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Part II Nutrition Assessment, Consequences, and Implications

support and to allow the resident to eat whatever is desired whenever it is desired, then a supportive nutri- tion care program, such as that described in Box 19.7 (17,84), is appropriate (see page 284).

SUMMARY

Nutrition and hydration issues are common in caring for clients with a terminal illness. The RDN will expe- rience a great deal of satisfaction in individualizing and implementing an appropriate nutrition care plan for the client and family. Nutrition and hydration have a right- ful place in the palliative care team’s arsenal of thera- pies to enhance the quality of a client’s living as well as dying. The best answer to the question of whether or not to use enteral or parenteral feeding options is unlikely to be determined any time soon because of the volatile atmosphere surrounding end-of-life issues in the United States. Although many RDNs find it uncom- fortable and intimidating to discuss issues surrounding death and dying, it is important that they do so. At the same time, they must examine their own feelings and belief systems, see where their own biases lead them (87), and always abide by the Code of Ethics for the Profession of Dietetics (88). Only then can they be of greatest assistance to clients and families.

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