What is a primary concern for a patient who has been receiving long-term enteral feeding therapy?

A primary concern for a patient receiving long-term enteral feeding therapy is infection. Enteral feeding involves the placement of a tube into the gastrointestinal tract, which can provide a route for pathogens to enter the body. This risk is heightened due to potential factors such as compromised skin integrity around the insertion site, the introduction of bacteria during tube placement or feeding administration, and the need for frequent access to the feeding site.

Infections can lead to serious complications, such as sepsis or systemic infections, particularly in patients who may already be immunocompromised or have other underlying health issues. Maintaining strict aseptic technique and monitoring for signs of infection around the feeding tube site are essential practices to mitigate this risk.

While dehydration, malnutrition, and hyperkalemia are also important considerations in patients receiving enteral feeding, they are generally secondary to the immediate threat posed by infection. Proper management of enteral feeding typically includes monitoring hydration status and nutrient delivery, but these issues can usually be addressed without the same degree of urgency as combating infection.