Nutrition and Fluids at the End of Life | Dr. Tom Mouser

With You at EveryStep

In this emotionally charged and informative episode of "With You At EveryStep," your host, Polly Carver-Kimm, engages in a heartfelt conversation with Dr. Tom Mouser, Chief Medical Officer for EveryStep. Together, they explore the complex and often challenging topic of nutrition and fluids at the end of life.
Dr. Mouser, an expert in hospice and palliative care, shares valuable insights into why individuals at the end of life may experience a reduced appetite or even stop eating altogether. He explains the natural processes the body undergoes during illness, which can lead to diminished hunger.
The episode delves into the common response of loved ones who wish to provide comfort through food, as well as the use of medications to stimulate appetite. Dr. Mouser offers a thoughtful perspective on these interventions, highlighting the potential complications they may bring.
The discussion also touches on the role of fluids and IV fluids in hospice care, addressing the misconception that hydration is always the solution. Dr. Mouser explains how fluid dynamics change in the context of serious illness and hospice care, emphasizing the importance of maintaining the right balance.
Feeding tubes and IV fluids are explored in-depth, with Dr. Mouser providing guidance on when they might be considered and the circumstances in which they may not offer significant benefits.
The podcast episode highlights the delicate balance between autonomy and risk when patients express strong desires for specific foods or dietary preferences. Dr. Mosher shares stories of patients' journeys, demonstrating the compassionate approach taken by hospice care providers to ensure comfort and preserve dignity.
Overall, "Navigating Nutrition and Fluids at the End of Life" sheds light on a critical aspect of hospice care, offering valuable information and insights for families facing these challenging decisions. Tune in to gain a deeper understanding of how hospice care focuses on providing comfort and support during the end-of-life journey.

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