Yellow Skin Tone in Geriatric Patient With Feeding Tube

Jejunostomy feeding tube

Feeding - jejunostomy tube; G-J tube; J-tube; Jejunum tube

Tube feeding is a way to provide nutrition when you cannot eat or drink safely by mouth. This can happen if you are unconscious or have trouble swallowing. Besides nutrition, tube feeding can provide fluids and medicines. It can also be used to remove stomach contents. The types of tubes used include the nasogastric tube (NG tube), the gastrostomy tube (G-tube or PEG-tube), and the jejunostomy tube (J-tube or PEJ-tube). The NG tube is inserted through the nose and is used for a short time. The G-tube and J-tube are inserted through a small incision in the skin on the abdomen and are for longer-term use.

What to Expect at Home

It is important to take good care of the skin around the tube to avoid getting an infection or skin irritation.

You will also learn how to change the dressing around the tube every day.

Make sure you keep the tube protected by taping it to the skin.

Your nurse may replace the tube every now and then.

Cleaning the Skin Around the J-tube

To clean the skin, you will need to change the bandages once a day or more if the area becomes wet or dirty.

The skin area should always be kept clean and dry. You will need:

• Warm soapy water and a washcloth
• Dry, clean towel
• Plastic bag
• Ointment or hydrogen peroxide (if your doctor recommends)
• Q-tips

Follow these guidelines every day for good health and skin care:

• Wash your hands well for a few minutes with soap and water.
• Remove any dressings or bandages on the skin. Place them in the plastic bag and throw the bag away.
• Check the skin for redness, odor, pain, puss, or swelling. Make sure the stitches are still in place.
• Use the clean towel or Q-tip to clean the skin around the J-tube 1 to 3 times a day with mild soap and water. Try to remove any drainage or crusting on the skin and tube. Be gentle. Dry the skin well with a clean towel.
• If there is drainage, place a small piece of gauze under the disc around the tube.
• Do not rotate the tube. This may cause it to become blocked.

Replacing the Dressings Around the Tube

You will need:

• Gauze pads, dressings, or bandages
• Tape

Your nurse will show you how to place the new bandages or gauze around the tube and tape it securely to the abdomen.

Usually, split gauze strips are slipped over the tube and taped down on all four sides. Tape the tube down as well.

Do not use creams, powders, or sprays near the site unless the nurse says it is OK.

Flushing the J-tube

To flush the J-tube, follow the instructions your nurse gave you. You will use the syringe to slowly push warm water into the side opening of the J-port.

You may rinse, dry, and reuse the syringe later.

When to Call the Doctor

Call your health care provider right away if any of the following occur:

• The tube is pulled out
• There is redness, swelling, smell, pus (unusual color) at the tube site
• There is bleeding around the tube
• The stitches are coming out
• There is leaking around the tube
• Skin or scarring is growing around the tube
• Vomiting
• Stomach is bloated

References

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Nutritional management and enteral intubation. In: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Clinical Nursing Skills: Basic to Advanced Skills. 9th ed. New York, NY: Pearson; 2016:chap 16.

Ziegler TR. Malnutrition: assessment and support. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 204.

Version Info

Last reviewed on: 11/2/2020

Reviewed by: Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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Source: https://www.mountsinai.org/health-library/selfcare-instructions/jejunostomy-feeding-tube

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