The Decision-Making Process For Nutritional Support in Palliative Care According to Bioethics: An Integrative Literature Review / Tomada de Decisão Para Suporte Nutricional nos Cuidados Paliativos à Luz da Bioética: Revisão Integrativa
DOI:
https://doi.org/10.9789/2175-5361.2019.v11i5.1418-1424Keywords:
Cuidados paliativos, Terapia Nutricional, Nutrição Enteral, Nutrição Parenteral, BioéticaAbstract
Objetivo: Investigar a produção científica acerca da tomada de decisão para suporte nutricional (SN) em cuidados paliativos (CP) à luz da bioética. Métodos: Revisão integrativa da literatura, com coleta de dados em maio de 2009, nas bases de dados MEDLINE/PubMed, LILACS, SciELO e BVS-Bireme. Resultados: após análise dos 14 estudos selecionados, considerou-se três temáticas: (I) Princípios da bioética no contexto da nutrição; (II) Nutrição como dilema bioético; (III) Abordagens para a resolução de dilemas bioéticos em nutrição. Conclusão: para tomada de decisão no SN em pacientes em CP, o foco deve ser o cuidado centrado no paciente sob os pilares da autonomia, beneficência, não maleficência e justiça. O respeito à autonomia garante ao paciente que ele receba o tratamento conforme o seu desejo; e o respeito aos princípios da beneficência e da não maleficência oportunizam cuidados aos pacientes que visem à qualidade de vida e à manutenção da dignidade humana.
Downloads
References
Beauchamp T, Childress J. Principles of biomedical ethics. 7th ed. Oxford University Press; 2013.
Siqueira-Batista R, Gomes AP, Maia PM, Costa IT da, Paiva AO de, Cerqueira FR. Modelos de tomada de decisão em bioética clínica: apontamentos para a abordagem computacional. Rev Bioética. 2014;22(3):456–61.
Benarroz M de O, Faillace GBD, Barbosa LA. Bioética e nutrição em cuidados paliativos oncológicos em adultos. Cad Saude Publica. 2009;25(9):1875–82.
de Andrade JS, Almeida MM, Pinho-Reis C. Bioethical principles and nutrition in palliative care. Acta Port Nutr. 2017;9:12–6.
Druml C, Ballmer PE, Druml W, Oehmichen F, Shenkin A, Singer P, et al. ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clin Nutr. 2016;35(3):545–56.
Morais SR de, Bezerra AN, Carvalho NS de, Viana ACC. Nutrition, quality of life and palliative care: integrative review. Rev Dor. 2016;17(2):136–40.
Stiles E. Providing artificial nutrition and hydration in palliative care. Nurs Stand. 2013;27(20):35–42.
Clarke G, Galbraith S, Woodward J, Holland A, Barclay S. Eating and drinking interventions for people at risk of lacking decision-making capacity: who decides and how? BMC Med Ethics. 2015;16(1):41.
Holmes S. Principles of nutrition in the palliation of long-term conditions. Int J Palliat Nurs. 2011;17(5):217–22.
Geppert CMA, Andrews MR, Druyan ME. Ethical issues in artificial nutrition and hydration: a review. J Parenter Enter Nutr. 2010;34(1):79–88.
Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: a systematic review. Clin Nutr. 2017;36(4):958–67.
Schwartz DB, Olfson K, Goldman B, Barrocas A, Wesley JR. Incorporating palliative care concepts into nutrition practice. Nutr Clin Pract. 2016;31(3):305–15.
Soares CB, Hoga LAK, Peduzzi M, Sangaleti C, Yonekura T, Audebert DR, et al. Integrative review: concepts and methods used in nursing CritiCal review. Rev Esc Enferm USP. 2014;48(2):335–45.
Brasil, Ministério da Saúde. Diretrizes metodológicas : elaboração de revisão sistemática e metanálise de ensaios clínicos randomizados. Editora do Ministério da Saúde; 2012. 92 p.
Moher D, Liberati A, Tetzlaff J, Altman DG, Group TP. Preferred reporting items for systematic reviews and meta-analyses : the PRISMA statement. PLoS Med. 2009;6(7):1–6.
Alsolamy S. Islamic views on artificial nutrition and hydration in terminally Ill patients. Bioethics. 2014;28(2):96–9.
Barrocas A, Geppert C, Durfee SM, Maillet JO, Monturo C, Mueller C, et al. A.S.P.E.N. ethics position paper. Nutr Clin Pract. 2010;25(6):672–9.
Brody H, Hermer LD, Scott LD, Grumbles LL, Kutac JE, McCammon SD. Artificial nutrition and hydration: the evolution of ethics, evidence, and policy. J Gen Intern Med. 2011;26(9):1053–8.
Krishna L. Nasogastric feeding at the end of life: A virtue ethics approach. Nurs Ethics. 2011;18(4):485–94.
Meier CA, Ong TD. To feed or not to feed? a case report and ethical analysis of withholding food and drink in a patient with advanced dementia. J Pain Symptom Manage. 2015;50(6):887–90.
Monod S, Chiolero R, Büla C, Benaroyo L. Ethical issues in nutrition support of severely disabled elderly persons. J Parenter Enter Nutr. 2011;35(3):295–302.
O’Sullivan Maillet J, Baird Schwartz D, Posthauer ME. Position of the academy of nutrition and dietetics: ethical and legal issues in feeding and hydration. J Acad Nutr Diet. 2013;113(6):828–33.
Schwartz DB. Integrating patient-centered care and clinical ethics into nutrition practice. Nutr Clin Pract. 2013;28(5):543–55.
Good P, Richard R, Syrmis W, Stephens J, Good P, Richard R, et al. Medically assisted nutrition for adult palliative care patients ( Review ) Medically assisted nutrition for adult palliative care patients. Cochrane Database ofSystematic Rev. 2014;(4):3–5.
Valentini E, Giantin V, Voci A, Iasevoli M, Zurlo A, Pengo V, et al. Artificial nutrition and hydration in terminally ill patients with advanced dementia: opinions and correlates among italian physicians and nurses. J Palliat Med. 2014;17(10):1143–9.
Schwartz DB, Posthauer ME, Maillet JOS. Practice paper of the academy of nutrition and dietetics abstract : ethical and legal issues of feeding and hydration. JAND. 2013;113(7):981.
Published
How to Cite
Issue
Section
License
TRANSFER AGREEMENT COPYRIGHT I transfer copyright of the article to the Journal of Care Survey is Fundamental - Online - RPCF, so it is accepted due to electronic publishing. The copyright includes the right to reproduce in whole or in part by any means, distributing that article, including figures, photographs, and any translations. The author can also print and distribute copies of your article, stating that since the rights belong to RPCF. I declare that this manuscript is original and has not been submitted for publication, in whole or in part to other online journals or not, so BMMC in the Annals of scientific events or book chapters.
10.5205/1981-8963.2023.253863
