Pediatric Nutrition and Hydration at End of Life

Presented by Joan “Jody” Chrastek and Clinical Procedure Manual Review Board

Pediatric Nutrition and Hydration at End of Life

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Video Runtime: 15 Minutes

This course addresses the emotionally charged clinical challenge of managing artificial nutrition and hydration at the end of life. As a child’s body begins to shut down, their ability to process food and fluids naturally diminishes. Yet, families often experience profound distress over the fear that their child is starving. Ideal for hospice nurses and palliative care teams in home and inpatient settings, the course provides clinical insights into cachexia and the physiological burdens of forced nutrition, such as increased pain, nausea, and fluid collection in the lungs. Students will learn to distinguish between starvation and the metabolic shifts of the dying process, prioritizing the joy of taste and overall comfort over caloric quantity. Take this course to gain practical communication strategies and feel empowered to gently guide parents to recognize physical cues, shifting the care focus from feeding to protecting the child's natural bodily processes.

Learning Outcomes
  • Recognize the trajectory of nutritional needs as patient approaches end of life
  • Describe how to help families understand the change in the bodily needs at end of life
  • Differentiate between real starvation and the decrease and ceasing of intake at end of life

Meet your instructors

A smiling woman with long brown hair, wearing a cross necklace and a dark jacket, symbolizes compassionate healthcare training for medbridge.

Joan “Jody” Chrastek

Joan “Jody” Chrastek was born and brought up in India and trained as a nurse in Scotland. She has worked as a midwife and hospice nurse in the UK, India, and the USA with adults and children. She has worked in hospice and palliative care for more than 35 years in both inpatient and community settings. She has provided…

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Clinical Procedure Manual Review Board

The Medbridge Clinical Procedure Manual Review Board ensures the development and maintenance of up-to-date and evidence-based clinical procedures. The review board is composed of leading nurse experts in the field: Danielle Pierotti, RN, PhD, CENP, and Margherita Labson, RN, BSN, MSHSA. The review board is involved in…

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Chapters & learning objectives

Course Content

1. Course Content

These videos include an introduction to the skill, an applicable scenario depicting interactions between the healthcare provider and patient caregiver, and a debrief following the scenario.