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Tube dependency
Tube dependency refers to the process in which an individual becomes dependent on a feeding tube for nutrition. While the term technically refers to any individual who requires enteral feeding for nutrition, some practitioners specifically use this term for patients, primarily children, who are medically capable of eating by mouth but have been unable to wean from a feeding tube due to non-medical causes, which may be behavioral, sensory, or motoric in nature.〔Ishizaki A et al., Characteristics of and weaning strategies in tube-dependent children. Pediatrics International 2013 Apr;55(2):208-13.〕
== Overview ==
Tube dependency is a condition when patients treated with enteral nutrition via a feeding tube are unable to begin or resume oral feeding after the period of intended use is completed.〔Dunitz-Scheer, Marguerite, et al. "Prevention and treatment of tube dependency in infancy and early childhood". ''ICAN: Infant, Child, & Adolescent Nutrition'' 1.2 (2009): 73-82〕 This can lead to a physical and emotional dependency on tube feeding in absence of any medical indication.〔M. Dunitz-Scheer et al.: ''"Sondenentwöhnung" In: "Pädiatrie"'' 4+5, 2010, S. 7-13〕 Tube dependency can begin after a few days of ENS (enteral nutrition support) or take weeks to develop. It is considered as an unintended complication of ENS.
Although tube dependency can be seen as an iatrogenic factor most practitioners do not consider it to be a medical diagnosis or condition. It merely refers to a patient's need for enteral feeding to sustain health. In fact, the term has been widely rejected by the disability and feeding tube communities because it fails to follow People-first language.〔John Folkins, (Resource on Person-First Language ), American Speech-Language-Hearing Association, 1992.〕
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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