End-of-life Care: Is PEG Tube Feeding Appropriate?
by Instructor: Elizabeth (Liz) Kahrs Friedrich, MPH, RD, CSG, LDn, FAND; Instructor: Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND

$20.00

i 1.00 CEH

Course Overview

Tube feeding has been used for decades for those who cannot or will not eat or drink enough to maintain nutrition and/or hydration status. The decision to place a percutaneous endoscopic gastrostomy (PEG) tube can be difficult. While it can benefit some patients, the risks of tube feeding may outweigh the benefits. Tube feeding is not without medical risk and can have a negative effect on quality of life. Patients and providers should evaluate a patient’s prognosis and goals for treatment carefully and discuss the risks and benefits of PEG tube placement with each patient prior to initiating a placement.

About the Course Author

Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND is a SME Writer focused on topics related to food, nutrition & dietetics for Relias. She is a registered dietitian nutritionist and has been a certified diabetes educator since 2003. Ms. Stefanski earned a Bachelor of Science degree in Dietetics and a master's degree in Adult Education with a special focus on distance learning. She was an adjunct instructor in the Stabler Department of Nursing at York College of Pennsylvania for 13 years. Stefanski is the owner of Stefanski Nutrition Services where she specializes in pediatric nutrition, diabetes, gastrointestinal issues and sports nutrition. Stefanski serves as national media spokesperson for the Academy of Nutrition & Dietetics.

Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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Detailed Transcripts

License Tracking/Reminders

Accreditation Information

Certificates provided by accrediting body (2 Match)

  • Commission on Dietetic Registration

    1.00HOURS

    Relias LLC is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. CDR Credentialed Practitioners will receive 1.0 Continuing Professional Education units (CPEUs) for completion of this activity/material.

    Activity Number: 112450 Learning Need Code(s): 050, 4190, 5000, 5040, 5100, 5430 CPE Level: Level II

    Dietitians/nutritionists may submit activity evaluations directly to CDR; QualityCPE@eatright.org, or mail to: Commission on Dietetic Registration, Attn: Accredited Provider Unit, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995.

    Critical Thinking Evaluation Tool
  • Florida Council of Dietetics and Nutrition

    1.00HOURS

    Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 1.0 contact hours.


Course Details

  • Course Code:

    REL-ACU-0-RD174
  • Hours:

    1.00
  • Type:

    Online Course
  • Release Date:

    2019-05-01
  • Expiration Date:

    2023-06-30
  • Learning Objectives:

    Discuss the factors and ethical issues that influence a decision to place a feeding tube.; List at least four medical conditions where tube feeding can be beneficial.; State at least three risks associated with tube feeding.
  • Outline:

    Section 1: Introduction
    About This Course
    Learning Objectives
    Section 2: End-of-Life Care
    Tube Feeding
    Tube Feeding as a Medical Intervention
    Risks
    PEG Placement and Terminal Illness
    PEG Placement and Dementia
    Physiology of Death and Dying
    Legal Documentation
    Helping a Patient Choose
    Providing Compassionate Care
    Withholding Versus Removing a PEG Tube
    Guidance for Healthcare Professionals
    Implications for Practitioners
    Case Study Revisited
    Section 2: Clinical Vignette
    Mr. Capabianco’s Story
    Section 3: Conclusion
    Summary
    Course Contributors
    Resources
    References
    Congratulations!
     
  • Target Audience:

    The target audience for this course is: Dietitians; in the following settings: Acute Care Facility.
  • Course Delivery Method and Format:

    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.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.
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