Course Code: REL-HOS-0-NHEL
Hours: 0.75
Type: Online Course
Content Expiration Date: 12/31/2023
Learning Objectives:
Identify potentially reversible causes of decreased eating in advanced illness.
Discuss the emotional impact of changes in eating and drinking on the patient and family.
Utilize simple ways to communicate natural changes related to the dying process to the family.
Describe the benefits of natural dehydration.
Identify risks of tube feeding in the terminally ill.
Discuss ethical, legal, and cultural issues that affect decision-making concerning the use of artificial hydration and nutrition near the end of life.
Outline:
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
I. Clara
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
C. Study
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
Subject Matter Expert: Tani Bahti, RN, CT, CHPN
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 no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Target Audience:
The target audience for this course is: Entry, Intermediate level Direct Care Workers; in the following settings: Hospice, Palliative Care.
F Tags:
F684, F692
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Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.