End-of-life Care:  - RD174

End-of-life Care:

Is PEG Tube Feeding Appropriate?

by Elizabeth (Liz) Kahrs Friedrich, MPH, RD, CSG, LDN, FAND, NWCC
(4.5 / 800 ratings )

This course is credentialed for:
Dietetics/Nutrition (1.00 CPEU)

Price: $20.00
CE-PRO Price: $10.00


Tube feeding has been used for decades to provide nutrition and hydration to 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 for both patients and providers. In recent years, evidence-based practice has identified the risks and benefits of PEG tube feedings. The use of feeding tubes can be beneficial for some patients; however, in many cases 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.


The goal of this continuing education module is to update registered dietitian nutritionists, dietary managers, and other healthcare professionals on the risks and benefits of PEG tube placement and how to decide if a patient is a candidate for PEG placement. After studying the material presented here, you should be able to:
  • List medical conditions where tube feeding can be beneficial for adults
  • State the risks associated with tube feeding
  • Discuss the factors that influence a decision to place a feeding tube

Accreditation Information
The course is intended for dietitians and NDTR's.
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.  This is a level 2 course with suggested CDR learning codes of 1050, 4190, 5000, 5040, 5100, 5430 and performance indicators of 1.1.1, 1.1.6, 1.3.4, 4.1.1.
OnCourse Learning is also accredited by the Florida Council of Dietetics and Nutrition (provider # FBN 50-1489).
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.
There is no commercial support provided for this online educational activity.

Course Originally Released on: 12/3/2013
Date of Most Recent Review: 2/20/2017
Course Termination/Update Date: 12/31/2020

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

If this course is approved by the Florida Council of Dietetics and Nutrition, this course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at AreYouRenewalReady.com and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Candice B - Tallahassee, FL  ·  May 20, 2020
Very straight forward, easy to comprehend and relate to and gives good ideas/terminology to use in the situation.
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Kimberlyn E - Ft Myers, FL  ·  Apr 30, 2020
I will remember this course and refer to it next time I'm faced with helping a patient/family understand the risks/benefits of tube feeding. Excellent and concise course.
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Melanie T - Manhattan Beach, CA  ·  Apr 28, 2020
good information about end of life enteral feeding protocol geared for dementia and Alzheimers patients
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Morgan M - Plant city , FL  ·  Apr 22, 2020
Very informative and well written
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Libby M - West Chester, PA  ·  Apr 20, 2020
It was very engaging.
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Price: $20.00
CE-PRO Price: $10.00