As a cost-saving measure, more adults now receive complex home health care services each year. One such service is the safe administration of enteral feedings through a gastrostomy tube for adults with significant neurologic impairments. These adults are at high risk for pulmonary aspiration caused by gastroesophageal reflux of formula and gastric acids. Analysis of the etiol ogy and pathophysiology of pulmonary aspiration, pneumonitis, and pneumonia helps to estab lish a care plan for prevention. Key words: enteral feeding, pulmonary aspiration, prevention, home health care
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