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Content

Gastrointestinal Disease and Care


Gastrointestinal Disease and Care



ENTERAL FEEDING TUBES: A GUIDE FOR NURSES PART 1 - TUBE IDENTIFICATION

Advances in treatment and technology have made enteral feeding tubes common in a wide range of healthcare settings. As a result, familiarity with enteral feeding tubes and their use and care is a useful skill for all healthcare providers. To begin this process, this course identifies the various feeding tubes and their components.

After completing this course, the learner should be able to:
~ Describe gastrostomy tubes and their components
~ Describe jejunal tubes and their components
~ Describe nasogastric tubes and their components


DVD / 2013 / () / 11 minutes

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ENTERAL FEEDING TUBES: A GUIDE FOR NURSES PART 2 - ADMINISTERING FORMULA AND MEDICATION

From acute care to long term care, enteral feeding tubes are found in a broad range of healthcare settings. Healthcare providers, from surgeons to nursing assistants, must be familiar with a wider variety of enteral feeding tubes than ever before. This second in a three-part series on enteral feeding tubes, focuses on administering formula and medication using the various types of tubes.

After completing this course, the learner should be able to:
~ Describe precautions to take when administering formula using enteral feeding tubes.
~ Describe and utilize the three different methods of administering feeding-tube formulas: bolus feeding, intermittent feeding and continuous feeding.
~ Explain the four ways to verify tube placement.
~ List the "five rights" of safe medication administration


DVD / 2013 / () / 12 minutes

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ENTERAL FEEDING TUBES: A GUIDE FOR NURSES PART 3 - DAILY CARE AND TROUBLESHOOTING

Enteral feeding tubes technology has also brought more design and feature options, increasing the complexity of feeding tubes. As a result, familiarity with enteral feeding tubes, and their use and care, is a useful skill for all healthcare providers. This program presents general guidelines and techniques for care and troubleshooting procedures for enteral feeding tubes.

After completing this course, the learner should be able to:
~ List the steps required to properly clean and maintain various types of enteral feeding tubes.
~ Identify and address signs of irritation or infection at the tube entry/exit site.
~ List steps required to flush feeding tubes.
~ Describe how to perform weekly maintenance on the balloon of a balloon gastrostomy tube.
~ List the steps in the Daily Maintenance Checklist
~ Describe troubleshooting various problems that can occur with enteral feeding tubes, including patient distress, pain, tube leakage, dislodgment and clogging of tubes.


DVD / 2013 / () / 14 minutes

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ASSESSING CLIENTS WITH NUTRITIONAL AND GASTROINTESTINAL DISORDERS

This video describes the sources of nutrients and vitamins and their functions in the human body. It reviews the anatomy, physiology, and functions of the gastrointestinal system. Explain the processes of carbohydrate, fat, and protein metabolism. Identify specific topics to consider during a health history assessment interview of the client with nutritional and gastrointestinal disorders. Explain techniques used for assessing nutritional and gastrointestinal status. Describe normal variations in assessment findings for the older adult. Identify abnormal findings that may indicate alterations in gastrointestinal function.

DVD / 2012 / () /

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CARING FOR THE STOMA, CARING FOR THE PATIENT: ENTEROSTOMAL THERAPY NURSING

Ostomy surgery is a life-changing event. It is the job and function of the healthcare professional caring for the post-ostomy patient to provide care for the stoma. However, the healthcare professional should also understand that he/she plays a pivotal role in helping the patient with overwhelming emotions that often go along with ostomy.

This course reviews the digestive system in brief and a few of the most frequently performed ostomies, the main medical conditions that may lead to an ostomy, post-operative and daily care for different ostomies. It also focuses on helping the patient prepare for discharge and life post-ostomy.

The purpose of this program is to provide nurses and others an understanding of the importance of providing patients with appropriate care of stoma following ostomy procedures and addressing both physical and emotional issues involved in living with a stoma in order to assist the patient's continuing care.

After watching this program viewers should be able to:
~ Define the terms "stoma" and "ostomy".
~ Describe the steps involved in caring for the stoma.
~ Define common ostomy procedures.
~ Describe the factors of a patient's self-care of his/her stoma.
~ Describe possible complications and irrigation technique.
~ Develop a list of problematic foods that can produce odor, gas and other intestinal ailments that can cause the post-ostomy patient pain and embarrassment.
~ Describe the types of sexual dysfunction both male and female ostomy patients may experience and suggest ways these patients may help themselves overcome some of these issues.


DVD / 2012 / () / 21 minutes

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CHILD WITH ALTERATIONS IN GASTROINTESTINAL FUNCTION, THE

This video covers general function of the gastrointestinal system and pathophysiologic processes associated with specific gastrointestinal disorders in the pediatric population. It identifies signs and symptoms that may indicate a disorder of the gastrointestinal system and looks at nursing management and plan care for disorders of the gastrointestinal system while focusing at developmentally appropriate approaches for nursing management of gastrointestinal disorders in the pediatric population. Some of the issues include nursing management of the child with an injury (trauma or ingestion of injurious agent) to the gastrointestinal system.

DVD / 2012 / () /

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COMMON FEEDING TUBES: NASOGASTRIC INTUBATION

Placing a nasogastric tube is a critical skill for nurses providing care in many different care settings. Their use is often indicated for both diagnostic and therapeutic treatment of patients, including to assess and treat upper gastrointestinal tract bleeding, withdraw gastric contents for analysis, allow gastric lavage, to provide long- and short-term feeding, to administer medications, and for gastric decompression.

After completing this course, the learner should be able to:
~ Describe the different types of nasogastric tubes
~ List indications and contraindications for the use of nasogastric tubes
~ Describe the process of placing a nasogastric tube
~ Identify signs of respiratory distress indicating the tube has passed into the trachea
~ Describe three methods of verifying placement of the tube in the stomach
~ Explain the procedure for removing a nasogastric tube
~ List key items that must be documented when placing and removing a nasogastric tube


DVD / 2012 / () / 19 minutes

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COMMON FEEDING TUBES: REPLACEMENT BALLOON GASTROSTOMY TUBES

The increased use of gastrostomy tubes for long-term feeding and other treatments has made the replacement of balloon gastrostomy tubes an increasingly common nursing procedure. Nurses need to know the basic techniques for the care and replacement of balloon gastrostomy tubes to assist and ensure positive patient outcomes. The purpose of this course is to teach nurses and other qualified caregivers the basic techniques for the care and replacement of a balloon gastrostomy tube.

After completing this course, the learner should be able to:
~ List health conditions that commonly require use of a gastrostomy tube
~ Identify the key features of replacement balloon gastrostomy tubes
~ List steps required for proper care of all components of a balloon gastrostomy tube
~ Describe the use of a daily maintenance checklist for the gastrostomy tube, including checking the patient for pain, discomfort or pressure around the tube exit site
~ List supplies needed for replacement of a balloon gastrostomy tube
~ Describe the steps required for proper replacement of a balloon gastrostomy tube


DVD / 2012 / () / 17 minutes

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NURSING CARE OF CLIENTS WITH UPPER GASTROINTESTINAL DISORDERS

This video looks at the pathophysiology of common disorders of the mouth, esophagus, and stomach. It covers the manifestations and diagnostic test results to the pathophysiologic processes involved in upper gastrointestinal disorders. It assists students to have an interdisciplinary care approach for clients with upper gastrointestinal disorders.

DVD / 2012 / () /

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NASOGASTRIC INTUBATION, BALLOON GASTROSTOMY TUBE REPLACEMENT

Demonstrates the skills needed to perform a nasogastric intubation and place a replacement balloon gastrostomy tube. The indications and contraindications for a nasogastric intubation are discussed and the various types of nasogastric tubes are identified and described.

DVD / 2011 / () / 31 minutes

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BEYOND RUNNER'S TROTS: GASTROINTESTINAL DISORDERS AMONG ATHLETES

Beyond Runner's Trots: Gastrointestinal Disorders Among Athletes provides an overview of the disorders that most commonly affect the gastrointestinal track of physically active individuals. Featuring a Clinical Lecture from the 2009 ACSM annual meeting, the DVD discusses altered motility patterns and what happens to the gut as exercisers try to maintain being physically active. The DVD also reviews the key factors involved in gastroesophageal reflux and details why this condition has potential implications for exercisers. In addition, the DVD looks at both bleeding disorders of the gastrointestinal tract and solid organ trauma to the abdominal region. The DVD also examines what is and is not currently known about gastrointestinal disorders among exercisers.

~ Altered Motility
~ Gastroesophageal Reflux
~ Gastrointestinal Bleeding
~ Abdominal Trauma
~ Future Considerations


DVD / 2009 / () / 59 minutes

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DON'T DIE YOUNG - SERIES 2: THE STOMACH & INTESTINES

In this episode, The Stomach & Intestines, Dr Alice Roberts gets to see inside her own stomach by swallowing a tiny camera - one of the latest diagnostic tools in modern medicine. The pictures recorded reveal some surprising, if harmless, results.

Using dissection, drawing and some unusual tests involving sweetcorn and a stop-watch, she reveals where the stomach and intestines are, how big they are and how best to look after them. And since bowel cancer is the second most-common cause of death from cancer in the UK, it's a message we all need to hear.

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DVD / 2008 / () / 30 minutes

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CONTROVERSIES IN GASTROINTESTINAL DISEASE

By Alan Cutler, MD, Michael P. Jones, MD, FACP Ronnie Fass, MD

Physicians are often called upon to evaluate and manage patients with GI disorders such as non-cardiac chest pain, heartburn, esophagitis, and ulcers related to H. pylori infection. Because these conditions are so widespread, and have such a profound impact on patient functioning and quality of life, they account for a tremendous utilization of healthcare resources each year. In this video, the faculty explores the challenges of accurately diagnosing these conditions and developing initial and long-term treatment plans that are comprehensive, yet cost-effective. Case studies and an open-discussion format emphasize practical, realistic approaches that highlight the debates that continue to surround assessment and care.


DVD / 2001 / () / 60 minutes

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NURSES' GUIDE TO ENTERAL TUBE FEEDING

Identifies and describes the usage and care of the major enteral feeding tube groups: gastrostomy tubes, jejunal tubes, and nasogastric feeding tubes. Proper formula and medication administration techniques are demonstrated with an emphasis on preventing tube clogs. Troubleshooting clogged tubes, excess leakage and other complications are shown.

DVD / 1993 / () / 31 minutes

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OSTOMY CARE

Emphasizes the care of the ostomy patient while addressing patients concerns, illustrating the relevant human anatomy, and providing live scenes of actual ostomy patients to demonstrate procedures.

DVD / 1993 / () / 23 minutes

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CANCER UPDATE: COLORECTAL CANCER

Nicholas Petrelli, MD,FACS - Neal Meropol, MD - Tyvin Rich, MD - Alan Venook, MD

Topics include: surgical therapy of metastatic disease; new drugs in the treatment of metastatic disease; intrahepatic chemotherapy of colorectal liver metastasis; adjuvant combined modality therapy for colorectal cancer.


DVD / / () / 90 minutes

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DYSEPSIA: A CRITICAL APPRAISAL

David Metz, MD; Charles Sninsky, MD; Peter F. Malet, MD; Donald O. Castell, MD; Henry P. Parkman, MD

A group of leading physicians discuss pathophysiology and treatment of dyspepsia caused by H. pylori infection and gallbladder dysfunction, motility abnormality of the small bowel and gastroduodenal motility dysfunction, and endoscopy negative GERD as a cause of dyspepsia


DVD / / () / 120 minutes

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LIVER DISEASE: HEPATITIS B & C

Gary Trey, MD; Robert Carithers, MD; Eugene Schiff, MD; Howard Rosenblate, MD; Luis Balart, MD; Raymond Koff, MD; Terressa Wright, MD

Clinical overview of B&C, extra hepatic manifestations, vaccines for B, standard treatment and early treatment in asymptomatic patient Antibodies and use of PCR diagnostically, liver biopsy and prognastic indicators, hepatitis in Immunosuppressed patients: transplant recipients and HIV patients


DVD / / () / 120 minutes

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RECENT ADVANCES IN THE MANAGEMENT OF IBS (IRRITABLE BOWEL SYNDROME)

Douglas Drossman, MD; Howard Mertz, MD; William Whitehead, PhD; W. Grant Thompson, MD; Brenda Toner, PhD

Describe the application of symptom-based criteria for diagnosis of IBS; Characterize the role of dysmotility and visceral hypersensitivity in IBS; Care of patients with IBS; Role of pharamacotherapeutic agents.


DVD / / () / 90 minutes

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