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Nasogastric tube feeding under restraint: practical guidance for children's nurses

Sarah J Fuller1, Sharon Thomson1, Jacinta Tan2

  • 1child and adolescent mental health, East London NHS Foundation Trust, Bedford, England.

Nursing Children and Young People
|November 21, 2022
PubMed

Insights

The number of pediatric eating disorder admissions rose significantly during the COVID-19 pandemic. Nurses may need to provide nasogastric tube feeding under restraint for severe malnutrition cases.

Area of Science:

  • Pediatric healthcare
  • Clinical psychology
  • Nursing practice

Background:

  • The COVID-19 pandemic has seen a notable increase in pediatric eating disorder admissions.
  • Severe malnutrition in children may necessitate non-consensual nasogastric tube feeding.
  • Nurses face complex ethical and practical challenges when caring for these patients.

Purpose of the Study:

  • To provide an overview of eating disorders and their impact on children and young people.
  • To offer practical guidance for children's nurses managing patients with eating disorders.
  • To support the delivery of safe, compassionate, and person-centred care in this population.

Main Methods:

  • Literature review on eating disorders in pediatric populations.
  • Analysis of clinical scenarios involving nasogastric tube feeding and physical restraint.
  • Synthesis of best practice guidelines for pediatric nursing care in eating disorder management.

Main Results:

  • Eating disorders present significant physical and psychological detriments to pediatric patients.
  • Nasogastric tube feeding under restraint is a critical intervention for severe malnutrition.
  • Nurses require specific knowledge and skills to manage these complex cases effectively.

Conclusions:

  • Increased eating disorder admissions require enhanced nursing support and education.
  • Ethical considerations and patient-centred approaches are paramount in feeding interventions.
  • This article aims to equip children's nurses with the necessary tools for optimal patient care.

Keywords:
Mental Health Actchild and adolescent mental healthchild healthclinicalcontrol and restrainteating disordersmalnutritionmental healthnutritionprofessional

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