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The End of Life Nutrition and Hydration manual details advance directives related to nutrition, hydration and end of life care planning including:
- End of life medical nutrition therapy: nutrition screening, nutrition care process, nutrition assessment, nutrition focused physical examination, laboratory assessment, evaluating for dehydration, fluid/electrolyte balance, anemia; determining diagnosis of malnutrition; estimating nutritional needs including advice on mathematical formulas when indirect calorimetry is not available
- Details and guidance on benefits and risks of enteral nutrition at the end of life, making the decision to provide enteral nutrition, tube feeding and dementia, considerations for health care providers
- Choosing comfort-guided nutrition care, palliative care and hospice care
- End of life symptoms that may affect nutritional care, end-of-life pain and discomfort related to food and fluid intake
- Legal issues and end of life care
- Enteral nutrition at the end of life including: selecting the type of feeding, nutrition care of the tube-fed patient, selecting enteral formulas, delivery methods, determining schedules and administration of the feeding, using feeding tubes to deliver medications, drug-nutrient interactions, complication of enteral feeding, monitoring for refeeding syndrome, and discontinuing enteral feeding
- Sample policies/procedures, resources, sample forms, etc.
- Meeting state and federal regulations for nursing facilities: surveyor guidance, CMS tube feeding assessment form, hospice/end of life/palliative care critical element pathway; review of the MDS 3.0 and the care planning process
- Patient/family/surrogate education tools: FAQs and copy ready educational handouts
- Appendix full of additional resources
- 3 Inservices on End of Life of Nutrition and Hydration Inservice; Tube Feed or Not Tube Feed Inservice and Nutrition-Guided Comfort Care Inservice
- Plus additional educational materials
Course includes hard copy book and 1 certificate
Already have the book? Under “Product Options”, simply choose “Additional Certificate” to purchase the CPE self-study program.
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After completing this continuing education course, the learner should be able to:
- Determine how to implement MNT for the patient/resident who is at the end of life.
- Understand how to implement comfort guided nutrition care in palliative care and hospice patients/residents.
- Implement nutrition related interventions to alleviate end of life symptoms including pain and discomfort related to disease process, medications and/or treatments.
- Determine whether or not a patient/resident is a good candidate for tube feeding based on their prognosis and comorbidities.
- Utilize tools and resources to assist families/patients/residents in making decisions regarding use of tube feeding at the end of life.
- Implement appropriate enteral feeding in individuals who require tube feeding, and select an appropriate formula and feeding schedule to meet nutritional needs.
- Understand the complications of enteral feeding and propose interventions to help manage complications.
- Understand how to meet state and federal regulations (for nursing homes).
- Implement education tools for Patient/Family/Surrogate as needed.
- Implement staff education using the resources provided.
This course is intended for: RDNs, CDEs, NDTRs, and CBDMs
CDR Activity Number: 132031 Self Study Activity Type: 720 Printed
CPE Level: 2
Suggested CDR Learning Need Codes:
- 1040 Cultural sensitivity
- 5000 Medical nutrition therapy
- 5430 End of life care
- 5440 Enteral and parenteral nutrition support
Additional Learning Needs Codes that may apply (including but not limited to): 3020, 3050, 4190, 5040, 5100, 5380, 5390, 5450, 7100
Suggested CDR Performance Indicators:
- 2.2.2 Considers and respects the opinions, creativity, values, beliefs, and perspectives of others.
- 2.2.4 Collaborates with others when the required skill is beyond his/her competence.
- 8.3.6 Keeps abreast of current nutrition and dietetics knowledge and trends.
- 9.4.6 Uses socially and culturally appropriate strategies in order to respect diverse cultures and values.
Additional Performance Indicators may apply (including but not limited to): 4.1.5, 8.1.5, 8.2.3, 8.3.1, 10.2.9
Additional Learning Needs Codes and Performance Indicators may apply.
This course is also approved by the Certifying Board of Dietary Managers (CDBM).
Hours: 16 General CE
Approval Number: 163885
Each CDM in attendance will be required to report their CE hours by logging into their online account at www.ANFPonline.org.
CDMs are to retain a copy of the certificate of completion in the event they are audited.
Becky Dorner, RDN, LD, FAND is widely-known as one of the nation’s leading experts on nutrition, aging, and long-term care. An experienced speaker and extensively published author, Becky is the Founder/President of Nutrition Consulting Services, Inc., whose dedicated team of RDNs and NDTRs have served health care facilities since 1983; and Becky Dorner & Associates, Inc., which offers a broad library of resources and continuing professional education programs. Her free email magazine keeps 35,000 health care professionals up to date on the latest news in the field.
Honors include: Fellow of the Academy of Nutrition and Dietetics (Academy), Academy Award of Excellence in Business and Consultation, NE Outstanding Nutrition Entrepreneur, Academy Recognized Young Dietitian of the Year and DHCC Distinguished Member Award.
Liz Friedrich, MPH, RD, CSG, LDN, FAND is a Registered Dietitian and president of Friedrich Nutrition Consulting in Salisbury, NC. The company provides a variety of nutrition consulting services with a focus on gerontological nutrition. She has co-authored numerous articles in journals and magazines, including the Academy of Nutrition and Dietetics. Liz was the Associate Director of Nutrition411.com, a respected website for dietitians, and is an evidence analyst for the Academy of Nutrition and Dietetics’ Evidence Analysis Library. In 2009 Liz became Board Certified as a Specialist in Gerontological Nutrition.
Honors include: Two North Carolina Dietetic Association awards, the Recognized Young Dietitian of the Year (1991) and the Member of the Year (2000).