Changes in a patient’s ability to ingest fluid and nutrition near the end of life requires a thorough assessment, followed by appropriate education and support of both patient and caregivers. An emotionally charged topic that is riddled with misconceptions, this program will help you gain assessment skills and provide a compassionate approach to teaching patients and caregivers about changing nutrition and hydration needs as the patient’s illness progresses.
This is not an accredited course for professional license renewal. Florida CNAs may use this inservice toward meeting their annual inservice requirement.
Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 0.75 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO1731212
Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 0.75 contact hours.
This activity is approved for 0.75 contact hours.
Section 1: Nutritional Issues
A. Learning Objectives
B. Clara Doesn’t Want to Eat…
C. Examine the “Maybe” First: Is the Cause Reversible?
D. Potential Physical Causes of Loss of Appetite
E. Medical Causes
F. Other Causes
G. Changes in Food Preferences
H. Initial Approaches to Changes in Appetite
J. Changes in Eating
K. The Mantra
L. “Just four more bites!” The Emotional Impact on the Family
M. Knowledge Check
Section 2: Addressing Nutrition
A. The Challenge
B. When They Don’t Want to Eat
D. The Truth About Tube Feedings at the End of Life
E. Position Statement
F. The Initial Goal of Tube Feedings
G. The General
H. Complication Rates of Feeding Tube Placement
I. When DO You Consider a Tube Feeding?
J. Use of Supplements
K. Why We Don’t Use Appetite Stimulants
L. Contrary to Our Best Intention
M. Patty and Mat’s Christmas
N. When Cytokine is Released
O. Don’t Feed the Pig!
P. What are we Really Feeding?
Q. Encourage Other Ways to Nurture
R. Knowledge Check
Section 3: Hydration at the End of Life
A. Myths About Dehydration at the End of Life
B. Consequences of Fluid Overload
C. Possible Consequences of Artificial Hydration at the End of Life
D. Can There be a Benefit?
E. Honoring Religious and Cultural Beliefs
F. When We Can no Longer Nourish the Body…
G. Knowledge Check
An RN since 1976, Tani Bahti has spent most of her career in the field of hospice and palliative care. Recognizing how fear, misinformation and lack of information can negatively impact decision-making and the dying experience, she is passionate about, and committed to improving end-of-life care through education. Certified in both Thanatology and Hospice and Palliative Nursing, a frequent lecturer for medical and nursing schools and community groups, Ms. Bahti has developed clinical training programs for healthcare professionals and volunteers, participated in end-of-life research and produced teaching tools. She is the writer and producer of the award winning video, Living Through Dying - The Struggle for Grace, and author of Dying to Know - Straight Talk About Death & Dying. Ms. Bahti is the Founder and Executive Director of the non-profit organization, Passages – Support & Education in End of Life Issues. Disclosure: Tani Bahti, RN, CT, CHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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