PEG Tubes and End-of-Life Care
For decades, tube feeding has been used for patients who are unable or unwilling to maintain their nutritional and hydration status through the foods and fluids they consume orally. The decision to place a feeding tube can be difficult. While feeding tubes can greatly benefit some patients, others may face a significant burden with one. This course will review when percutaneous endoscopic gastrostomy (PEG) tube placement is appropriate, the risks associated with offering tube feeding during end-of-life care, and the legal and ethical issues that should guide healthcare providers during the decision-making process. The goal of this course is to educate the healthcare team in the acute care setting on the risks and benefits of feeding tube placement during end-of-life care.
For decades, tube feeding has been used for patients who are unable or unwilling to maintain their nutritional and hydration status through the foods and fluids they consume orally. The decision to place a feeding tube can be difficult. While feeding tubes can greatly benefit some patients, others may face a significant burden with one. This course will review when percutaneous endoscopic gastrostomy (PEG) tube placement is appropriate, the risks associated with offering tube feeding during end-of-life care, and the legal and ethical issues that should guide healthcare providers during the decision-making process. The goal of this course is to educate the healthcare team in the acute care setting on the risks and benefits of feeding tube placement during end-of-life care.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.00 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Commission on Dietetic Registration
As a Jointly Accredited organization, Relias LLC is accredited to offer dietetic continuing education by the Commission on Dietetic Registration (CDR). The CDR is an associate member of Joint Accreditation for Interprofessional Continuing Education.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Florida Council of Dietetics and Nutrition
Florida Council of Dietetics and Nutrition (CEBroker Provider #50-290)
This course is approved for 1.00 contact hours.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Kansas Department of Aging and Disability Services (Dietary)
Approved for 1.00 continuing education clock hours for Kansas licensed dietitians by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-D1058. This activity is approved for 1.00 contact hours.
Kansas State Board of Nursing
Kansas State Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Michigan Board of Nursing
Michigan Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi State Department of Health Bureau of Professional Licensure Dietitians
Mississippi State Department of Health Bureau of Professional Licensure Dietitians (CEBroker Provider 50-290)
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Wyoming Board of Nursing
Wyoming Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Recognize when artificial nutrition and hydration is appropriate.
Recall the risks associated with tube feeding during end-of-life care.
Indicate the legal and ethical considerations that influence the decision to place a feeding tube.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Artificial Nutrition and Hydration
A Difficult Choice
Tube Feeding
Tube Feeding as a Medical Intervention
Risks
Review
Section 3: End-of-Life Care
PEG Placement and Terminal Illness
PEG Tube Placement and Dementia
Physiology of Death and Dying
Providing Compassionate Care
Withdrawing vs. Forgoing a PEG Tube
Review
Section 4: Guidance for Healthcare Providers
Documenting Patient Wishes
Helping a Patient Choose
Using Medical Organizations for Guidance
Review
Section 5: Clinical Vignette
Mr. Gonzalez’s Story
Section 6: Conclusion
Course Summary
Course Contributor
Resources
References
Subject Matter Expert: Meredith Moyers MS, RD, LDN
Meredith earned a Bachelor of Science in Dietetics from The University of Akron and a Master of Science in Human Nutrition from Eastern Michigan University. After completing her internship with The Detroit Medical Center in 2007, she began working in various academic medical centers in Ohio and North Carolina. She has experience in providing nutrition therapy in both acute and ambulatory settings. Her areas of nutrition specialty include oncology, cardio-thoracic transplant, renal, and general medicine. Meredith has been a guest speaker for numerous cancer survivorship groups and presented telemedicine lectures for North Carolina community colleges. She founded and ran an oncology teaching garden at the SECU Family House for patients and their families undergoing cancer treatment at The University of North Carolina. She is currently a SME writer for Relias.
The target audience for this course is: Dietitians; Nurses; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
