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[Nutritional support for critically ill and dying patients].

A Haller1, R Imoberdorf, P E Ballmer

  • 1Medizinische Klinik, Kantonsspital Winterthur. a.haller@ksw.ch

Praxis
|March 23, 2004
PubMed
Summary

Nutritional interventions like oral supplements and tube feeding can improve life expectancy and quality of life. This review examines their effectiveness in severely ill patients and those nearing death.

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Area of Science:

  • Clinical Nutrition
  • Medical Science

Background:

  • Undernutrition negatively impacts outcomes in various patient populations.
  • Existing literature supports nutritional interventions for improving life expectancy and quality of life.

Purpose of the Study:

  • To review the efficacy of nutritional interventions in severely ill patients.
  • To discuss the role of nutrition in patients with life-limiting illnesses (stroke, cancer, dementia).
  • To briefly review the debate surrounding terminal dehydration.

Main Methods:

  • Literature review of existing studies on nutritional interventions.
  • Discussion of evidence for severely ill and terminally ill patients.

Main Results:

  • Nutritional support (oral, enteral, parenteral) shows potential benefits in expanding life expectancy and enhancing quality of life.
  • Evidence regarding effectiveness in severely ill patients requires further clarification.
  • Nutritional interventions in terminally ill patients are complex and debated.

Conclusions:

  • Nutritional interventions are valuable for undernourished patients, but their application in severely ill and terminally ill populations warrants careful consideration.
  • The role of nutrition in end-of-life care, including the management of terminal dehydration, remains an area of ongoing discussion.

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