Does the provision and non-provision of medical nutrition and hydration at the end stage of life cause patient suffering?

2.50
Hdl Handle:
http://hdl.handle.net/10755/154288
Type:
Presentation
Title:
Does the provision and non-provision of medical nutrition and hydration at the end stage of life cause patient suffering?
Abstract:
Does the provision and non-provision of medical nutrition and hydration at the end stage of life cause patient suffering?
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Van der Riet, Pamela Jane, PhD, MEd, BA, RN
P.I. Institution Name:University of Newcastle
Title:Dr.
Co-Authors:Isabel Higgins; Milly Sneesby and Phillip Good
[Evidence-based Presentation] Less than a century ago it was normal practice as part of the dying process for there to be a gradual decrease in oral intake. Nowadays with the advent of technology the possibilities are endless and in medicalising dying there is a prevailing heroic discourse. There is alsoátension in these practices and the question has to be asked, "Is it in the best interests of the dying patient to medically hydrate?" This presentation draws upon data from a qualitative study which examined Palliative Care nurses' and doctors' perceptions and attitudes to patient nutrition and hydration at the end of life. This study indicates that these health professionals believe that patients are not hungry or thirsty and providing adequate mouth care is given, patients do not suffer from terminal dehydration. The view of the eighteen health professionals in this study was that terminal dehydration was a normal part of the process of dying for itá lessened the burden of suffering by offering relief from symptoms of fluid overload. Patients' breathing was easier and there was less edema. Further benefits identified in this study included less need for catheters, reduced urinary frequency, therefore, less excoriation, and ábetter hygiene. Patients with cerebral tumors benefited as terminal dehydration reduced cerebral edema, therefore, there were less headaches and drowsiness. Reduced drowsiness meant patients were able to communicate with family and friends. Vomiting was reduced, particularly if patients are suffering a gastrointestinal obstruction.áThe lessened use ofátechnology provided an environment in which patients experienced closer emotional contact with family and health professionals.áThe overall view from participants in this study was that there was a better management regime for patients that was more consistent with the palliative care ethos of promoting comfort and lessening the burden of suffering.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDoes the provision and non-provision of medical nutrition and hydration at the end stage of life cause patient suffering?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/154288-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Does the provision and non-provision of medical nutrition and hydration at the end stage of life cause patient suffering?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Van der Riet, Pamela Jane, PhD, MEd, BA, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Newcastle</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Dr.</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Pamela.vanderriet@newcastle.edu.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Isabel Higgins; Milly Sneesby and Phillip Good</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Less than a century ago it was normal practice as part of the dying process for there to be a gradual decrease in oral intake. Nowadays with the advent of technology the possibilities are endless and in medicalising dying there is a prevailing heroic discourse. There is also&aacute;tension in these practices and the question has to be asked, &quot;Is it in the best interests of the dying patient to medically hydrate?&quot; This presentation draws upon data from a qualitative study which examined Palliative Care nurses' and doctors' perceptions and attitudes to patient nutrition and hydration at the end of life. This study indicates that these health professionals believe that patients are not hungry or thirsty and providing adequate mouth care is given, patients do not suffer from terminal dehydration. The view of the eighteen health professionals in this study was that terminal dehydration was a normal part of the process of dying for it&aacute; lessened the burden of suffering by offering relief from symptoms of fluid overload. Patients' breathing was easier and there was less edema. Further benefits identified in this study included less need for catheters, reduced urinary frequency, therefore, less excoriation, and &aacute;better hygiene. Patients with cerebral tumors benefited as terminal dehydration reduced cerebral edema, therefore, there were less headaches and drowsiness. Reduced drowsiness meant patients were able to communicate with family and friends. Vomiting was reduced, particularly if patients are suffering a gastrointestinal obstruction.&aacute;The lessened use of&aacute;technology provided an environment in which patients experienced closer emotional contact with family and health professionals.&aacute;The overall view from participants in this study was that there was a better management regime for patients that was more consistent with the palliative care ethos of promoting comfort and lessening the burden of suffering.</td></tr></table>en_GB
dc.date.available2011-10-26T12:53:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:53:03Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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