Nutrition and Hydration in Hospice and Continuing Care

Recommended Prerequisites

Not applicable.

Teaching Methods

Expository. Presentation and discussion of case studies, clinicos.

-Examination.

Learning Outcomes

Training of competent professionals and insurance in its decisions in the area of Nutrition and hydration,

-Reflection, research and acquisition of skills in the knowledge of nutrition and hydration, essential for the proper implementation in complex scenario of Palliative and long-term care, in full respect for the human being based on scientific evidence.

Work Placement(s)

No

Syllabus

Assessment of the State of hydration and nutrition – diagnosis.

2 – Definition of prognosis and evolution.

3 – treatment schedule.

1 – assessment of the State of hydration and nutrition – Diagnosis

a) methods of assessing the State of Nutrition – anthropometric parameters and additional tests (biochemical and imagiológicos).

b) methods of assessing the State of Hydration-anthropometric parameters and additional tests (biochemical and imagiológicos).

c) cachexia Syndrome – anorexia

d) Dehydration and specific nutrient Deficiencies)

2 – definition of prognosis and evolution

the) causes of malnutrition – identification

b) prevention of malnutrition

c) causes of dehydration – identification

d) prevention of dehydration

3 – treatment schedule

the nutritional Needs)

(b) oral hydration/Nutrition)

c) dining/enteric hydration

d) Feeding/parenteral hydration – indications and traumatic Hydration)

f) arguments for and against the feeding and hydration at the end of life.

Head Lecturer(s)

Lélita Conceição Santos

Assessment Methods

Assessment
Exam: 100.0%

Bibliography

Arinzon Z, Peisakh A, Berner YN; Evaluation of the benefits of enteral nutrition in long term care elderly patients; J Am Med Dir Assoc;2008;9(9):657-62

Bautmans I, Van Puyvelde K, Mets T; Sarcopenia and functional decline:pathophysiology, prevention and therapy;Acta Clin Belg;2009;64(4):303-16

Bennett J, Eidsness LM, Young S; Artificial hydration and nutrition:a practical approach to discussion and decision-making S D Med; 2008,54-8Carter F; Fluid balance; Nurs Stand;2009;23(34):59

Casarett D, Kapo J, Caplan A; Appropriate use of artificial nutrition and hydration-fundamental principles and recommendations N Engl J Med;2005;15;353(24):2607-12

Dalal S, Del Fabbro E, Bruera E; Is there a role for hydration at the end of life?;Curr Opin Support Palliat Care;2009;3(1):72-8

Ganzini L; Artificial nutrition and hydration at the end of life: ethics and evidence Palliat Support Care;2006;4(2):135-43.