Holmes Susan
Faculty of Health and Social Care, Canterbury Christ Church University, Canterbury.
Nurs Stand. 2010;25(1):48-56; quiz 58. doi: 10.7748/ns2010.09.25.1.48.c7984.
Good nutrition is important in caring for patients with life-limiting illness, not only for meeting the body's physical requirements but also because of its associated social, cultural and psychological benefits. A decision to provide nutritional care and support requires an understanding of and respect for patients' wishes, as well as an appreciation of their expectations and the benefits and burdens of such support. The patient, his or her family and healthcare professionals should openly discuss and agree the goals of nutritional care and support at an early stage, rather than waiting until patients are unable to discuss their preferences with family and carers.
良好的营养对于照料患有危及生命疾病的患者非常重要,这不仅是为了满足身体的生理需求,还因其具有相关的社会、文化和心理益处。决定提供营养护理和支持需要理解并尊重患者的意愿,同时也要了解他们的期望以及这种支持的益处和负担。患者及其家人和医护人员应尽早公开讨论并就营养护理和支持的目标达成一致,而不是等到患者无法与家人及护理人员讨论自己的偏好时才进行。