tube feeding

Nasogastric Ryles Tube: Silicon vs Plastic

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There are 2 types of materials used in nasogastric feeding tube: plastic and silicon. There is a substantial difference in the pricing of the ryles tube due to the quality of the materials that are being used. In Thailand, a plastic ryles tube cost between 12 to 15 baht each and has to be changed [...]

Nasogastric vs PEG tube for Alzheimer’s/dementia with swallowing problem

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Based on my mother’s experience in having a feeding tube placed when she could no longer consume enough by mouth due to dysphagia, nasogastric tube would be a better choice. A PEG tube (percutaneous endoscopic gastrostomy) is suited for those who required tube feeding but with intact cognitive function, ie still able to think and [...]

Considerations before placing an Alzheimer/Dementia patient on tube feeding

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It is said 65 percent of Alzheimer’s or dementia patients would develop dysphagia, ie gradually losing the swallowing reflex towards the end stage of their disease. Even though they could still swallow, the quantity of fluid and nutrients is no longer sufficient to keep them alive for long. Hence, the decision would have to be [...]

Phlegm Suction for Dysphagia/ Nasogastric Feeding Patients

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Massive buildup of mucus and phlegm is a common side effect that comes with nasogastric tube insertion (putting in a Ryles/ nose tube). Normally, while it is irritating to have so much of mucus, most of us are able to either swallow it to our stomach or spit it out. However in the case of [...]

How to prevent elderly from sliding down and lift them back up

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Elderly patients, if placed on an incline would tend to slide down on the bed. This is due to gravity, muscle weakness that causes them unable to support themselves in that position and feeling uncomfortable when placed in that position. While we can tell and advice someone to be conscious and not to slide down, [...]

Hand restraints/special mittens for Alzhmeimer’s/dementia patients on tube feeding

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I am grateful that we are in Thailand and sought medical care from doctors here. When my mom developed difficulty swallowing due to late stage Alzheimer’s, all the doctors here recommended nose tube intubation (nasogastric tube). My mom survived and recovered her energy from nose tube feeding. Even my family and her friends back in [...]

Placing my mom on Nose Tube Feeding due Dysphagia (end stage Alzheimer’s)

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About 65 percent of those with Alzheimer’s or dementia would develop dysphagia, ie difficultity in swallowing. The most noticable symptoms is the person who start choking and coughing especially when taking fluids like water. But not so bad if it is semi fluids or purees. If you notice your loved one with dementia refusing to [...]

Useful videos on Nasogastric Feeding

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In the 2 videos below, you can find very useful tips related to Nasogastric or Nose Tube Feeding published by 2 well known hospitals in Singapore: Below is by Tan Tock Seng hospital: https://youtu.be/r18wS2fAFas Below is published by Singapore General Hospital: https://youtu.be/93oAYQ3M2dA   The summary of the tips as well as what I do is: [...]

Alzheimer’s and Tube Feeding Resource

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This page would contain resources related to Tube Feeding for those who is not able to swallow in a large percentage of end stage dementia/Alzheimer’s patients. It is based on my experience caring for my mother with this condition. Please look out for articles which would be updated in stages. SECTION ON FEED RELATED: TUBE [...]

When the Blood Pressure Could Not be Read or Detected by BP monitor

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When you attempt to measure yours or your loved one’s blood pressure and your home machine indicates as ‘Error’, you need to get the person to the hospital asap for checking. Below is a video that shows what I meant. In the first part, it shows how the blood pressure machine in our home read [...]