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Covid-19 (Coronavirus)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

Nutrition and the Trachestomy Patinet

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Key points:

Patients with a tracheostomy tube may have swallowing problems and be at risk from aspiration and inadequate nutrition. If problems with swallowing and nutrition are identified quickly, action can be taken to minimise the potential consequences of these problems.  (Ref NHS QIS  2007)

  1. All patients should be screened on admission using a validated Nutrition Screening Tool.
  2. The presence of a tracheostromy tube may impair swallowing and compromise a patient’s nutritional status.
  3. All patients with a tracheostomy who are unable to maintain their nutritional intake by the oral route, independent of a swallow assessment, should be referred to the dietitian for nutritional assessment and consideration of artificial nutritional support.
  4. Artifical nutrition support e.g. nastro-gastric feeding, should be continued until swallow and dietetic assessments are completed to ensure adequate nutritional intake is maintained.
  5. Patients should not be fed by the oral route when they have an inflated cuff. (See section on Swallow Assessment)
  6. For naso gastric and gastrostomy feedings, best practice guidelines should be followed. (NHS QIS 2003)