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Becky Dorner
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End of Life Nutrition and Hydration - Hard Copy - CE 24


Order End of Life Hard Copy Manual and receive the following FREE webinars: 

  • End of Life Recorded Webinar 
  • New Ethics Isn’t Optional:  Understanding and Applying the Code of Ethics Webinar

    (You do not need to add the webinars to your cart. This will be done automatically)

The EOL book is worth 16 CPEs, EOL recording 1.5 CPEs and Ethics Webinar 1.5 CPEs = 19.0 CPEs

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 and 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 

Objectives:

After completion of this CPE program, participants will be able to:
  1. Determine how to implement MNT for the patient/resident who is at the end of life.
  2. Understand how to implement comfort guided nutrition care in palliative care and hospice patients/residents.
  3. Implement nutrition related interventions to alleviate end of life symptoms including pain and discomfort related to disease process, medications and/or treatments.
  4. Determine whether or not a patient/resident is a good candidate for tube feeding based on their prognosis and comorbidities.
  5. Utilize tools and resources to assist families/patients/residents in making decisions regarding use of tube feeding at the end of life.
  6. Implement appropriate enteral feeding in individuals who require tube feeding, and select an appropriate formula and feeding schedule to meet nutritional needs.
  7. Understand the complications of enteral feeding and propose interventions to help manage complications.
  8. Understand how to meet state and federal regulations (for nursing homes).
  9. Implement education tools for Patient/Family/Surrogate as needed.
  10. Implement staff education using the resources provided.
CPE Program Expiration Date: February 15, 2020
CDR Level: 2
CDR Top 4 Learning Needs Codes and Performance Indicators:
(5430) End of life care
  • 8 Uses current knowledge and skills to convey the specific application of food and nutrition sciences and physical activity in the dietetics profession.
 (1050) Ethics
  • 1 Accepts responsibility and accountability for providing competent, ethical, customer-centered nutrition and dietetics services.
  • 2 Communicates and collaborates with others to achieve common goals and enhance relationships in the provision of nutrition and dietetics services.
  • 4 Employs critical reasoning and professional judgment in decision making and problem solving relevant to RDN and NDTR scope of practice.
  • 9 Provides education and counseling to meet the learning needs of students and customers.
(5000) Medical Nutrition Therapy
  • 8 Uses current knowledge and skills to convey the specific application of food and nutrition sciences and physical activity in the dietetics profession.
  • 10 Provides safe, effective and ethical medical nutrition therapy to assist the client in establishing and achieving individual health and nutrition goals tailored to prevent and/or manage disease, injury or condition.
(5440) Enteral and parenteral nutrition support
  • 8 Uses current knowledge and skills to convey the specific application of food and nutrition sciences and physical activity in the dietetics profession.

Note: Additional Learning Needs Codes and Performance indicators may apply.