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Essay / Research Paper Abstract
A 3 page paper discussing enteral-nasogastric feeding of children and its ethical implications. Of course enteral feeding is good for the patient, but the fact is that sometimes it can cause harm. This is certainly contrary to the principle of non-maleficence, but it is in the spirit of trying to provide benefit to the patient. Though both can be seen as being present, it is the intention of beneficence rather than the possibility of harm that should guide the use of enteral feeding. Harvard-style bibliography lists 6 sources.
Page Count:
3 pages (~225 words per page)
File: CC6_KSnursNasoFed.rtf
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Unformatted sample text from the term paper:
is necessary after some surgeries and during critical illness, and it is required for any intubated child of any age (Davis, Davies & Faber, 2001). Children such as preterm
neonates are likely to be receiving oxygen, either by means of a mechanical ventilator or a device such as the Infant Flow Driver (Mazzella, et al., 2001). Timing of
initiation of enteral feeding, placement of the tube (Ellett and Beckstrand, 1999) and weaning from the tube contribute to overall success. When ventilation
is provided mechanically, providing nutrition support is the standard of care (Parrish and McCray, 2003). "When delivered appropriately, nutrition support provides energy, protein, and nutrients needed to fuel the
immune system; promotes wound healing; and prevents excess breakdown of lean body mass" (Parrish and McCray, 2003, p. 77). If not properly managed, however, nutrition support can create complications.
"Accumulated data suggest the route of nutrition support may influence the incidence of complications. Evidence exists for the preferred use of enteral support over total parenteral nutrition (TPN) whenever
possible" (Parrish and McCray, 2003, p. 77). Initiation of enteral nutrition should begin in the well-nourished patient by day three of treatment; nutrition
support for malnourished patients should begin within 24 hours (Parrish and McCray, 2003). Parrish and McCray (2003) state that enteral feeding should be used whenever possible, avoiding prolonged use
of total parenteral nutrition (TPN) whenever enteral feeding will suffice. TPN "is associated with more infectious, metabolic, and fluid complications than enteral feeding" (Parrish and McCray, 2003, p. 77),
and parenteral nutrition (1) is not complete; (2) may lead to atrophy of the gastrointesinal tract; and (3) costs about four times that of enteral feeding. One of the
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