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Perspectives on Feeding and Nutrition.

Anthony J Smith1

  • 1Rainbow Bridge Veterinary Services, Hercules, CA, USA.

The Veterinary Clinics of North America. Small Animal Practice
|March 10, 2019
PubMed
Summary

This guide helps healthcare teams navigate the challenges of artificial nutrition and hydration in palliative care patients. It offers a decision-making framework for ethical and practical recommendations for end-of-life care.

Keywords:
BenefitsBurdensHospiceHydrationNutritionPalliation

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Area of Science:

  • Palliative Care Medicine
  • Veterinary Ethics
  • Clinical Nutrition

Background:

  • Reduced oral intake is common in palliative care patients.
  • Managing inadequate intake presents clinical, ethical, and logistical challenges.
  • Assisted nutrition and hydration decisions require careful consideration.

Purpose of the Study:

  • To provide a decision-making framework for assisted nutrition and hydration in palliative and terminal patients.
  • To outline an ethical approach for determining the appropriateness of assisted feeding and hydration.
  • To summarize clinical and logistical strategies for managing decreased food/water consumption.

Main Methods:

  • Development of a decision-making framework.
  • Ethical analysis of assisted nutrition and hydration.
  • Summary of clinical and logistical approaches.
  • Review of potential benefits and burdens of intervention.

Main Results:

  • A structured approach to recommending assisted nutrition and hydration.
  • Consideration of ethical principles in end-of-life care decisions.
  • Overview of various management strategies for reduced intake.
  • Evaluation of the risks and benefits associated with interventions.

Conclusions:

  • Appropriate recommendations for assisted nutrition and hydration can be made using a structured framework.
  • Ethical considerations are paramount in end-of-life decisions regarding nutritional support.
  • A balanced approach considering benefits and burdens is essential for managing decreased intake in palliative care.