Navigating End-Of-Life Nutrition: Expert Insights from a Hospice Dietitian

In this insightful episode of the Vantage Hospice podcast, host Nicole Knight welcomes Kristen Schwab, a specialized hospice dietitian. Kristen discusses her transition from traditional dietetics to hospice care, sharing vital insights on end-of-life nutrition. The conversation covers topics such as 'pleasure feeding,' the use and limitations of PEG tubes, managing common issues like constipation, and debunking myths around dietary supplements. They also delve into the balance between diabetes management and comfort-focused care, emphasizing the importance of allowing patients to enjoy their favorite foods. Practical tips on fortifying meals, hydrating effectively, and adapting food textures to reduce aspiration risks are shared, alongside advice on identifying muscle wasting. This episode aims to provide caregivers with essential information and support to ensure comfort, peace, and nourishment for patients during their final stages of life.

00:00 Introduction to the Discussion

00:16 Kristen Schwab's Journey to Hospice Dietetics

00:47 The Role of Nutrition in Hospice Care

01:38 Tips for Families on Feeding Loved Ones

03:01 PEG Tubes and End-of-Life Decisions

04:12 Managing Swallowing Issues

05:45 Addressing Constipation in Hospice Patients

07:04 The Role of Vitamins and Supplements

08:02 Diabetes Management at the End of Life

09:36 Challenges of Feeding at the End of Life

11:31 Wound Care and Nutrition at End of Life

12:20 Encouraging Pleasure Feeding

13:31 Understanding the Dying Process

14:27 Managing Food Textures and Diets

19:18 Tube Feeding Decisions in Hospice

23:14 Supporting Families Through the Process

23:47 Conclusion and Final Thoughts

Vantage Hospice & Palliative Care

Our Mission

Vantage Hospice, LLC is dedicated to providing individualized hospice care with services specially tailored to the physical, social, psychological and spiritual needs of patients with life limiting illness, their families and the community, by delivering high quality and compassionate care.

We strive to create a culture dedicated to meeting the needs of our patients, families and employees based on the principles of dignity, respect and compassion.

Hospice recognizes dying as part of the normal process of living and focuses on maintaining the quality of remaining life. It affirms life and neither hastens nor postpones death through a multidisciplinary team approach. Hospice is not a place. It is philosophy.