The terminal phase of many chronic GI conditions in the elderly requires careful attention to symptom management. Palliative care provides both a framework, centered on function, and techniques to address common issues such as anorexia, constipation, and intestinal obstruction. Such interventions are not necessarily focused solely on survival but rather on patient well-being during end-of-life care. In this respect, palliative care shares many goals of care with hospice, though unlike hospice, palliative care can be appropriate throughout the course of an illness.
Palliative Care Family Caregiver Palliative Care Team Malignant Bowel Obstruction Stimulant Laxative
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Dunn GP. Palliative care: a promising philosophical framework for gastroenterology. Gastroenterol Clin North Am. 2006;35:1–21.PubMedCrossRefGoogle Scholar
Bakitas M, Doyle Lyons K, Hegel M, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer. JAMA. 2009;302(7):741–9.PubMedCrossRefGoogle Scholar
Gade G, Venohr I, Conner D, et al. Impact of an inpatient palliative care team, a randomized controlled trial. J Palliat Med. 2008;11:80–90.CrossRefGoogle Scholar
Temel J, Greer J, Muzikansky A, et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med. 2010;363:733–42.PubMedCrossRefGoogle Scholar
DiFrancesco V, Fantin F, Omizzolo F, et al. The anorexia of aging. Dig Dis. 2007;25:129–37.CrossRefGoogle Scholar
Mitchell L. Clinical crossroads: a 93-year-old man with advanced dementia and eating problems. JAMA. 2007;298:2527–36.PubMedCrossRefGoogle Scholar
Palecek EJ, Teno JM, Cararett DJ, et al. Comfort feeding only: a proposal to bring clarity to decision-making regarding difficulty with eating for persons with advanced dementia. J Am Geriatr Soc. 2010;58(3):580–4.PubMedCrossRefGoogle Scholar
August D, Huhmann M. A.S.P.E.N. clinical guidelines: nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation. J Parenter Enteral Nutr. 2009;33:472.CrossRefGoogle Scholar
Casarett D, Kapo J, Caplan A. Appropriate use of artificial nutrition and hydration-fundamental principles and recommendations. N Engl J Med. 2005;353:2607–15.PubMedCrossRefGoogle Scholar
Sampson E, Candy B, Jones L. Enteral tube feeding for older people with advanced dementia. Cochrane Database Syst Rev. 2009:CD007209.Google Scholar
Kurien M, McAlindon M, Westaby D, Sanders D. Percutaneous endoscopic gastrostomy (PEG) feeding. Br Med J. 2010; 340:c2414.CrossRefGoogle Scholar
Gillick M, Volandes A. The standard of caring: why do we still use feeding tubes in patients with advanced dementia. J Am Med Dir Assoc. 2008;9:364–7.PubMedCrossRefGoogle Scholar