Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis

Detalhes bibliográficos
Autor(a) principal: Loyolla, Viviane Campos Leite
Data de Publicação: 2011
Outros Autores: Pessini, Leocir, Bottoni, Andrea, Serrano, Sandra Caires, Teodoro, Ana Lucia, Bottoni, Adriana
Tipo de documento: Artigo
Idioma: por
Título da fonte: Saúde, Ética & Justiça (Online)
Texto Completo: https://www.revistas.usp.br/sej/article/view/45777
Resumo: Nutritional therapy in patients with very advanced or terminal disease is frequently discussed by health care professionals. Compromised nutritional status is a common complication in cancer patients, whoseweight loss is often the first symptom and is associated with increased morbidity and/or mortality. In palliative care, the primary goal of nutritional therapy is to improve the patient’s quality of life, minimizing nutrition-related symptoms and postponing or avoiding loss of autonomy. Considering that bioethics is a tool for reflection and action, its principles and references must be present in every attitude and decision, which implies deep reflection by the health care team, the patient and his/her family, focusing on the patient’s benefit. The aim of this study was to analyze, from a bioethical point of view, the use of enteral nutritional therapy in oncologic patients receiving palliative care, investigating participation of the patient and his/her family members in decision making regarding enteral nutritional therapy and their views on the use of this therapy.
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spelling Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysisTerapia nutricional enteral em pacientes oncológicos sob cuidados paliativos: uma análise da bioéticaBioéticaNeoplasiasCuidados paliativosTerapia nutricional.BioethicsNeoplasmsHospice careNutrition therapy.Nutritional therapy in patients with very advanced or terminal disease is frequently discussed by health care professionals. Compromised nutritional status is a common complication in cancer patients, whoseweight loss is often the first symptom and is associated with increased morbidity and/or mortality. In palliative care, the primary goal of nutritional therapy is to improve the patient’s quality of life, minimizing nutrition-related symptoms and postponing or avoiding loss of autonomy. Considering that bioethics is a tool for reflection and action, its principles and references must be present in every attitude and decision, which implies deep reflection by the health care team, the patient and his/her family, focusing on the patient’s benefit. The aim of this study was to analyze, from a bioethical point of view, the use of enteral nutritional therapy in oncologic patients receiving palliative care, investigating participation of the patient and his/her family members in decision making regarding enteral nutritional therapy and their views on the use of this therapy.A terapia nutricional em pacientes com doenças muito avançadas ou em doentes consideradosem período de cuidados terminais está sendo frequentemente discutida pelos profissionais de saúde. O comprometimento do estado nutricional é uma complicação presente em pacientes com câncer, em que a perda de peso frequentemente é o primeiro sintoma ocorrido e está associado ao aumento da morbi-mortalidade. Em cuidados paliativos, a terapia nutricional deve ter como primeiro objetivo aumentar a qualidade de vida do paciente, minimizando os sintomas relacionados à nutrição e adiar ou suspender a perda da autonomia. Sendo a bioética um instrumento de reflexão e ação, seus princípios e referenciais devem estar presentes em cada atitude e decisão, havendo sempre a necessidade de uma reflexão profunda da equipe, juntamente com a família e o paciente, priorizando a beneficência do paciente. O trabalho teve como objetivo principal analisar, sob o ponto de vista da Bioética, a utilização da terapia nutricional enteral em pacientes oncológicos sob cuidados paliativos, verificando a participação dos pacientes e de seus familiares na decisão sobre a utilização dessa terapia e conhecendo sua visão a respeito dela.Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica e Medicina do Trabalho.2011-06-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionART.application/pdfhttps://www.revistas.usp.br/sej/article/view/4577710.11606/issn.2317-2770.v16i1p47-59Saúde Ética & Justiça ; v. 16 n. 1 (2011); 47-592317-2770reponame:Saúde, Ética & Justiça (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/sej/article/view/45777/49373Loyolla, Viviane Campos LeitePessini, LeocirBottoni, AndreaSerrano, Sandra CairesTeodoro, Ana LuciaBottoni, Adrianainfo:eu-repo/semantics/openAccess2016-02-03T15:49:34Zoai:revistas.usp.br:article/45777Revistahttps://www.revistas.usp.br/sej/indexPUBhttps://www.revistas.usp.br/sej/oairevistasej@fm.usp.br||2317-27701414-218Xopendoar:2016-02-03T15:49:34Saúde, Ética & Justiça (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
Terapia nutricional enteral em pacientes oncológicos sob cuidados paliativos: uma análise da bioética
title Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
spellingShingle Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
Loyolla, Viviane Campos Leite
Bioética
Neoplasias
Cuidados paliativos
Terapia nutricional.
Bioethics
Neoplasms
Hospice care
Nutrition therapy.
title_short Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
title_full Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
title_fullStr Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
title_full_unstemmed Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
title_sort Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
author Loyolla, Viviane Campos Leite
author_facet Loyolla, Viviane Campos Leite
Pessini, Leocir
Bottoni, Andrea
Serrano, Sandra Caires
Teodoro, Ana Lucia
Bottoni, Adriana
author_role author
author2 Pessini, Leocir
Bottoni, Andrea
Serrano, Sandra Caires
Teodoro, Ana Lucia
Bottoni, Adriana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Loyolla, Viviane Campos Leite
Pessini, Leocir
Bottoni, Andrea
Serrano, Sandra Caires
Teodoro, Ana Lucia
Bottoni, Adriana
dc.subject.por.fl_str_mv Bioética
Neoplasias
Cuidados paliativos
Terapia nutricional.
Bioethics
Neoplasms
Hospice care
Nutrition therapy.
topic Bioética
Neoplasias
Cuidados paliativos
Terapia nutricional.
Bioethics
Neoplasms
Hospice care
Nutrition therapy.
description Nutritional therapy in patients with very advanced or terminal disease is frequently discussed by health care professionals. Compromised nutritional status is a common complication in cancer patients, whoseweight loss is often the first symptom and is associated with increased morbidity and/or mortality. In palliative care, the primary goal of nutritional therapy is to improve the patient’s quality of life, minimizing nutrition-related symptoms and postponing or avoiding loss of autonomy. Considering that bioethics is a tool for reflection and action, its principles and references must be present in every attitude and decision, which implies deep reflection by the health care team, the patient and his/her family, focusing on the patient’s benefit. The aim of this study was to analyze, from a bioethical point of view, the use of enteral nutritional therapy in oncologic patients receiving palliative care, investigating participation of the patient and his/her family members in decision making regarding enteral nutritional therapy and their views on the use of this therapy.
publishDate 2011
dc.date.none.fl_str_mv 2011-06-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
ART.
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/sej/article/view/45777
10.11606/issn.2317-2770.v16i1p47-59
url https://www.revistas.usp.br/sej/article/view/45777
identifier_str_mv 10.11606/issn.2317-2770.v16i1p47-59
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/sej/article/view/45777/49373
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica e Medicina do Trabalho.
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica e Medicina do Trabalho.
dc.source.none.fl_str_mv Saúde Ética & Justiça ; v. 16 n. 1 (2011); 47-59
2317-2770
reponame:Saúde, Ética & Justiça (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Saúde, Ética & Justiça (Online)
collection Saúde, Ética & Justiça (Online)
repository.name.fl_str_mv Saúde, Ética & Justiça (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revistasej@fm.usp.br||
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