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Incorporating Palliative Care Concepts Into Nutrition Practice: Across the Age Spectrum.

Denise Baird Schwartz1, Kristina Olfson2, Babak Goldman3

  • 1Providence Saint Joseph Medical Center, Burbank, California denisebairdschwartz@gmail.com.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|February 19, 2016
PubMed
Summary

Bridging the gap in life-sustaining treatments requires integrating palliative care into nutrition support. Improving communication and incorporating patient values ensures care aligns with individual wishes.

Keywords:
ethicsnutritional supportpalliative carepatient care planningpatient-centered care

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Area of Science:

  • Medical Ethics
  • Palliative Care
  • Clinical Practice

Background:

  • A significant gap exists between clinical guidelines and actual practice regarding life-sustaining treatments, particularly nutrition support.
  • Current healthcare ethics models often fail to adequately incorporate patient wishes, advance directives, and early communication about treatment choices.
  • Effective medical treatment can sometimes overshadow patient quality-of-life goals due to communication breakdowns.

Purpose of the Study:

  • To highlight the practice gap in aligning life-sustaining treatments with patient wishes.
  • To propose integrating basic palliative care concepts into nutrition support practice.
  • To introduce an innovative educational tool for improving clinician-patient communication regarding treatment decisions.

Main Methods:

  • Review of current clinical practice and ethical models in nutrition support.
  • Analysis of the role of palliative care in addressing practice gaps.
  • Presentation of an educational technique for facilitating early, value-based communication.

Main Results:

  • Incorporating palliative care principles can enhance nutrition support practice.
  • Improved communication skills and early, value-based conversations are crucial.
  • An educational approach can empower clinicians to discuss treatment choices effectively.

Conclusions:

  • Closing the practice gap necessitates an interdisciplinary, proactive approach to nutrition support.
  • Integrating palliative care and enhancing communication are key to patient-centered decision-making.
  • Formalized palliative care consults and innovative communication strategies are warranted.