Psychological aspects of the nutritional approach of palliative care patients

Authors

DOI:

https://doi.org/10.35454/rncm.v4n2.260

Keywords:

Palliative care, Nutrition, Psychology

Abstract

Malnutrition is considered a high-impact syndrome because it is the source of the disease and its progression. Malnutrition generates physical and psychological repercussions on the patient, and psychological repercussions on the family and the healthcare team. The purpose of this article is to analyze the importance of the patient’s nutrition, the comprehensive approach, and the emotional repercussion, not only on the patient, but also on his or her the family nucleus. After controlling the urgent symptoms, in order of importance, the physical and emotional symptoms and the nutritional facet are managed. Nutrition encompasses physical and emotional aspects. To achieve this, it is essential to carry out a diagnosis of the situation using communication as a basic tool, to be clear about the objective, and to accompany the patient and family in the different stages, providing tools for the adequate management of the patient’s progress and his or her environment.

Downloads

Download data is not yet available.

References

Gómez-Batiste X, Stjernsward J, Espinosa J, Martínez-Muñoz M, Trelis J, Constante C. How to design and implement palliative care public health programmes: foundation measures. An operational paper by the WHO Collaborating Centre for Public Health Palliative Care Programmes at the Catalan Institute of Oncology. BMJ Support Palliat Care. 2013;3(1):18-25. doi: 10.1136/bmjspcare-2012-000215.

Ferris FD, Gómez-Batiste X, Fürst CJ, Connor S. Implementing quality palliative care. J Pain Symptom Manage. 2007;33(5):533-41. doi: 10.1016/j.jpainsymman.2007.02.033.

Piedrafita-Susín AB, Yoldi-Arzoz E, Sánchez-Fernández M, Zuazua-Ros E, Vázquez-Calatayud M. Percepciones, experiencias y conocimientos de las enfermeras sobre cuidados paliativos en las unidades de cuidados intensivos. Enferm Intensiva. 2015;26(4):153-65. doi: 10.1016/j.enfi.2015.06.001.

Bruera E, Yennurajalingam S. Palliative care in advanced cancer patients: how and when? Oncologist. 2012;17(2):267-73. doi: 10.1634/theoncologist.2011-0219.

Gómez-Batiste X, Ferris F, Paz S, Espinosa J, Porta-Sales J, Stjernswärd J, et al. Ensure quality public health programmes: A Spanish model. Eur J Palliat Care. 2008;15(4):194-9.

Modelo asistencial del paciente en etapa terminal de la enfermedad. Resultado de un sistema integral [Internet]. Academia Nacional de Medicina (Consultado el 1 de diciembre de 2020). Disponible en: https://www.anm.org.uy/index_htm_files/ganadores%20gran%20premio%20anm.pdf

Laura RC. Humanization: a conceptual and attitudinal problem. Physiol Behav. 2017;176(5):139-48.

March JC. Humanizar la sanidad para mejorar la calidad de sus servicios. Rev Calid Asist. 2017;32(5):245-7. doi: 10.1016/j.cali.2017.10.001.

Píriz Álvarez G, Gómez Sancho M, Ojeda Martín M. Cuidados paliativos. Control de síntomas. 7.ª edición. Montevideo, Uruguay. 2014.

Maltoni M, Caraceni A, Brunelli C, Broeckaert B, Christakis N, Eychmueller S, et al. Prognostic factors in advanced cancer patients: Evidence-based clinical recommendations - A study by the steering committee of the European Association for Palliative Care. J Clin Oncol. 2005;23(25):6240-8. doi: 10.1200/JCO.2005.06.866.

O’Gorman P, McMillan DC, McArdle CS. Impact of weight loss, appetite, and the inflammatory response on quality of life in gastrointestinal cancer patients. Nutr Cancer. 1998;32(2):76-80. doi: 10.1080/01635589809514722.

Hui D, Dev R, Bruera E. The last days of life: Symptom burden and impact on nutrition and hydration in cancer patients. Curr Opin Support Palliat Care. 2015;9(4):346-54. doi: 10.1097/SPC.0000000000000171.

Gómez Sancho M, Altisent Trota R, Bátiz Cantera J, Casado Blanco M, Ciprés Casasnovas L, Gándara del Castillo Á, et al. Ética de la alimentación y la hidratación al final de la vida. (Consultado el 1 de octubre 2020). Disponible en: http://infocuidadospaliativos.com/wp-content/uploads/2016/10/etica_alimentacioo%CC%81n_fin_de_la_vida_octubre16.pdf

Weber DD, Aminzadeh-Gohari S, Tulipan J, Catalano L, Feichtinger RG, Kofler B. Ketogenic diet in the treatment of cancer - Where do we stand? Mol Metab. 2020;33:102-21. doi: 10.1016/j.molmet.2019.06.026.

Arends J, Bachmann P, Baracos V. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11-48. doi: 10.1016/j.clnu.2016.07.015.

Hopkinson J, Wright D, Corner J. Exploring the experience of weight loss in people with advanced cancer. J Adv Nurs. 2006;54(3):304-12. doi: 10.1111/j.1365-2648.2006.03818.x.

Cooper C, Burden ST, Cheng H, Molassiotis A. Understanding and managing cancer-related weight loss and anorexia: Insights from a systematic review of qualitative research. J Cachexia Sarcopenia Muscle. 2015;6(1):99-111. doi: 10.1002/jcsm.12010.

Barbero J, Pados C, González A. Hacia un modelo de toma de decisiones compartidas para el final de vida. Psicooncología. 2011;8:143-68. Doi: 10.5209/rev_PSIC.2011.v8.n1.11.

Benarroz O, Faillace GB, Barbosa LA. Bioética e nutrição em cuidados paliativos oncológicos em. Cad Saude Publica. 2009;25(9):1875-82. doi: 10.1590/s0102-311x2009000900002.

Hutton JL, Baracos VE, Wismer W V. Chemosensory dysfunction is a primary factor in the evolution of declining nutritional status and quality of life in patients with advanced cancer. J Pain Symptom Manage. 2007;33(2):156-65. doi: 10.1016/j.jpainsymman.2006.07.017.

Pérez-Cruz PE, Acevedo F. Escalas de estado funcional (o performance status) en cáncer. Gastroenterol Latinoam. 2014;25:219-26. doi: 10.0716/gastrolat2014n300007.

Plonk WM, Arnold RM. Terminal care: The last weeks of life. J Palliat Med. 2005;8(5):1042-54. doi: 10.1089/jpm.2005.8.1042.

Fascioli A. Los cuidados paliativos al final de la vida: expresión del reconocimiento del otro. Enfermería Cuid Humaniz. 2016;5(2):46.

Loofs TS, Haubrick K. End-of-life nutrition considerations: Attitudes, beliefs, and outcomes. Am J Hosp Palliat Care. 2020:1049909120960124. doi: 10.1177/1049909120960124.

Benito E, Dones M, Babero J. El acompañamiento espiritual en cuidados paliativos. Psicooncologia. 2016;13(2-3):367-84. doi: 10.5209/PSIC.54442.

Published

2021-03-21

How to Cite

Ramos, L., Loureiro, V., & Piriz Alvarez, G. (2021). Psychological aspects of the nutritional approach of palliative care patients. Journal Clinical Nutrition and Metabolism, 4(2), 19–23. https://doi.org/10.35454/rncm.v4n2.260

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.