Prehrana v paliativni medicini
Nutrition during palliative care
ko sita vrana lačni ne verjame
Keywords:
nutrition, palliative care, recommendationsAbstract
Odločitev o izvajanju ali opustitvi postopkov, s katerimi vzdržujemo ali podaljšujemo življenje, je vedno težka. Številne razprave, smernice, priporočila etičnih odborov oz. komisij so do neke mere opora ali moralni kompas, vendar pa zdravnik na koncu vedno ostane razpet med stroko, bolnikom, vestjo in svojci. Priporočila, ki veljajo za kritično bolne, pogosto težko prenesemo v okvir terminalno bolnih. Večinoma vključujejo bolj agresivne ali »herojske« postopke, npr. umetno ventilacijo ali hemodinamsko podporo. S hidracijo in umetno prehrano skušamo zadovoljiti predvsem dve osnovni življenjski potrebi, žejo in lakoto. In v tej luči ju večinoma obravnavamo bolj kot postopka za lajšanje trpljenja, ne pa kot postopka za vzdrževanje življenja.Abstract (Eng)
The decision to withhold life sustaining measures is always difficult. Countless discussions, suggestions, recommendations by ethical committees offer some support or moral compass in making these decisions; however, in the end, one always finds himself torn between one's own conscience, patient, patient's family and science. The guidelines that apply to critically ill rarely apply to palliative care. Artificial hydration and nutrition primarily attempt to satisfy basic human needs for food and drink. As such they are often regarded as easing suffer rather than sustaining life.Downloads
Published
How to Cite
Issue
Section
License
The journal is published under the terms of the Creative Commons Attribution License CC-BY 4.0. The authors retain the copyright to their work without any restrictions whatsoever.
This journal is an open-access journal, meaning that all of its contents are freely accessible without any charge to the user or their institution. In accordance with the Budapest Open Access Initiative (BOAI) definition of open access, users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking for prior permission from the publisher or the author, provided the authors and the journal are appropriately credited.