Supporting people who have eating and drinking difficulties.

Autor: Porter K; Royal College of Physicians, London, UK karen.porter@rcp.ac.uk., Burch N; University Hospital Coventry, Coventry, UK., Campbell C; Frimley Health NHS Foundation Trust, Frimley Park, UK., Danbury C; Royal Berkshire NHS Foundation Trust, Reading, UK., Foster C; Green Templeton College, Oxford, UK and barrister, 4-5 Gray's Inn Square, London, UK., Gabe S; London North West University Healthcare NHS Trust, London, UK., Goddard A; University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK and president, Royal College of Physicians, London, UK., Harp K; Royal Hospital for Neuro-disability, London, UK., Holdoway A; BMI Bath Clinic, Bath, UK, Dorothy House Hospice, Bradford-on-Avon, UK and Royal United Hospitals Bath NHS Foundation Trust, Bath, UK., Hughes T; Cardiff and Vale University Health Board, Cardiff, UK., Ball KL; NHS Highland, Inverness, UK., Nightingale J; London North West University Healthcare NHS Trust, London, UK., Rochford A; Barts Health NHS Trust, London, UK., Keene AR; 39 Essex Chambers, London, UK and visiting professor, Dickson Poon School of Law, London, UK., Smith A; Herts Valleys Clinical Commissioning Group, Hemel Hempstead, UK., Smith T; University Hospital Southampton NHS Foundation Trust, Southampton, UK and president, British Association for Parenteral and Enteral Nutrition, Redditch, UK., De Silva A; Royal Berkshire NHS Foundation Trust, Reading, UK and chair of the working party.
Jazyk: angličtina
Zdroj: Clinical medicine (London, England) [Clin Med (Lond)] 2021 Jul; Vol. 21 (4), pp. e344-e350.
DOI: 10.7861/clinmed.2021-0161
Abstrakt: Eating and drinking are essential for maintenance of nutrition and hydration, but are also important for pleasure and social interactions. The ability to eat and drink hinges on a complex and coordinated system, resulting in significant potential for things to go wrong.The Royal College of Physicians (RCP) has published updated guidance on how to support people who have eating and drinking difficulties, particularly towards the end of life.Decisions about nutrition and hydration and when to start, continue or stop treatment are some of the most challenging to make in medical practice. The newly updated guidance aims to support healthcare professionals to work together with patients, their families and carers to make decisions around nutrition and hydration that are in the best interests of the patient. It covers the factors affecting our ability to eat and drink, strategies to support oral nutrition and hydration, techniques of clinically-assisted nutrition and hydration, and the legal and ethical framework to guide decisions about giving and withholding treatment, emphasising the two key concepts of capacity and best interests.This article aims to provide an executive summary of the guidance.
(© Royal College of Physicians 2021. All rights reserved.)
Databáze: MEDLINE
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