Doctor insights on:
How Dpes Family Or Doctor Determine When To Stop Tube Feeding In Hospice
Quality of life: For the vast majority of hospice patients, tube feeding actually makes them more uncomfortable--they retain fluid, have more secretions, have to deal with the tube. And tube feeding has never been shown to improve quality of life or lengthen survival--and this has been studied. Removing the tube can improve comfort and dignity, and won't hasten death. ...Read moreSee 1 more doctor answer
All hospices deliver a similar set of services. They include nursing, assistance with caregivers on a limited basis, chaplaincy, bereavement counseling, social worker and physician care (medical director in many cases). You are covered for many services and this includes medications related to your terminal diagnosis. The hospice team is there to help you transition in the ...Read more
Malnourished: If you feel that you have inadequate nutrition, then you should certainly discuss these options. Certain conditions require supplemental nutrition or fluid such as malnutrition, dehydration, pancreatitis, short bowel syndrome and certain cancers. Your doctor should be able to tell you if you require supplementation. If you are frustrated, it is ok to search for another opinion. ...Read moreSee 1 more doctor answer
Not comfort care.: They wouldn't generally pursue feeding tubes, as they're not considered comfort and the extra nutrition would possibly extend the time to death, which isn't the goal in hospice care. We're told that dying hungry is not as unpleasant as we would think, relating it to,how we feel when we're hungry. ...Read moreSee 1 more doctor answer
If it happens, how soon after the start of chemo and radiation can a doctor stop treatments for palliative leading to hospice care?
Hospice: This may occur at any time, depending upon the likelihood that the patient is going to benefit substantially from the chemo/rads. If the patient decides that they have had enough treatment then referral to hospice is quite appropriate. Too often patients have hopes that are not in accordance with the likelihood of response. They need to discuss this with the oncologist. ...Read more
How soon after a palliative care decision is physician made for cancer treatments to stop does a person enter a hospice?
My dad in hospice has been on dialysis 4yrs. Doctors say dialysis is no longer helpful, what does that mean? He says he wants to continue dialysis.
Tough decision: Hospice therapy centers upon comfort care. Dialysis is life sustaining. Usually the decision to stop dialysis and start hospice go together. One could argue that the dialysis provides relief from shortness of breath or edema, to say that dialysis is no longer helpful implies that these goals are unattainable. Stopping dialysis will not affect comfort in that case. ...Read moreSee 1 more doctor answer
Hospice: Maybe your questiion is about a sick parent that has a terminal disease-should the children of the terminal parent encouage them to "let go".I have been a hospice dr. At some points in my medical career.Dying is a process, not only for the terminal patient; but also for the family and friends.Children who have been supportive of their ill parent will know when to express this feeling that it's o-k. ...Read moreSee 2 more doctor answers
For those unable to swallow well/high risk of aspiration, a tube can be placed via the nose, mouth, or inserted through the abdominal wall (see pic) into the stomach or even further down into intestine. Food (usually liquid form such as ensure) is then fed through this tube--this is tube feeding. Have ...Read more