[Answered]: You are attending Mr

You are attending Mr. Larson’s care conference, along with all members of the IDT team. Mr. Larson’s health has been declining and he has had a significant weight loss. His meal intake is 0-10%. His son and daughter-in-law, who are his healthcare power of attorneys, insist that Mr. Larson is started on a tube feeding to keep him alive. Mr. Larson has an advance directive that states he doesn’t want to be intubated or given nutrition via a tube. He is DNR/DNI. 1. Would it be unethical for the RDN to recommend a tube feeding for Mr. Larson? 2. Can you stop sending Mr. Larson his meals based on the family request? How would you respond to the family? 3. What IDT members are responsible for addressing the family’s concerns and what can their response be? 4. Have similar situations taken place at your current or former facility? What was the role of the CDM in the situation? What was the nutritional outcome of the client? (Did they go on tube feeding? Hospice care? Comfort Foods?). Share some thoughts and feelings you have about this situation with your instructor. How do you feel about end-of-life nutrition for yourself? What does nutrition mean to people at the end of their life?