Evidence and Clinical Pearls for Decisions About Artificial Hydration and Nutrition in Advanced Disease - APNs play an active role in the management of seriously ill
patients in various settings. Promoting early discussions about food and fluid refusal, ANH withdrawal, and the natural course of illness aids patients and families in ascertaining their individual
goals of care. This session explores the importance of these discussions and the need for resources and communication strategies to promote positive outcomes.
Advanced Directives in Critical Care Geriatrics: Timing Is Everything - Individuals over the age of 65 are the fastest growing segment of the American population and account for over 50% of ICU admissions. Once admitted these patients tend to experience high ICU and hospital length of stay, increased morbidity and mortality, and high risk of institutionalized care following discharge. This presentation discusses recent advances in critical care interventions for patients with life-threatening illness and injury, and considers their applications to the geriatric population. Particular attention will be given to ethical considerations of geriatric patients in the ICU including role and timing of advanced directives.

Learning Objectives:

Review patient groups who have improved survival from (ANH) and patient groups who do not based on the evidence. (Lanz)
Describe potential complications of artificial hydration/feeding (ANH) in patients with serious illness. (Lanz)
Discuss APN communication strategies with family and staff concerning hydration/feeding for patients with serious illness. (Lanz)
Describe workforce and practice changes in critical care. (Squiers)
Discuss the geriatric population in critical care. (Squiers)
Discuss implementing ADs in the ICU. (Squiers)

Joshua Squiers PhD, RN, ACNP-BC

Appearances