Issues in long‐term percutaneous endoscopic gastrostomy feeding in a nursing home: a case study

Abstract

Aim. To explore the experiences of care staff in managing long‐term percutaneous endoscopic gastrostomy (PEG) feeding regimes. Background. Since its first description in 1980, PEG feeding has become a widely‐used technique to provide enteral nutritional support. Its initial use for short term feeding has subsequently been extended to encompass long‐term care. Methods. A single institution case study, employing mixed methods, was conducted in one English nursing home. Data were collected from an unstructured interview, questionnaires and a focus group in 2004–2005. Results. The two key concerns of care staff were found to relate to clinical issues, such as vomiting, and the ethical issues surrounding PEG insertion. Conclusions. Care staff would value the creation of a safe forum in which their views could be shared. Relevance to clinical practice. As PEG tube use becomes more common in long‐term care environments, care staff need to reflect upon the clinical and ethical issues that are raised.