Enteral nutrition therapy in cancer patients under palliative care: a bioethics analysis
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
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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Saúde, Ética & Justiça (Online) |
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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|| |
_version_ |
1797053620979499008 |