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File: Healthy Nutrition Pdf 142418 | Nutrition
ihs best practice model nutrition and physical fitness programs for people with diabetes why is this important nutrition and physical fitness play major roles in helping people with diabetes and ...

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                                                                                   Hospice Education Network
                                                          Nutrition at End-of-Life, by C. Andrew Martin, MS, RN, CHPN
                                 NUTRITION AT END-OF-LIFE
                                       C. Andrew Martin, MS RN CHPN
                                          Hospice Education Network
                                              camartin@hospiceonline.com
                                                 HANDOUTS
                            • Pause the presentation
                            • Click on the link for the PowerPoint handouts 
                               and any supplemental materials
                            • Download the handouts (PDF files)
                            • Print the handouts
                                                                                            2
                                                OBJECTIVES
                            • The learner will:
                                – Identify nutritional care givers as both family and 
                                  professionals, located in various care settings
                                – List some components of a nutritional assessment
                                – List nutritional support activities
                                – Identify cultural, personal and ethical issues 
                                  concerning nutrition at end-of-life
                                                                                            3
                                                                             Hospice Education Network (c) 2008
                                                                                      www.hospiceonline.com
                                                                              Hospice Education Network
                                                      Nutrition at End-of-Life, by C. Andrew Martin, MS, RN, CHPN
                                            DEFINITIONS
                          • Nutrition: the act of nourishing or of being 
                             nourished 
                          • Hydration: the act of giving liquids to the body
                              – They are basic care giving activities
                              – They are opportunities for social interaction between 
                                patient and care giver, whether family or professional 
                                                                                      4
                                          “FOOD IS LOVE”
                          • Life cycle events
                              –Birthdays
                              – Weddings
                              – Anniversaries
                              – Funerals
                          • Caring activities
                              – Newborns
                              –Illness
                              –Dying
                                                                                      5
                                   NUTRITIONAL SUPPORT AT 
                                              END-OF-LIFE
                          • Nutrition may be beneficial early in the disease 
                             process
                              – Six month prognosis
                          • Educate care givers in understanding nutritional 
                             needs and limitations in terminal situations
                          • Develop an individualized approach to each 
                             patient
                                                                                      6
                                                                       Hospice Education Network (c) 2008
                                                                                www.hospiceonline.com
                                                                                        Hospice Education Network
                                                              Nutrition at End-of-Life, by C. Andrew Martin, MS, RN, CHPN
                                            CARING PARTNERS
                              • Hospice
                                  –Family
                                  – Inpatient facility staff
                                      • Collaboration
                                      • Conflict resolution
                                                                                                  7
                              HOSPICE IN THE INPATIENT FACILITY
                              • Documentation must meet the regulations for 
                                 both agencies
                              • Documentation must indicate coordination of the 
                                 plan of care
                              • Goals of both agencies must agree
                              • Hospice manages the plan of care
                                                                                                  8
                                               CARE PLANNING
                              • Normal for a hospice patient to have:
                                  – Decreased appetite
                                  – Decreased fluid intake
                              • Nutrition is part of the care plan
                                  – Trajectory of the disease
                                  – Patient/family wishes
                                                                                                  9
                                                                                 Hospice Education Network (c) 2008
                                                                                           www.hospiceonline.com
                                                                                  Hospice Education Network
                                                         Nutrition at End-of-Life, by C. Andrew Martin, MS, RN, CHPN
                                 CARE GIVING ASSESSMENT
                            • Care giving settings may be:
                                –Home
                                – Inpatient Facility
                            • Care givers may be:
                                – Family, friends, or healthcare professionals
                                                                                          10
                                 NUTRITIONAL ASSESSMENT
                            • Diet history
                            • Eating habits
                            • Food preferences
                            • Food aversions
                            • Weight loss history
                                – Certification and re-certification periods
                            • Physical exam
                                –oral
                                                                                          11
                           PHARMACOLOGICAL ASSESSMENT
                            •Steroids
                                – Increase appetite
                            • Megastrol acetate
                                – Increase appetite
                                                                                          12
                                                                           Hospice Education Network (c) 2008
                                                                                    www.hospiceonline.com
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