Do many hospice patients also have continuous G-tube feedings?

  1. 0
    When I worked in hospice many years ago, I was told that continuous G-tube feedings were not allowed for hospice patients. I now work in LTC and the majority of our residents on hospice are also on continuous G-tube feedings. I guess things have changed over the years in regards to hospice care.

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  2. 11 Comments...

  3. 4
    At our hospice, the patients with G-tubes were admitted with them. We won't make them stop using the g-tube but will only pay for the formula if it is the patient's only source of nutrition. If a patient stops eating, or progresses to the point that they cannot swallow, we consider g-tube insertion to be aggressive treatment.
    poppycat, BryanLVN, tewdles, and 1 other like this.
  4. 2
    It may depend on where you are and the hospice program. Hospice in my area will not admit pts with a G tube.
    tewdles and Blackcat99 like this.
  5. 3
    I have had pts with them and we continued with it until they could not tolerate the food.
    tewdles, FLArn, and Blackcat99 like this.
  6. 1
    I haven't seen many g/j tube feedings but some diagnoses almost require them like esophageal CA.

    LTC facilities have their own ethical issues and business considerations.
    Blackcat99 likes this.
  7. 1
    Each case is SO different. I've only seen ALS pts and head/neck CA pts with feeding tubes.
    Blackcat99 likes this.
  8. 1
    I currently have a new CVS pt with a G tube.
    Blackcat99 likes this.
  9. 1
    Quote from Kabin
    I currently have a new CVS pt with a G tube.
    New patient or new stroke?
    How long has the GT been in?
    Has the family discussed the goals of care relative to that tube and the artificial nutrition?
    Blackcat99 likes this.
  10. 1
    It's a new hospice admission, lives in group home. Just adding another anecdotal case for the OP.
    Blackcat99 likes this.
  11. 2
    Every single esoph Ca patient that I have cared for in hospice with a GT regretted having it place...every one.
    Blackcat99 and loriangel14 like this.

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