Using tube feeding and levodopa-carbidopa intestinal gel application in advanced Parkinson's disease
| Autor: | Stefan Lorenzl, Firuzan Sari Kundt, Katharina Maria Lex |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Parkinson's disease medicine.medical_treatment Antiparkinson Agents Levodopa 03 medical and health sciences 0302 clinical medicine Enteral Nutrition Weight loss Percutaneous endoscopic gastrostomy medicine Humans Artificial feeding Tube (fluid conveyance) Intensive care medicine Adverse effect General Nursing business.industry Medical practice Carbidopa Parkinson Disease medicine.disease Intestines Drug Combinations Levodopa carbidopa Quality of Life 030211 gastroenterology & hepatology Female medicine.symptom business Gels 030217 neurology & neurosurgery |
| Zdroj: | British journal of nursing (Mark Allen Publishing). 27(5) |
| ISSN: | 0966-0461 |
| Popis: | The inability to achieve adequate nutrition and weight loss are serious problems for patients with advanced Parkinson's disease (PD). To ensure the optimal intake of nutrition and fluids and to administer levodopa-carbidopa intestinal gel (LCIG) (which patients need to increase or maintain their mobility as long as possible), different artificial feeding tubes can be used. Although percutaneous endoscopic gastrostomy (PEG) tubes are frequently used in medical practice, there is little research that addresses key questions, including if and when to administer artificial fluids, nutrition and/or LCIG via tubes. Weight gain through tube feeding is only possible for some patients; nurses should keep in mind that tube insertion and feeding may lead to frequent adverse events. Administering LCIG via tubes is usually advisable as it seems to enhance patients' mobility and therefore has positive outcomes in terms of the quality of life of patients and their families ( Lim et al, 2015 ). The authors aimed to examine the use and consequences of providing nutrition and LCIG via gastrostomy tubes in PD patients with advanced disease. |
| Databáze: | OpenAIRE |
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