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Enhancing Self-Management of Percutaneous Endoscopic Gastrostomy Tubes Through the Implementation of a Standardized Education and Assessment Pathway: A Quality Improvement Initiative.

Authors :
Reardon J
Truax AE
Naranian T
Liu LWC
Source :
Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates [Gastroenterol Nurs] 2023 Jan-Feb 01; Vol. 46 (1), pp. 41-46. Date of Electronic Publication: 2023 Jan 10.
Publication Year :
2023

Abstract

Intraduodenal infusion of levodopa-carbidopa intestinal gel by percutaneous endoscopic gastrostomy tube with jejunal extension is a treatment option to reduce motor and nonmotor complications in patients with advanced Parkinson's disease when oral therapy no longer provides sufficient benefit. Medication management is of central focus; however, there was no standardized patient education on stoma-site care and tube maintenance, leading to the development of stoma-site complications. As a quality improvement (QI) initiative, a standardized education and assessment pathway was developed and implemented in an urban academic outpatient clinic to enhance patient self-management and reduce stoma-site complications. A retrospective chart review was conducted to establish baseline incidence of cutaneous stoma-site complications. QI interventions were implemented using a rapid-cycle improvement model. Routine stoma assessments by a nurse who specializes in wound, ostomy, and continence care were implemented at set points, and patient education on PEG tube care and maintenance was reinforced at each session. Results demonstrated a significant reduction in moderate-to-severe tube and stoma-site-related complication. Implementation of a similar standardized education and assessment pathway in patients with percutaneous endoscopic gastrostomy tubes may lead to a decrease in stoma-site-related complications and overall better patient self-management.<br /> (Copyright © 2023 Society of Gastroenterology Nurses and Associates.)

Details

Language :
English
ISSN :
1538-9766
Volume :
46
Issue :
1
Database :
MEDLINE
Journal :
Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
Publication Type :
Academic Journal
Accession number :
36706141
Full Text :
https://doi.org/10.1097/SGA.0000000000000689