Skip to main content
SpringerLink
Log in

Nutrition en situation palliative

  • Chapter
Traité de nutrition artificielle de l’adulte

Abstrait

La plupart des états pathologiques chroniques évolutifs (cancers, pathologies neuromusculaires et cérébrales dégénératives, insuffisances organiques sévères respiratoires, hépatiques, rénales, cérébrales, infections non curables⋯) se compliquent au cours de leur évolution, et en particulier au stade palliatif de la maladie, ďun état de dénutrition, fréquemment secondaire à ľinsuffisance des apports alimentaires. Chez le vieillard, la fréquence de la dénutrition augmente sous ľeffet des comorbidités, des affections aiguës et des aléas de la vie. La dénutrition affecte à la fois le pronostic et la qualité de vie des patients en phase avancée de leur pathologie. À ce stade, la prise en charge nutritionnelle représente donc un objectif majeur des soins et doit faire ľobjet ďune réflexion éthique approfondie.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Bachmann P, Marti-Massoud C, Blanc-Vincent MP, et al. (2001) Standards, Options and Recommendations for nutritional support in adult patients with advanced or terminal cancer. Bull Cancer 88: 985–1006

    PubMed  CAS  Google Scholar 

  2. McCann RM, Hall WJ, Groth-Juncker (1994) Comfort care for terminally ill patients. The appropriate use of nutrition and hydratation. J Am Med Assoc 272: 1263–6

    Article  CAS  Google Scholar 

  3. Maltoni M, Nanni O, Pirovano M, et al. (1999) Successful validation of the palliative prognostic score in terminally ill cancer patients. Italian Multicenter Study Group on Palliative Care. J Pain Symptom Manag 17: 240–7

    Article  CAS  Google Scholar 

  4. McInerney F (1992) Provision of food and fluids in terminal care: a sociological analysis. Soc Sci Med 34: 1271–6

    Article  PubMed  CAS  Google Scholar 

  5. American Dietetic Association (1992) Position of The American Dietetic Association: issues in feeding the terminally ill adult. J Am Diet Assoc 92: 996–1002, 1995.

    Google Scholar 

  6. Wallengren O, Lundholm K, Bosaeus I (2005) Diet energy density and energy intake in palliative care cancer patients. Clin Nutr 24: 266–73

    Article  PubMed  Google Scholar 

  7. Musgrave CF, Bartal N, Opstad J (1995) The sensation of thirst in dying patients receiving i.v. hydration. J Palliat Care 11: 17–21

    PubMed  CAS  Google Scholar 

  8. Morita T, Tei Y, Tsunoda J, et al. (2001) Determinants of the sensation of thrist in terminally ill cancer patients. Support care Cancer 9: 177–86

    Article  PubMed  CAS  Google Scholar 

  9. Bruera E, Sala R, Rico MA, et al. (2005) Effects of parenteral hydration in terminally ill cancer patients: a preliminary study. J Clin Oncol 23: 2366–71

    Article  PubMed  Google Scholar 

  10. Löser C, Aschl G Hébuterne X, et al. (2005) ESPEN guidelines on artificial enteral nutrition-percutaneous endoscopic gastrostomy (PEG). Clin Nutr 24: 848–61

    Article  PubMed  Google Scholar 

  11. Hébuterne X (2005) Quand faut-il poser une gastrostomie percutanée endoscopique chez le sujet âgé? Nutr Clin Metabol 19 126–30

    Google Scholar 

  12. Goncalves F, Mozes M, Saraiva I, Ramos C (2006) Gastrostomies in palliative care. Support care Cancer (sous presse)

    Google Scholar 

  13. Morasso G, Capelli M, Viterbori P, et al. (1999) Psychological and symptom distress in terminal cancer patients with met and unmet needs. J Pain Symptom Manage 17: 402–9

    Article  PubMed  CAS  Google Scholar 

  14. Reuben DB, Mor V, Hiris J (1988) Clinical symptoms and length of survival in patients with terminal cancer. Arch Intern Med 148: 1586–91

    Article  PubMed  CAS  Google Scholar 

  15. Van Gossum A, Bozzetti F, Staun M, et al. (1999) Home parenteral nutrition in adults: a European multicenter survey in 1997. Clin Nutr 18: 135–40

    Article  Google Scholar 

  16. Bozzetti F, Amadori D, Bruera E, et al. (1996) Guidelines on artificial nutrition versus hydration in terminal cancer patients. European Association for Palliative Care. Nutrition 12: 163–7

    Article  PubMed  CAS  Google Scholar 

  17. Schneider S, Blanc-Vincent MP, Nitenberg G, et al. (2001) Standards, Options and Recommendations for home parenteral or enteral nutrition in adult cancer patients. Bull Cancer 88: 605–18

    PubMed  CAS  Google Scholar 

  18. Ripamonti C, Twycross R, Baines M, et al. (2002) Clinical-practice recommendations for the management of bowel obstruction in patients with end-stage cancer. Support care Cancer 9: 223–33

    Article  Google Scholar 

  19. Steiner N (1991) Contrôle des, symptômes en soins palliatifs: ľiléus terminal. Méd & Hyg 49: 1182–92

    Google Scholar 

  20. Lundholm K, Daneryd P, Bosaeus I, et al. (2004). Palliative nutritional intervention in addition to cyclooxygenase and erythropoietin treatment for patients with malignant disease: Effects on survival, metabolism, and function. Cancer 100: 1967–77

    Article  PubMed  CAS  Google Scholar 

  21. Fouladium M, Korner U, Bosaeus I, et al. (2005) Body composition and time course changes in regional distribution of fat and lean tissue in unselected cancer patients on palliative care-correlations with food intake, metabolism, exercise capacity, and hormones. Cancer 103: 2189–98

    Article  Google Scholar 

  22. Shang E, Weiss C, Post S, Kaehler G (2006) The influence of early supplementation of parenteral nutrition on quality of life and body composition in patients with advanced cancer. JPEN J Parenter Enteral Nutr 30: 222–30

    PubMed  Google Scholar 

  23. Cozzaglio L, Balzola F, Cosentino F, et al. (1997) Outcome of cancer patients receiving home parenteral nutrition. Italian Society of Parenteral and Enteral Nutrition (S.I.N.P.E.). JPEN J Parenter Enteral Nutr 21: 339–42

    PubMed  CAS  Google Scholar 

  24. Bozzetti F, Cozzaglio L, Biganzoli E, et al. (2002) Quality of life and length of survival in advanced cancer patients on home parenteral nutrition. Clin Nutr 21: 281–8

    Article  PubMed  CAS  Google Scholar 

  25. Orrevall Y, Tishelman C, Permert J (2005) Home parenteral nutrition: a qualitative interview study of the experiences of advanced cancer patients and their families. Clin Nutr 24: 961–70

    Article  PubMed  Google Scholar 

  26. Winkler MF (2005) Quality of life in adult home parenteral nutrition patients. JPEN J Parenter Enteral Nutr 29: 162–70

    Article  PubMed  Google Scholar 

Download references

Authors
  1. P. Bachmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J.-C. Desport
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag France, Paris

About this chapter

Cite this chapter

Bachmann, P., Desport, JC. (2007). Nutrition en situation palliative. In: Traité de nutrition artificielle de l’adulte. Springer, Paris. https://doi.org/10.1007/978-2-287-33475-7_84

Download citation

  • DOI: https://doi.org/10.1007/978-2-287-33475-7_84

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-33474-0

  • Online ISBN: 978-2-287-33475-7

Publish with us

Policies and ethics

Search

Navigation