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

  1. 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. by   Kittypower123
    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.
  4. by   loriangel14
    It may depend on where you are and the hospice program. Hospice in my area will not admit pts with a G tube.
  5. by   NursieDP
    I have had pts with them and we continued with it until they could not tolerate the food.
  6. by   Kabin
    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.
  7. by   Nurse_Diane
    Each case is SO different. I've only seen ALS pts and head/neck CA pts with feeding tubes.
  8. by   Kabin
    I currently have a new CVS pt with a G tube.
  9. by   tewdles
    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?
  10. by   Kabin
    It's a new hospice admission, lives in group home. Just adding another anecdotal case for the OP.
  11. by   tewdles
    Every single esoph Ca patient that I have cared for in hospice with a GT regretted having it place...every one.
  12. by   loriangel14
    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.
  13. by   Kabin
    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.

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