Ferrell Betty, Co Nathaniel, Rosa William E
Division of Nursing Research and Education, City of Hope National Medical Center, Duarte, California.
Medical Student, University of California, Riverside, California.
Semin Oncol Nurs. 2025 Feb;41(1):151793. doi: 10.1016/j.soncn.2024.151793. Epub 2024 Dec 19.
This paper addresses nutritional challenges in advanced cancer and at the end of life and implications for oncology nursing practice.
Recent literature and position statements regarding nutritional support in advanced disease and at the end of life were reviewed and case studies were developed to illustrate the nutritional issues facing patients and family members.
The literature and case examples illustrate the many issues confronting patients, families, and clinicians related to nutritional support including balancing the goals of comfort versus prolonged survival. Patients and families often face difficult decisions regarding the use of medically assisted nutrition and hydration while considering potential burdens and harms. Principles of ethics can be applied in the process of making these decisions.
Providing nutrition is one of the most important aspects of care provided by families for patients with advanced disease with deep meaning in these relationships, especially at the end of life. Oncology nurses provide valuable guidance in these decisions and offer support to both patients and families to ensure quality of life across the trajectory of cancer.
Nurses can apply skills in patient and family caregiver education, communication, and support to help navigate nutritional decisions.
本文探讨晚期癌症及临终阶段的营养挑战以及对肿瘤护理实践的影响。
回顾了近期关于晚期疾病及临终阶段营养支持的文献和立场声明，并编写了案例研究以说明患者及家属面临的营养问题。
文献和案例表明，患者、家属及临床医生在营养支持方面面临诸多问题，包括平衡舒适与延长生存期的目标。患者和家属在考虑使用医疗辅助营养和水化时，往往要面对艰难的决策，同时还要考虑潜在的负担和危害。伦理原则可应用于这些决策过程。
提供营养是家庭为晚期疾病患者提供护理的最重要方面之一，在这些关系中具有深刻意义，尤其是在临终阶段。肿瘤护士在这些决策中提供宝贵的指导，并为患者和家属提供支持，以确保癌症病程中的生活质量。
护士可运用患者及家庭照顾者教育、沟通和支持方面的技能，帮助指导营养决策。
