Nutrición en el paciente pediátrico en cuidados paliativos

Renato Augusto Zorzo; Fabíola de Arruda Leite; Juliana Cardeal da Costa Zorzo

doi:10.35454/rncm.v4n2.218

Authors

Renato Augusto Zorzo Centro Universitário Estácio de Ribeirão Preto https://orcid.org/0000-0002-7704-3936
Fabíola de Arruda Leite https://orcid.org/0000-0003-3324-7897
Juliana Cardeal da Costa Zorzo

DOI:

https://doi.org/10.35454/rncm.v4n2.218

Keywords:

Palliative Care, Pediatrics, Artificial nutrition

Abstract

Palliative care is a type of approach that seeks the humanization and wellbeing of patients with chronic conditions, regardless of the underlying disease. In this sense, seeking the joint participation of a multidisciplinary care team, the patient, and his or her family is the main goal. In pediatric patients in this situation, nutrition should be regarded as an approach that is able to provide benefits but that can also bear risks. Therefore, its indication should be subject to a careful and continuous evaluation. Indication for hydration and artificial nutrition (HAN) is based on respect for autonomy, beneficence, non-maleficence, and justice. Nutrition in palliative patients should be addressed in the same ways as other care processes, such as antibiotic therapy or mechanical ventilation.

Therefore, HAN should be indicated to improve patient comfort and clinical outcomes, but when HAN results in suffering or discomfort, outweighing its benefits it should be contraindicated or discontinued.

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