Subjective Distresses of Nasogastric Tube Feeding

Health care professionals assume that tube feeding is an unpleasant, distressing experience for patients, which is only partially substantiated by experience. Thirty patients were interviewed via a tube feeding and hospital experience checklist (a 47–item interview schedule). Common experiences were operationally defined as those felt by at least 50%; subjectively distressful experiences were those identified by patients as causing distress. The most common and most distressful experiences of nasogastric tube feeding were: sensory irritations and sensory deprivation. The psychosensory irritation experiences were: thirst, sore nose or throat, dry mouth, runny nose, a tube in the nose, taking food through a tube, breathing through the mouth, breathing with a tube in the nose, taking food in a treatment type container, and taking food with a different texture and smell than usual. The psychosensory deprivation experiences were: an unsatisfied appetite for certain foods, deprivation of tasting, chewing, swallowing food, and drinking liquids, limited mobility, and deprivation of regular food. Except for burping, gastrointestinal symptoms were not common though they were usually distressful. This information has been used to develop teaching programs which are being tested for effectiveness in reducing distress associated with nasogastric tube feeding.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68702/2/10.1177_014860717900300204.pd

In the mood for wood-habitat specific colonization patterns of benthic invertebrate communities along the longitudinal gradient of an Austrian river

Instream large wood (LW) constitutes an indispensable element of natural river ecosystems. It affects local hydraulics, morphology, nutrient budget, overall habitat complexity, and dynamics. Despite numerous studies about LW as a habitat for benthic communities, information on the varying importance along the longitudinal gradient of a river is lacking. The focus of this study is therefore to investigate general differences between lithal and xylal colonizers and to further investigate trends along the river course. We analyzed lithal and xylal communities at ten sites along the medium-sized Lafnitz River in Southeast Austria. Our results significantly show (1) a general differentiation between lithal and xylal communities, (2) an increasing distinction of the lithal and xylal fauna along the longitudinal gradient of the river, and (3) a distinct correlation between the distance from source and the number of exclusive xylal and nowadays predominantly rare taxa. The presence of LW is therefore directly linked to higher aquatic biodiversity compared to rocky substrates and presents a unique element for river restoration, especially in lower river sections