Jean Woo, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China,
J Nutr Health Aging. 2023;27(6):430-431. doi: 10.1007/s12603-023-1931-z.
Dysphagia is recognised as part of the frailty syndrome, especially for those at the end of life. There is a tension in management between the need to optimize nutrition status as part of the management of oral frailty, and respecting the wishes of patients and/or family members in the form of advance care planning and advance directives regarding to artificial nutrition and hydration. Management will likely be influenced by many social determinants, rather than solely be based on evidence from clinical research.
吞咽困难被认为是衰弱综合征的一部分，尤其是在生命末期的患者。在管理中存在一种紧张关系，一方面需要优化营养状况，作为口腔衰弱管理的一部分，另一方面需要尊重患者和/或家属的意愿，通过预先护理计划和预先指示来决定是否进行人工营养和水合治疗。管理可能会受到许多社会决定因素的影响，而不仅仅是基于临床研究的证据。
