What is the recommended position for a patient receiving enteral feeding through a PEG tube?

The recommended position for a patient receiving enteral feeding through a PEG tube is semi-Fowler's position, typically at around 30 to 45 degrees. This angle helps prevent aspiration, which can occur if the food or liquid enters the lungs rather than the stomach. Keeping the patient in a semi-upright position also promotes better digestion and utilization of the nutrients being administered.

In this position, gravity assists the feeding process and decreases the likelihood of reflux due to the higher elevation of the upper body. This is particularly important for patients who may have compromised swallowing mechanisms or other risks associated with enteral feeding.

With the other positions considered, lying flat increases the risk of aspiration and may not facilitate the best functioning of the gastrointestinal system. A completely supine position would have similar drawbacks, while being seated upright at 90 degrees might be uncomfortable and is typically not necessary for most patients receiving PEG tube feedings. Thus, semi-Fowler's position strikes the right balance between safety and comfort for enteral feeding administration.