دانلود کتاب مدیریت لوله تغذیه کودک و از شیر گرفتن لوله ای

This book is the result of thousands of encounters with tube-fed infants and their families over the past four decades. The ailing and fragile children suffering from a myriad of medical and nutritional conditions acted as our muses and mentors. Their parents, always steadfast, never waning in their love and support taught us more than we could have imagined. This said, this book’s format is catered to the medical professional, designed and written for pediatricians, medical doctors, child sur­geons, nurses, dieticians, occupational therapists, speech and language pathologists (SLPs), feeding specialists, psychologists, infant psychiatrists, early intervention­ists as well as any parent involved and interested with the given topic. The core subject of our work is the medically fragile child (MFC) on enteral nutrition support (ENS) by means of a feeding tube (ENT). The term ENT addresses the issue of standardized food supplementation assisted by a feeding tube. Bypassing the mouth and esophagus by means of a feeding tube involves an impact also including unin­tended and unpredictable effects on various physical, biochemical, sensory, func­tional, emotional, and social levels. Using an artificial bypass into the gut by nasogastric tube (NG), gastrostomy (PEG) or directly into the jejunal tract (JPEG) is therefore not only an exclusive selective nutritional intervention but also the cause for intended and adverse effects and externalities.