Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life

Palliative care (PC) is based on a multidisciplinary approach to the patient and their family to prevent and alleviate the suffering of the patient, promoting and maintaining an optimal quality of life until death. Food plays a fundamental role in people’s lives. Beyond nutrition, the fact that dyi...

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Main Authors: Giovanna Muscogiuri, Lugi Barrera, Maria de los Angeles Carignano, FLorencia Ceriani
Format: Article
Language:English
Published: Distribuna 2021-03-01
Series:Revista de Nutrición Clínica y Metabolismo
Subjects:
Online Access:https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/272
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author Giovanna Muscogiuri
Lugi Barrera
Maria de los Angeles Carignano
FLorencia Ceriani
author_facet Giovanna Muscogiuri
Lugi Barrera
Maria de los Angeles Carignano
FLorencia Ceriani
author_sort Giovanna Muscogiuri
collection DOAJ
description Palliative care (PC) is based on a multidisciplinary approach to the patient and their family to prevent and alleviate the suffering of the patient, promoting and maintaining an optimal quality of life until death. Food plays a fundamental role in people’s lives. Beyond nutrition, the fact that dying people have anorexia as part of their symptoms is difficult to accept as it means admitting death. A multidisciplinary plan to nutrition is essential, adapting to the disease stage and always considering that the benefits must outweigh the possible adverse effects. As an integral part of PC, artificial nutrition and hydration (ANH) can increase survival and improve quality of life in selected patients based on their pathology. Therefore, nutritional support should be prescribed according to the patient’s disease stage, energy and protein requirements, analyzing tolerability, and above all, respecting the wishes of the patient, family or caregiver. It is essential to know the patient, family, or caregivers’ preferences and achieve efficient communication within the health team. By doing so, it is possible to reach a shared understanding of the goals of palliative treatment among all members involved. This narrative review aims to describe the general and specific nutritional recommendations in the advanced stage and at the end of life phase of some of the primary diseases in which PCs play a vital part in offering a complete treatment to these specific patients
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spelling doaj.art-7e14eed65b7548edaf0b10c040a172842023-09-03T08:10:03ZengDistribunaRevista de Nutrición Clínica y Metabolismo2619-564X2619-39062021-03-014210.35454/rncm.v4n2.272Nutritional recommendations in palliative care for patients with advanced diseases and at the end of lifeGiovanna MuscogiuriLugi BarreraMaria de los Angeles CarignanoFLorencia Ceriani Palliative care (PC) is based on a multidisciplinary approach to the patient and their family to prevent and alleviate the suffering of the patient, promoting and maintaining an optimal quality of life until death. Food plays a fundamental role in people’s lives. Beyond nutrition, the fact that dying people have anorexia as part of their symptoms is difficult to accept as it means admitting death. A multidisciplinary plan to nutrition is essential, adapting to the disease stage and always considering that the benefits must outweigh the possible adverse effects. As an integral part of PC, artificial nutrition and hydration (ANH) can increase survival and improve quality of life in selected patients based on their pathology. Therefore, nutritional support should be prescribed according to the patient’s disease stage, energy and protein requirements, analyzing tolerability, and above all, respecting the wishes of the patient, family or caregiver. It is essential to know the patient, family, or caregivers’ preferences and achieve efficient communication within the health team. By doing so, it is possible to reach a shared understanding of the goals of palliative treatment among all members involved. This narrative review aims to describe the general and specific nutritional recommendations in the advanced stage and at the end of life phase of some of the primary diseases in which PCs play a vital part in offering a complete treatment to these specific patients https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/272Palliative careNutritional supportQuality of lifeEnd of life
spellingShingle Giovanna Muscogiuri
Lugi Barrera
Maria de los Angeles Carignano
FLorencia Ceriani
Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
Revista de Nutrición Clínica y Metabolismo
Palliative care
Nutritional support
Quality of life
End of life
title Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
title_full Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
title_fullStr Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
title_full_unstemmed Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
title_short Nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
title_sort nutritional recommendations in palliative care for patients with advanced diseases and at the end of life
topic Palliative care
Nutritional support
Quality of life
End of life
url https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/272
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AT lugibarrera nutritionalrecommendationsinpalliativecareforpatientswithadvanceddiseasesandattheendoflife
AT mariadelosangelescarignano nutritionalrecommendationsinpalliativecareforpatientswithadvanceddiseasesandattheendoflife
AT florenciaceriani nutritionalrecommendationsinpalliativecareforpatientswithadvanceddiseasesandattheendoflife