Sunday, 24 February 2013

Auntie Tube

source(Google.com.pk)
Auntie Tube Detail Biography
Tube, or Tubes, may refer to:

Construction
Tube (structure), used in structural applications
Hollow structural section, used in structural applications
Tube (fluid conveyance), used in plumbing, irrigation, and other applications

Electronics
Vacuum tube, a component of electronics
Cathode ray tube (also called picture tube), a common component of electronics such as televisions and other displays
Tube (BBC Micro), an expansion bus on the BBC Micro computer

Food
Yoplait Tubes, the name for Go-Gurt portable yog(o)urt in every country except America and the United Kingdom

Geometry
A hollow cylinder (geometry)

Mechanics
Pneumatic tube, a method of transportation utilising compressed air
Inner tube, a component of vehicular tires

Media
The Tube (TV series), a music related TV series by Channel 4 in the United Kingdom
Tube (band), a Japanese pop group
Tube (2003 film), a 2003 Korean film
Tube (upcoming film), an animated short film
Tube (game), a freeware game from Bullfrog Productions
Tube & Berger, the alias of dance/electronica producers Arndt Rörig and Marco Vidovic from Germany
YouTube, a website that allows users to upload, view, and share video clips
Peter Dale, aka Tubes from the Soccer AM television show
Series of tubes, an Internet meme and analogy for the Internet used by United States Senator Ted Stevens in reference to net neutrality
Picture tube, a term used by the software package Paint Shop Pro for a small digital image with no background used on web pages
a colloquial term for television
The Tube Music Network, a music video network that operated between 2006 and 2007

Music
The Tubes, a San Francisco based band, popular in the 1970s and 1980s

Nature
Eustachian tube, part of the structure of the ear
Lava tube, found in volcanic regions
The inside of a hollow wave in surfing

Packaging
Tube (container), a packaging solution for pasty and viscous goods such as toothpaste

Photography
Extension tube, a tool for macro photography

Theatre
Blue Man Group's theatrical show, "TUBES", now called "Rewired"

Science
Test tube, a piece of laboratory equipment

Transportation
Rapid transit
London Underground, London's subterranean train system, commonly known as The Tube
Transbay Tube, an underwater rail tube across San Francisco Bay
Tube or inner tube, see Tubing (recreation)
Our family has been through the wringer in the past few weeks. First my mother died, and then her brother died five days later. Each family faced end-of-life decisions, but one family was more informed about medical procedures than the other. When facing these decisions, information is your best friend. In order to make informed decisions, you should know the pros and cons. In my opinion, the cons far outweigh the pros when considering the insertion of a feeding tube.
 Two months before my mother’s death, she broke her hip and underwent a partial hip replacement. Following the surgery, she stopped eating and was drinking very little. As a result, her kidneys began to fail and hastened her death. My mother was 91 years old. Immediately following surgery, the nurses tried inserting an IV for fluids to try rehydrating her. Unfortunately, in my mother’s state of confusion, she pulled the IV from her arm. Because she could not understand the need for the IV, it was useless to try to insert another. When my mother entered the nursing home, my sister and I agreed that we did not want any extraordinary measures taken to prolong mother’s life.
 Before my mother’s death, her brother, who was 88 years old, entered the hospital. His symptoms were nearly identical to my mother’s. He wasn’t eating, he was subsisting on coffee, and he was dehydrated. He was also experiencing difficulty breathing. He was rehydrated with IV fluids, but the doctor recommended to the family that my uncle be placed on a feeding tube. Without having knowledge of the consequences of a feeding tube, they agreed and my cousin signed the papers to have the procedure performed. Thankfully, my sister (a retired nurse) had called my aunt just in time to hear the news and she was able to explain the procedure to my aunt. If my uncle returned home following the procedure, my aunt would be unable to care for him which might or might not have required added expenses for his care. My aunt rescinded the order for the feeding tube.
 When considering the use of a feeding tube, please be aware of the following drawbacks:
 • Discomfort. Whether a feeding tube is a short-term or long-term solution, it is definitely not comfortable for the patient. For a short-term solution, the Nasogastric Tube is used. This method is exactly how it sounds. A tube is inserted in the nostril and run down the throat into the stomach. Long-term solutions offer two methods—a PEG tube or a Jejunostomy tube. A PEG tube is inserted in the patient’s side, just below the rib cage, through the abdominal wall, and directly into the stomach. The Jejunostomy tube is inserted just below the stomach, bypassing the stomach altogether, and moving straight into the jejunum (a portion of the intestine). None of these options sound comfortable to me.
 • Leakage. This is a common problem associated with feeding tubes and generally occurs around the insertion point. Not only is leakage uncomfortable, it also permits bacteria to enter the insertion site and cause infection.
 • Tension. When a patient moves around, tension is put on the feeding tube. Picture a dog on a leash straining to move too far from its owner. If the tension is too high, it can kill abdominal tissue.
 • Clogging. The feeding tube can become easily clogged if not cleaned regularly. Cleaning the feeding tube is maintenance that cannot be ignored. The feeding tube should ideally be cleaned before and after each feeding. The standard of care for acute and long term care units is to change the entire tubing every 24 hours. The nutrition formulas are a great breeding ground for bacteria. Usually these feedings are administered by a pump set at a constant rate that constantly makes noise making it difficult to sleep. If the fluid is administered too fast it can cause regurgitation. If the head of the bed is not maintained the patient can aspirate the regurgitated fluid into the lungs which can lead to death. If you are the caregiver, are you prepared for the constraints on you that will be necessary to maintain your loved one’s feeding tube? In addition to cleaning the feeding tube, you need to be mindful of the type of liquids put in the feeding tube. Make sure you know everything there is to know before agreeing to do this for your loved one.
 • Replacement and Cost. Please be sure to consider your financial situation before agreeing to a feeding-tube solution. Permanent feeding tubes need to be replaced at least every six months. You will need to allow for future hospital visits and surgeries in connection with feeding tube replacement.
 • Time. The normal person spends 20-30 minutes eating a meal. This is not true for the patient with a feeding tube. The liquid must be inserted slowly to avoid complications and could take as long as an hour for a patient to ingest the fluid.
 • Lack of Pleasure. For most of us, the best part of a meal is enjoying the food we are eating. Who doesn’t love a perfectly cooked steak, or a succulent lobster tail? My mouth fills with saliva just thinking about crème brulee. The patient with a feeding tube is deprived of tasting his or her food, which eliminates all enjoyment of eating.
Given the advanced years of both my mother and my uncle, a feeding tube was not a viable solution. If a 30-year-old required a feeding tube in order to survive, it might be a viable solution. However, keep in mind the quality of life in such circumstances. Making this decision requires thoughtful consideration.
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