Day Teresa
Specialist Palliative Care Dietitian, London North West Healthcare NHS Trust.
Br J Nurs. 2017 Nov 23;26(21):1151-1159. doi: 10.12968/bjon.2017.26.21.1151.
The nutritional needs of patients receiving palliative care should be routinely assessed, taking into account disease trajectory and nutrition-related symptoms. The social and emotional aspects of eating and drinking should also be acknowledged; as should the distress that weight loss and anorexia engenders in patients and their families. Practical strategies to optimise nutritional intake are discussed. Open and sensitive communication of patients' needs and wishes is essential, especially when discussing complementary nutrition approaches. A holistic, multidisciplinary approach is key to meeting nutritional needs, and the goals of nutritional intervention should be regularly reviewed in the light of disease progression.
接受姑息治疗的患者的营养需求应定期评估，同时考虑疾病发展轨迹和营养相关症状。饮食的社会和情感方面也应得到认可；体重减轻和厌食给患者及其家人带来的痛苦也应如此。文中讨论了优化营养摄入的实用策略。公开且敏感地沟通患者的需求和愿望至关重要，尤其是在讨论补充营养方法时。整体、多学科的方法是满足营养需求的关键，并且应根据疾病进展定期审查营养干预的目标。
