Influence of enteral nutrition on the comfort of sick adults: scoping review
DOI:
https://doi.org/10.29352/mill0218e.35266Keywords:
comfort; nursing; enteral nutrition; scoping reviewAbstract
Introduction: The benefits of enteral nutrition in sick people have been widely described, with its influence on comfort being multidimensional. In addition to the central importance it assumes in the physical dimension of comfort and the recovery of the sick person, its influence on other dimensions can have a preponderant role, contributing to achieving therapeutic objectives and promoting quality of life.
Objective: To map the available scientific evidence about the dimensions of comfort that are influenced by enteral nutrition in sick adults.
Methods: Scoping review carried out according to the Joanna Briggs Institute methodology. Two independent reviewers defined the eligibility criteria and research strategy and carried out the selection, analysis and synthesis of studies.
Results: From the articles analyzed, the physical, social and psycho-spiritual dimensions of comfort influenced by enteral nutrition emerge.
Conclusion: It is concluded that enteral nutrition has an influence on the comfort of the sick person and family, which may be positive or negative depending on the health context or stage of life in which it becomes necessary. More studies and new reflections on this topic must be carried out.
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References
Allari, S. (2004). When the ordinary becomes extraordinary: Foods and fluids at the end of life. Generations, 28(3), 86–91. https://www.researchgate.net/publication/289481078_When_the_ordinary_becomes_extraordinary_Food_and_fluids_at_the_end_of_life
Compher, C., Bingham, A. L., McCall, M., Patel, J., Rice, T. W., Braunschweig, C., & McKeever, L. (2022). Guidelines for the provision of nutrition support therapy in the adult critically ill patient: The American Society for Parenteral and Enteral Nutrition. Journal of Parenteral and Enteral Nutrition, 46(1), 12–41. https://doi.org/10.1002/jpen.2267
Delgado, S. A. (2018). Nutrition is critical. American Journal of Critical Care, 27(2), 144. https://doi.org/10.4037/ajcc2018355
Direção-Geral da Saúde. (2020). Implementação da nutrição entérica e parentérica no ambulatório e domicílio em idade adulta—Portal das Normas Clínicas (Norma DGS 017/2020). https://normas.dgs.min-saude.pt/2020/09/25/implementacao-da-nutricao-enterica-e-parenterica-no-ambulatorio-e-domicilio-em-idade-adulta/
Frey, R., De Boer, M. E., Dronkert, L., Pols, A. J., Visser, M. C., Hertogh, C. M. P. M., & Depla, M. F. I. A. (2020). Between choice, necessity, and comfort: Deciding on tube feeding in the acute phase after a severe stroke. Qualitative Health Research, 30(7), 1114–1124. https://doi.org/10.1177/1049732320911370
Gonçalves Martins, A., Pontífice Sousa, P., & Marques, R. M. (2022). Conforto: Contributo teórico para a enfermagem. Cogitare Enfermagem, 27, e85214. https://doi.org/10.5380/ce.v27i0.85214
Green, C., & Vandall-Walker, V. (2017). A necessary evil? Patients’ experiences receiving tube feeding in acute care. Nutrition in Clinical Practice, 32(4), 516–525. https://doi.org/10.1177/0884533617706390
Holmes, S. (2011). Principles of nutrition in the palliation of long-term conditions. International Journal of Palliative Nursing, 17(5), 217–222. https://doi.org/10.12968/ijpn.2011.17.5.217
Jones, J. A., & Lang, W. P. (1986). Nutrition during treatment of head and neck cancer. Special Care in Dentistry, 6(4), 165–169. https://doi.org/10.1111/j.1754-4505.1986.tb00987.x
Kolcaba, K. Y. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing, 19(6), 1178–1184. https://doi.org/10.1111/j.1365-2648.1994.tb01202.x
Kozeniecki, M., & Fritzshall, R. (2015). Enteral nutrition for adults in the hospital setting. Nutrition in Clinical Practice, 30(5), 634–651. https://doi.org/10.1177/0884533615594012
Marinho, A., Lopes, A., Sousa, G., Antunes, H., Fonseca, J., Mendes, L., De Carvalho, M., Teixeira Veríssimo, M., Carvalho, N., & Alves, P. (2019). A malnutrição associada à doença e as suas repercussões em Portugal. Medicina Interna, 60–66. https://doi.org/10.24950/RSPMI/REVISAO/91/1/2019
Mayers, T., Kashiwagi, S., Mathis, B. J., Kawabe, M., Gallagher, J., Morales Aliaga, M. L., Kai, I., & Tamiya, N. (2019). International review of national-level guidelines on end-of-life care with focus on the withholding and withdrawing of artificial nutrition and hydration. Geriatrics & Gerontology International, 19(9), 847–853. https://doi.org/10.1111/ggi.13741
Palecek, E. J., Teno, J. M., Casarett, D. J., Hanson, L. C., Rhodes, R. L., & Mitchell, S. L. (2011). Comfort feeding only: A proposal to bring clarity to decision-making regarding difficulty with eating for persons with advanced dementia. Dysphagia, 26(2), 204–209. https://doi.org/10.1007/s00455-011-9331-7
Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI Evidence Synthesis, 20(4), 953–968. https://doi.org/10.11124/JBIES-21-00242
Sánchez-Sánchez, E., Ruano-Álvarez, M. A., Díaz-Jiménez, J., Díaz, A. J., & Ordoñez, F. J. (2021). Enteral nutrition by nasogastric tube in adult patients under palliative care: A systematic review. Nutrients, 13(5), 1562. https://doi.org/10.3390/nu13051562
Schütte, K., Middelberg-Bisping, K., & Schulz, C. (2020). Nutrition and gastroenterological support in end-of-life care. Best Practice & Research. Clinical Gastroenterology, 48, 101692. https://doi.org/10.1016/j.bpg.2020.101692
Smith, L., Amella, E. J., & Nemeth, L. (2016). Perceptions of home health nurses regarding suffering, artificial nutrition, and hydration in late-stage dementia. Home Healthcare Now, 34(9), 478–484. https://doi.org/10.1097/NHH.0000000000000459
Somogyi-Zalud, E., Zhong, Z., Hamel, M. B., & Lynn, J. (2002). The use of life-sustaining treatments in hospitalized persons aged 80 and older. Journal of the American Geriatrics Society, 50(5), 930–934. https://doi.org/10.1046/j.1532-5415.2002.50222.x
Sousa, P. P. (2020). O conforto da pessoa idosa (2ª ed.). Universidade Católica Editora.
Therrier, S., Carlos, C. M., Costa, R. F., Simino, G. P. R., & Barbosa, J. A. G. (2020). Avaliação da nutrição enteral em unidade de terapia intensiva. Revista Baiana de Enfermagem, 35, e38558. https://doi.org/10.18471/rbe.v35.38558
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Van der Riet, P., Good, P., Higgins, I., & Sneesby, L. (2008). Palliative care professionals’ perceptions of nutrition and hydration at the end of life. International Journal of Palliative Nursing, 14(3), 145–151. https://doi.org/10.12968/ijpn.2008.14.3.28895
Wensley, C., Botti, M., McKillop, A., & Merry, A. F. (2020). Maximising comfort: How do patients describe the care that matters? A two-stage qualitative descriptive study to develop a quality improvement framework for comfort-related care in inpatient settings. BMJ Open, 10(5), e033336. https://doi.org/10.1136/bmjopen-2019-033336
Wurzbach, M. E. (1990). The dilemma of withholding or withdrawing nutrition. Image: The Journal of Nursing Scholarship, 22(4), 226–230. https://doi.org/10.1111/j.1547-5069.1990.tb00218.x
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