Patient Education Cancer of the Pancreas: A Care Guide | Page 25

Daily Care of the Feeding Tube after Day 3 diet orders, you may also follow those in addition to the tube feeding. Remember that you may feel full faster if you eat close to the time your tube feeding was given. Changing from eating meals to being fed through a tube can be stressful for you and your family. Family members can help and support you. Some people prefer to take the tube feeding in private. Others prefer to take their tube feeding with the rest of the family at mealtime so they can talk and share one another’s company. You can choose a time that works within your own schedule. There are several ways that tube feedings can be given: • Syringe or bolus feeding — only for G tubes (gastric) • Gravity drip feeding • Pump feeding The method that you will be using has been chosen to best meet your needs. • Use a clean washcloth to clean the skin around the tube with soap and warm water. Rinse with clean water and dry well. • Let the skin around the tube be open to the air without a dressing. • Secure the tube to the skin with tape. This will keep the tube from being pulled out at the skin site. If you are using a special separate tube holder device, clean the tube site daily as follows: • Use cotton-tipped swabs dipped in warm water to gently clean the tube site. If there is any crust or drainage present, you may need to use several swabs to moisten and gently remove it all. • Use a dry cotton-tipped swab applicator to dry the tube site. Note: If you have drainage around the tube due to excess drainage, change this dressing as soon as it feels wet to your skin. You do not want a wet dressing against your skin for very long, because it could cause damage to your skin. Body Position For all types of feeding, the feeding should be given while you are sitting up in a chair or raised up in bed on several pillows. • Stay in a raised position for 30 to 60 minutes after the feeding. • Do not lie flat. If you lie flat too soon after the feeding, it may cause nausea and vomiting. Tube Feeding Tube feeding is used most often after surgery to add to your calorie and nutrient intake — not just to replace food you are unable to eat. If the doctor has given you specific 24