When it comes to deciding on the best tube feed routine for you or the person you care for, your dietitian will talk about options with you. There are three ways that the tube feed can be given:
Continuous feeding: Continuous feeding means your tube feed is delivered slowly and steadily over several hours using a pump. This approach is often used when feeds need to be given at a gentler pace, such as for people who may need more. Continuous feeding can take place during the day or overnight, or as a combination of both.
Bolus feeding: Bolus feeding involves giving smaller volumes of feed several times a day, usually over a shorter period. Feeds can be delivered using a squeezable pouch, a pump, or a 60 ml syringe (using a gravity or plunging method). A typical bolus is around 250 ml, though the amount may vary depending on what you can tolerate.
Combination of both: A combination of these routines can be chosen based on a number of factors. For example, you or the one you care for may use a continuous feeding method overnight and then use a squeezable bolus pouch during the day to provide more flexibility around your daily routine.
Always talk to your dietitian/doctor first before changing the feeding routine as they can help choose the optimal way of feeding for you or the one you care for.
The ideal position for tube feeding is to sit upright. But if this isn't feasible, prop yourself or the person you care for up on at least two pillows to lie at an angle of 45º or larger. Keep this position during tube feeding and for up to 30-60 minutes after, as it's not safe to feed while lying flat.
