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5 Daniel St Nambour QLD Ph 07 5441 6600 Fax 07 5441 3600 PEG FEEDING PERSONAL CARE CHART Program Date Complete this form for young people in your group who require Peg feed / full assistance with toileting pad change / spend time out of wheelchair throughout the day. Always refer to young people s profiles for times procedures to carry out these duties YOUNG PERSON NAME Time Staff Name Peg Feed Water via Peg Toilet / Change Time out of chair Q Amidocs KeyDocs Forms Medication Kit Peg Feeding...
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How to fill out a peg feed chart?

01
Gather the necessary information: Before filling out the peg feed chart, gather all the relevant information such as the patient's name, date, medical history, and any specific dietary instructions provided by the healthcare professional.
02
Record the feeding schedule: In the chart, fill out the designated spaces with the specific times and durations for each feeding. This information will help ensure a consistent and organized feeding routine for the patient.
03
Document the type and quantity of feed: Indicate in the chart the type of feeding formula or liquid nutrition prescribed for the patient. Include the quantity or volume to be given during each feeding session.
04
Note any medication administration: If the peg feed chart includes medication administration, clearly record the name of each medication, dosage, and the time it should be given along with the feeding.
05
Monitor and document vital signs: Some peg feed charts may require the recording of vital signs such as the patient's temperature, heart rate, and blood pressure. Follow the instructions provided and ensure accurate recordings.

Who needs a peg feed chart?

01
Patients with a PEG (percutaneous endoscopic gastrostomy) tube: A peg feed chart is typically used for patients who have a PEG tube inserted into their stomach for long-term enteral nutrition support. It helps healthcare providers and caregivers accurately monitor and document the patient's feeding progress.
02
Individuals with swallowing difficulties: Peg feed charts can also be applicable for individuals who have difficulty swallowing due to medical conditions such as dysphagia, neurological disorders, or post-surgery recovery, and need to be fed directly into their stomach.
03
Patients requiring enteral nutrition: Those who require enteral nutrition, whether temporarily or long-term, may benefit from a peg feed chart. It allows healthcare professionals to track their nutritional intake, evaluate the effectiveness of the feeding regimen, and make any necessary adjustments.
Remember, always consult with a healthcare professional or nutritionist for specific instructions on filling out a peg feed chart for an individual patient, as requirements may vary based on their unique medical condition and dietary needs.
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A peg feeding chart is a documentation tool used to track and manage the nutritional intake of patients who are receiving feedings through a percutaneous endoscopic gastrostomy (PEG) tube.
Healthcare professionals involved in the care of patients with PEG tubes, such as nurses and dietitians, are required to file and maintain the peg feeding chart.
To fill out a peg feeding chart, one must record the date and time of feeding, type and volume of formula administered, any additional medications given, and the patient's response to feeding.
The purpose of the peg feeding chart is to ensure accurate documentation of nutritional intake, monitor patient status, and facilitate communication among healthcare providers regarding the patient's feeding regimen.
The peg feeding chart must report information such as the patient's name, date and time of each feeding, type and volume of formula, any medications administered, and observed patient reactions.
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