Percutaneous Endoscopic Gastrostomy (PEG)

A literature review of the psychological impact of PEG on a patient's lifestyle

By

ACKNOWLEDGEMENT

I would take this opportunity to thank my research supervisor, family and friends for their support and guidance without which this research would not have been possible.

DECLARATION

I, [type your full first names and surname here], declare that the contents of this dissertation/thesis represent my own unaided work, and that the dissertation/thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University.

Signed __________________ Date _________________

ABSTRACT

In this study we try to explore the concept of “Percutaneous Endoscopic Gastrostomy” in a holistic context. The main focus of the research is on “Percutaneous Endoscopic Gastrostomy” and its relation with “psychological affects”. The research also analyzes many aspects of “Percutaneous Endoscopic Gastrostomy” and tries to gauge its effect on “human life”. Finally the research describes various factors which are responsible for “Percutaneous Endoscopic Gastrostomy” and tries to describe the overall effect of “Percutaneous Endoscopic Gastrostomy” on “human life”. Through this research, it was found that among all the psychological affects depression and anxiety are the major ones. Most of the peg patients suffer a lot from depression and anxiety because of their immobility.

Contents

ACKNOWLEDGEMENTII

DECLARATIONIII

ABSTRACTIV

CHAPTER 1: INTRODUCTION1

Background of the study1

Problem Statement1

Research Aims and Objectives1

Significance of the Study1

Research Question2

CHAPTER 2: LITERATURE REVIEW3

PEG3

Medical indications for a PEG3

The impact of Percutaneous Endoscopic Gastrostomy Feeding upon daily life in adults4

Measuring QoL4

Lack of Family gatherings5

Recreation5

Dressing and washing5

Regretting the decision5

Fayers & Machin interview6

Support from healthcare professionals6

Difficulties encountered6

Feed administration and delivery7

Impact of feeding on daily life7

Impact on social life7

Relationships8

Other comments8

Overall Quality of life8

Relieving pressure to eat at mealtimes9

Disturbed sleep9

Restricted ability to go out/take holidays9

Restricted choice of clothes/leakage of feed on Clothes10

Difficulties finding a place to feed10

Missing being able to eat and drink10

Social occasions: Christmas, birthdays10

Negative attitudes of others towards feeding11

Purpose11

Advantage11

Deciding to place a PEG tube11

Oral intake12

The patients value system12

Social aspects13

Financial/status aspects13

Religious aspects13

Clinical presentation13

Informed consent14

Complications15

Local complications16

Gastrointestinal complications17

Other complications17

PEG tube management18

CHAPTER 3: METHODOLOGY20

Search Technique21

Literature Search22

Inclusion and exclusion criteria23

Search terms - key terms23

Additional Online searches24

Management24

Search rationale24

Critical Appraisal tool24

Appraisal limitations24

Reliability and validity25

Ethical consideration26

Reliability and Validity27

Generalizability28

Ethical Considerations29

CHAPTER 4: DISCUSSION AND ANALYSIS31

Analysis32

Family/relationships32

Eating and PEG34

Equipment/problems with36

Help/information/support37

Time/limitations38

Beliefs/personal comments39

Feelings41

Depression43

Anxiety43

Summary44

CHAPTER 5: CONCLUSION46

REFERENCES48

CHAPTER 1: INTRODUCTION

Background of the study

PEG is tube used for giving nutrition to those patients who cannot take food orally. This tube is very beneficial for paralyzed patients as through tube they can get nutritious food without any problems.

Problem Statement

This tube is used because paralyzed patients who cant take food orally because it chokes them and they get irritated through it. Their chest is congested due to food. The food which they take from their mouth does not reach stomach without problems.

Research Aims and Objectives

Though the PEG tube is very beneficial for handicapped patients this tube has many drawbacks too. In this tube, the researcher aims to find out the psychological of PEG tube on adult life.

Significance of the Study

This study is very important as it will contribute a lot to the existing research available on the given topic. PEG tube related studies are not ...