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Slides - University of Utah - School of Medicine

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PEG ethics con.<br />

•! What about hunger/thirst?<br />

–! majority <strong>of</strong> patients (up to 63%) never experience hunger or thirst<br />

–! If occur usually transient, relieved easily with minimal intake.<br />

•! Hand feeding important to social interaction<br />

–! touch, taste, nurturing, and the<br />

–! PEG’s may require physical restraints may lead to distress, agitation,<br />

and the need for sedation<br />

–! Hand feeding <strong>of</strong>ten difficult, time consuming<br />

•! QOL family, relatives, and caregivers improves with<br />

gastrostomy placement<br />

–! Unable to measure QOL in demented pt’s<br />

–! Some nursing homes require PEG

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