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There seems to be a discrepancy in the way carers are trained to administer gastrostomy feeds in the community. I was taught never to use the plunger on a syringe unless absolutely necessary e.g. for medication and then only for small amounts to avoid making my son feel uncomfortable and, possibly, vomit. Gravity is always the best way. The care home staff were taught to use the plunger at all times with no explanation as to why.