Showing posts with label Feeding. Show all posts
Showing posts with label Feeding. Show all posts

Wednesday, May 16, 2012

For Dementia Patients, Feeding Tubes May Increase Bed Sores

HealthDay – 1 hr 38 mins ago MONDAY, May 14 (HealthDay News) -- Feeding tubes increase the risk of bed sores in bedridden dementia patients, according to a new study.

The finding challenges the long-held belief that providing nutrition through feeding tubes helps prevent bed sores or helps promote their healing in this group of patients, the authors of the Brown University-led study said.

The researchers did not look at how feeding tubes could cause bed sores (also called pressure ulcers), but they noted that feeding tubes can cause agitation in patients, who then have to be restrained and sedated. Feeding tubes also may increase the risk of diarrhea.

Together, these factors may cause and worsen bed sores, the researchers said.

The researchers examined data from nursing homes and Medicare claims in order to compare thousands of dementia patients. Among patients who did not initially have a bed sore, 35.6 percent with a feeding tube ended up with at least a stage 2 bed sore, compared with 19.8 percent of patients without a feeding tube.

A stage 2 bed sore is an open sore in the upper layer of the skin. A stage 4 bed sore is the most serious type.

After making statistical adjustments, the researchers concluded that patients with a feeding tube were 2.27 times more likely to develop a bed sore than those without a feeding tube. The risk of developing a stage 4 bed sore was 3.21 times higher for those with a feeding tube.

Among patients who already had a bed sore, short-term improvement in the sore occurred in 27.1 percent of patients with a feeding tube and in 34.6 percent of those without. Patients without a feeding tube were 0.7 times more likely to have an improvement in a sore than those with one, the researchers determined.

The study was published May 14 in the journal Archives of Internal Medicine.

"This study provides new information about the risks of feeding tube insertion in people with advanced

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Monday, April 23, 2012

School Breakfast Programs Panned for Feeding Kids Twice

How Much Nickel Can Be Tolerated in Coins? Previous
‘Pregnant Man’ Thomas Beatie Separates From Wife User Comments

Number one: Feed your own damn kids. Number two: a truly healthly breakfast wouldn’t be full of empty carbs and sugar.



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Tuesday, April 17, 2012

The K-E Diet: Brides-to-Be Using Feeding Tubes to Rapidly Shed Pounds

(ABC News)

Brides-to-be looking to shed that final 10, 15 or 20 pounds in order to fit into their dream wedding gown have taken a controversial approach to crash dieting that involves inserting a feeding tube into their noses for up to 10 days for a quick fix to rapid weight loss.

The K-E diet, which boasts promises of shedding 20 pounds in 10 days, is an increasingly popular alternative to ordinary calorie-counting programs. The program has dieters inserting a feeding tube into their nose that runs to the stomach. They're fed a constant slow drip of protein and fat, mixed with water, which contains zero carbohydrates and totals 800 calories a day. Body fat is burned off through a process called ketosis, which leaves muscle intact, Dr. Oliver Di Pietro of Bay Harbor Islands, Fla., said.

"It is a hunger-free, effective way of dieting," Di Pietro said. "Within a few hours and your hunger and appetite go away completely, so patients are actually not hungry at all for the whole 10 days. That's what is so amazing about this diet."

Di Pietro says patients are under a doctor's supervision, although they're not hospitalized during the dieting process. Instead, they carry the food solution with them, in a bag, like a purse, keeping the tube in their nose for 10 days straight. Di Pietro says there are few side effects.

"The main side effects are bad breath; there is some constipation because there is no fiber in the food," he said.

Slipping into a wedding gown for a dream wedding is a moment of truth for most brides, but as many say that there is a real fear that it will not quite fit. That's how Jessica Schnaider says she felt with a June wedding approaching and 10 pounds she says she couldn't lose. She was desperate for a quick fix.

"I don't have all of the time on the planet just to focus an hour and a half a day to exercise so I came to the doctor, I saw the diet, and I said, 'You know what? Why not? Let me try it. So I decided to go ahead and give it a shot," she said.

Schnaider said she was never hungry throughout the 10 days she was on the K-E diet, but admits that it still wasn't easy.

"It was emotionally difficult, the 10 days of not eating," Schnaider said. "And sometimes I had to give excuses to people who were asking are you sick? And I was like, 'No, I'm not sick, I'm not dying, I'm fine.'

"I was tired. I didn't feel like exercising. The doctor told me that if you can compliment with walking for a half an hour on the beach, that would be great, but I didn't feel like doing that. I'm a very energetic person, but those days I was a little tired."

Although the K-E diet is new to the United States, it has been around for years in Europe. Dr. Di Pietro charges $1,500 for the 10-day plan, and says the before-and-after pictures sell themselves.

But critics warn that losing too much weight too fast can be dangerous, and it ultimately won't last. Di Pietro warns that people with kidney issues should avoid the diet.

Many doctors also say that with so much pressure on brides to be perfect, it's easy to understand why this kind of rapid weight loss might seem appealing, but might not be healthy.

"If you lose the weight too quickly your mind is not going to be able to catch up with a newer, skinnier you," psychoanalyst Bethany Marshall of Beverly Hills, Calif. said.

Schnaider says that in her case she actually only kept her tube in for eight of the 10 days, skipping the last two because she'd already lost the 10 pounds she wanted.

She has kept it off so far, saying she is looking forward to her big day this summer.

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