interdisciplinary collaboration is crucial for effective nasogastric tube care.
• Standardized protocols and early interventions enhance patient safety and quality of life.
• Individualized, dignified care supports patients in returning to a normal, tube-free existence.