During a family meeting the daughter of an elderly man dying from a brain tumor asks that a feeding tube be placed so that her father will remain comfortable. "He will never get better if he if he is starved."
The nurse tells the daughter that: 1. "Palliative nutrition is focused on relieving discomfort and symptoms rather than cure.".
2. She should think about her father's wishes before making a decision.
3. "If your father is hungry he will find a way to eat without a stomach tube.".
4. "Intravenous fluid contains enough nutrients to meet his nutritional needs.".
1
Rationale: The goal of palliative nutrition is to relive symptoms and prevent discomfort. Decision made by a health-care proxy should maintain the autonomy of the client. Loss of appetite is common in clients who are terminally ill. A liter of intravenous fluid (D5W) only contains about 170 calories and will not meet daily nutritional requirements.
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