Complex Feeding Decisions
Objective: Where swallowing difficulties are chronic or progressive, or a patient is palliative, tube feeding is often not deemed appropriate. Instead, patients continue to eat and drink despite the risks of pneumonia and death. There is currently little evidence to guide clinical practice in this f...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2016-08-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/2333721416665523 |
| _version_ | 1818576781623427072 |
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| author | Anna Miles PhD Tanya Watt MSc Wei-Yuen Wong MSc Louise McHutchison BSc Philippa Friary BSLT |
| author_facet | Anna Miles PhD Tanya Watt MSc Wei-Yuen Wong MSc Louise McHutchison BSc Philippa Friary BSLT |
| author_sort | Anna Miles PhD |
| collection | DOAJ |
| description | Objective: Where swallowing difficulties are chronic or progressive, or a patient is palliative, tube feeding is often not deemed appropriate. Instead, patients continue to eat and drink despite the risks of pneumonia and death. There is currently little evidence to guide clinical practice in this field often termed “risk feeding.” This qualitative study investigated staff, patient, and family member perceptions of risk feeding practices in one New Zealand hospital. Method: Twenty-nine staff members and six patients and/or their family were interviewed. Results: Thematic analysis revealed four global themes: supporting practice, communication, complexity of feeding decisions, and patient and family-centered care. Staff described limited education and organizational policy around risk feeding decisions. Communication was considered a major factor in the success. Conclusion: Feeding decisions are complex in the hospital environment. The themes identified in this study provide a foundation for hospital guideline development and implementation. |
| first_indexed | 2024-12-16T06:19:29Z |
| format | Article |
| id | doaj.art-caa97b262d434465b2ee88a976960a3b |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-12-16T06:19:29Z |
| publishDate | 2016-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-caa97b262d434465b2ee88a976960a3b2022-12-21T22:41:10ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142016-08-01210.1177/233372141666552310.1177_2333721416665523Complex Feeding DecisionsAnna Miles PhD0Tanya Watt MSc1Wei-Yuen Wong MSc2Louise McHutchison BSc3Philippa Friary BSLT4The University of Auckland, New ZealandThe University of Auckland, New ZealandThe University of Auckland, New ZealandHutt Valley District Health Board, Lower Hutt, New ZealandThe University of Auckland, New ZealandObjective: Where swallowing difficulties are chronic or progressive, or a patient is palliative, tube feeding is often not deemed appropriate. Instead, patients continue to eat and drink despite the risks of pneumonia and death. There is currently little evidence to guide clinical practice in this field often termed “risk feeding.” This qualitative study investigated staff, patient, and family member perceptions of risk feeding practices in one New Zealand hospital. Method: Twenty-nine staff members and six patients and/or their family were interviewed. Results: Thematic analysis revealed four global themes: supporting practice, communication, complexity of feeding decisions, and patient and family-centered care. Staff described limited education and organizational policy around risk feeding decisions. Communication was considered a major factor in the success. Conclusion: Feeding decisions are complex in the hospital environment. The themes identified in this study provide a foundation for hospital guideline development and implementation.https://doi.org/10.1177/2333721416665523 |
| spellingShingle | Anna Miles PhD Tanya Watt MSc Wei-Yuen Wong MSc Louise McHutchison BSc Philippa Friary BSLT Complex Feeding Decisions Gerontology and Geriatric Medicine |
| title | Complex Feeding Decisions |
| title_full | Complex Feeding Decisions |
| title_fullStr | Complex Feeding Decisions |
| title_full_unstemmed | Complex Feeding Decisions |
| title_short | Complex Feeding Decisions |
| title_sort | complex feeding decisions |
| url | https://doi.org/10.1177/2333721416665523 |
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