Comfort Feeding Only

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Date(s) - May 3, 2013
8:00 AM - 10:30 AM

Silver Spring Civic Building

Contact Info:
301-921-4400 [email protected]


For Physicians and Nurse Practitioners Only


  Jointly Sponsored by Montgomery Hospice and NHPCO

Comfort Feeding Only

with Joan Teno, MD 

Friday, May 3rd

8:00am to 10:30am


Silver Spring Civic Building

One Veterans Place

Silver Spring, MD 20910


Breakfast will be served

2 complimentary CME credits 

(Physician Assistants can also recieve CME credits)


Dr. Teno is Professor of Health Services Policy and Practice and Associate Director of the Center for Gerontology and Health Care Research at the Warren Alpert Medical School of Brown University.

She is a health services researcher, hospice medical director, and internist certified in Geriatrics and Palliative Medicine.

Dr. Teno has served on numerous advisory panels,including the Institute of Medicine, World Health Organization, American Bar Association and National Institutes of Health study section.

As a scientist and clinician, Dr. Teno has devoted her career to measuring and improving quality of end-of life care for vulnerable populations, especially those in nursing homes. Dr. Teno is the creator of the Family Evaluation of Hospice Care survey that is now used by 1700 hospices across the US. In conjunction with the National Hospice and Palliative Care Organization, she has created a data repository of nearly 1/2 million surveys starting from 2005 that provides benchmarks and research to improve hospice care.

Dr. Teno’s current NIH funded research is examining the role of the acute care hospital in decisions to insert PEG feeding tubes in nursing home residents with advanced dementia. She is the project leader of a research effort on the P01, Shaping Long Term Care in America to examine the variation and consequences of health care transitions.

In 2009, Dr. Teno was awarded the NHPCO Distinguished Research Award and named by the Journal of Palliative Medicine as one of the Pioneers in Palliative Medicine.



The best available evidence finds that percutaneous endoscopic gastrostomy (PEG) feeding tubes do not improve survival, prevent aspiration pneumonia, or improve the healing of pressure ulcers in persons with advanced dementia. Yet, there is a substantial variation. One-third of nursing home (NH) residents with advanced dementia have a PEG feeding tube. Discussions about PEG feeding tubes are difficult. In this seminar, we will review when to recognize dementia as a terminal illness and talk about a new proposed order, Comfort Feeding Only.


At the conclusion of this presentation, participants should be able to:

  • Recognize the clinical features of when consideration should be given to dementia as a terminal illness and appropriate referral made to hospice services.
  • Be able to counsel families about decision making about eating problems in persons with advanced dementia.



8:00-8:30AM      Registration/Continental Breakfast

8:25-8:30AM      Montgomery Hospice Welcome

8:30-10:30AM    Comfort Feeding Only – Joan Teno, MD



Paid parking is available in parking garage across the street from the Silver Spring Civic Building (801 Ellsworth Drive, Silver Spring, MD)



This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the National Hospice and Palliative Care Organization and Montgomery Hospice. The National Hospice and Palliative Care Organization is accredited by the ACCME to provide continuing medical education for physicians.

The National Hospice and Palliative Care Organization designates this live activity for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.



Contact Isabel Tom at [email protected] or 301-921-4401, ext. 111.

Conference Supporters 

AAA Warman Care

Global Medical

Independent Benefit Services

Visiting Angels