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.
  2. Visit  Blackcat99 profile page

    About Blackcat99

    From 'Florida'; Joined Jan '04; Posts: 3,087; Likes: 1,012.

    11 Comments so far...

  3. Visit  Kittypower123 profile page
    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. Visit  loriangel14 profile page
    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. Visit  NursieDP profile page
    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. Visit  Kabin profile page
    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. Visit  Nurse_Diane profile page
    1
    Each case is SO different. I've only seen ALS pts and head/neck CA pts with feeding tubes.
    Blackcat99 likes this.
  8. Visit  Kabin profile page
    1
    I currently have a new CVS pt with a G tube.
    Blackcat99 likes this.
  9. Visit  tewdles profile page
    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. Visit  Kabin profile page
    1
    It's a new hospice admission, lives in group home. Just adding another anecdotal case for the OP.
    Blackcat99 likes this.
  11. Visit  tewdles profile page
    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.
  12. Visit  loriangel14 profile page
    2
    Quote from tewdles
    Every single esoph Ca patient that I have cared for in hospice with a GT regretted having it place...every one.
    Oh I had one of those patients and he regretted it as well.He said it just prolonged his death.He was very bitter.
    Blackcat99 and tewdles like this.
  13. Visit  Kabin profile page
    2
    We can educate and make recommendations but it's up to families and patients to make the final decision. And sometimes dementia etc removes the latter option. As they say, we're there to walk beside them.
    Blackcat99 and tewdles like this.


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