Dorner B, Gallagher-Allred C, Deering C P, Posthauer M E
Becky Dorner and Associates, Akron, OH 44333, USA.
J Am Diet Assoc. 1997 Oct;97(10 Suppl 2):S172-6. doi: 10.1016/s0002-8223(97)00757-8.
Advance directives can promote and improve communication between the patient and the provider and ideally safeguard the resident's interests by directing medical care. Participation on the facility's ethics committee allows the dietitian to become involved in the legal and ethical issues regarding feeding and to promote the use of specific advance directives for nutrition and hydration. Consider the goals of patient care carefully and assure that they are individualized and patient-centered. Continually reassess nutritional status and collaborate with the health care team in recommending interventions and care plans for each case.
预先医疗指示可以促进并改善患者与医疗服务提供者之间的沟通，理想情况下，通过指导医疗护理来维护患者的利益。参与机构的伦理委员会可使营养师参与到有关喂养的法律和伦理问题中，并推动使用特定的营养与水合作用预先医疗指示。仔细考虑患者护理的目标，并确保这些目标是个性化且以患者为中心的。持续重新评估营养状况，并与医疗团队合作，为每个病例推荐干预措施和护理计划。
