Objectives
   • Understand that nutrition and hydration goals are 
    based on the needs and wishes of each 
    resident/surrogate.
   • Recognize the IDT’s responsibilities to help the 
    resident meet all nutrition and hydration needs.
   • Know that although food and hydration usually 
    provide comfort and nourishment, in the end 
    stages of life they may cause distress.
       Objectives, cont.
  • Maintain regulatory compliance with 
   nutrition, hydration and artificial feedings.
  • Provide families with information and 
   support regarding nutrition and hydration at 
   the end-of-life.
     In Accordance with the 
   Comprehensive Assessment and 
        Plan of Care
     World Health Organization (WHO)
   Palliative care defined as “active total care 
   of patients whose disease is not responsive 
   to curative treatment…..”
       Goal of Palliative Care
             WHO
     Goal of palliative care is to achieve “the 
    best quality of life for patients and their 
    families.”
  “The regulatory requirement for the 
  resident to achieve the highest level of 
  well-being in accordance with the 
  comprehensive plan of care applies to 
  any resident at any time during his or her 
  stay and the LTC facility.”