Alford Heather, Anvari Nadia, Lengyel Christina, Wickson-Griffiths Abigail, Hunter Paulette, Yakiwchuk Erin, Cammer Allison
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.
Faculty of Agricultural and Food Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Nutrients. 2024 Apr 13;16(8):1163. doi: 10.3390/nu16081163.
Resources are needed to aid healthcare providers and families in making end-of-life nutrition care decisions for residents living in long-term care settings. This scoping review aimed to explore what is reported in the literature about resources to support decision-making at the end of life in long-term care. Four databases were searched for research published from 2003 to June 2023. Articles included peer-reviewed human studies published in the English language that reported resources to support decision-making about end-of-life nutrition in long-term care settings. In total, 15 articles were included. Thematic analysis of the articles generated five themes: conversations about care, evidence-based decision-making, a need for multidisciplinary perspectives, honouring residents' goals of care, and cultural considerations for adapting resources. Multidisciplinary care teams supporting residents and their families during the end of life can benefit from resources to support discussion and facilitate decision-making.
需要资源来帮助医疗保健提供者和家庭，为长期护理机构中的居民做出临终营养护理决策。本范围综述旨在探讨文献中关于支持长期护理临终决策的资源的报道。检索了四个数据库，以查找2003年至2023年6月发表的研究。纳入的文章包括以英文发表的同行评审的人体研究，这些研究报告了支持长期护理机构临终营养决策的资源。总共纳入了15篇文章。对这些文章的主题分析产生了五个主题：关于护理的对话、基于证据的决策、多学科视角的必要性、尊重居民的护理目标以及适应资源的文化考量。在临终期间支持居民及其家庭的多学科护理团队可以从支持讨论和促进决策的资源中受益。
