Afonso Tânia Dos Santos, Veludo Filipa, Sousa Patrícia Pontífice
Universidade Católica Portuguesa, Instituto de Ciências da Saúde, Portugal
Int J Palliat Nurs. 2019 May 2;25(5):224-231. doi: 10.12968/ijpn.2019.25.5.224.
Nurses have an important role in maintaining a patient's nutrition near the end of life.
To define nursing nutrition strategies with the person near the end of life and their families; systematise the elements to be considered in artificial nutrition decision-making and evaluate the nursing interventions' influence on therapeutic obstinacy risk.
A sample of 11 articles were selected and the results considered strategies to promote oral feeding before artificial nutrition; the follow-up of the health-disease process by nurses and described the nurse's role as a privileged patient advocate in the defence of the ethical principles of decision-making. These principles consider symptomatology, prognosis, psychology and the emotional significance of nutrition.
Nurses are qualified professionals with a critical role in the patient's care due to the proximity they have with the patient; the evidence seems to show a relationship between nursing interventions and the reduction of the risk of therapeutic obstinacy; however, there are no studies in this specific area.
护士在临终时维持患者营养方面发挥着重要作用。
确定与临终患者及其家人相关的护理营养策略；将人工营养决策中需考虑的因素系统化，并评估护理干预对治疗顽固性风险的影响。
选取11篇文章作为样本，其结果考虑了在人工营养前促进经口喂养的策略；护士对健康-疾病过程的随访，并将护士描述为在捍卫决策伦理原则方面享有特权的患者倡导者。这些原则考虑了症状、预后、心理以及营养的情感意义。
护士是合格的专业人员，因其与患者的亲近关系，在患者护理中起着关键作用；证据似乎表明护理干预与降低治疗顽固性风险之间存在关联；然而，该特定领域尚无相关研究。
