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Palliative Care at the Very End of Life - Dartmouth-Hitchcock

Palliative Care at the Very End of Life - Dartmouth-Hitchcock

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Benefits and Burdens<br />

Burdens <strong>of</strong> Artificial Feeding *<br />

Risk <strong>of</strong> aspir<strong>at</strong>ion pneumonia is <strong>the</strong> same or<br />

gre<strong>at</strong>er than without non-oral non oral feeding<br />

Increased need to use restraints<br />

Wound infections, abdominal pain and tube-<br />

rel<strong>at</strong>ed discomfort<br />

O<strong>the</strong>r tube problems<br />

Cost; Indignity<br />

* Much <strong>of</strong> this d<strong>at</strong>a comes from use <strong>of</strong> tube feeding in advanced dementia<br />

(see next slide)<br />

Weissman, D.E., Biern<strong>at</strong>, K., & Rehm, J. (2003)

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