A resident in the nursing home is diagnosed with undernutrition and is unable to take in adequate food despite efforts by the multidisciplinary team and family members. Prior to insertion of a permanent feeding tube, which issue needs to be considered?
1. Equipment, care, and time needed to administer the feedings
2. The extent of the surgical intervention, cost and insurance coverage
3. The client's nutritional needs and tolerance of the formula feedings
4. The client's advanced directive and evaluation of risks, benefits, and ethical considerations
4. The client's advanced directive and evaluation of risks, benefits, and ethical considerations
Explanation: 1. The actual placement of a feeding tube is a common, relatively simple procedure that can be performed as an outclient. Staff time may be reduced with the tube feeding than with actually feeding the client.
2. Costs of the equipment and formula are reimbursed by Medicare, Medicaid, or most insurance companies.
3. There are a variety of different formulas available for different client needs.
4. Prior to placement of a permanent feeding tube, it is important to evaluate the individual client's wishes and review the advanced directive. The client and family need accurate information regarding risks, benefits, and ethical considerations associated with placement of the feeding tube.
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