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The use of artificial nutrition among cancer patients enrolled in palliative home care services
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2009 (English)In: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 23, no 6, 556-564 p.Article in journal (Refereed) Published
Abstract [en]

In this study, patients' views and experiences of using home artificial nutrition, and factors associated with use of home parenteral nutrition (HPN) were investigated. Structured telephone interviews with 620 cancer patients enrolled in 21 palliative home care services were analysed. HPN was more common (11%) than home enteral tube feeding (HETF, 3%). Home artificial nutrition (including HPN and HETF) was usually introduced more than four months before death. Three of four HPN recipients also had oral food intake. HPN use was associated with eating difficulties, nausea/vomiting, and fatigue rather than gastrointestinal problems per se. HETF was generally used for patients with problems related to oesophagus and head and neck tumours. In conclusion the results suggest that, contrary to existing guidelines, HPN is used to supplement oral intake, and not only for patients with a non-functioning gastrointestinal tract. Palliative Medicine (2009); 23: 556-564

Place, publisher, year, edition, pages
2009. Vol. 23, no 6, 556-564 p.
Keyword [en]
enteral tube feeding, home care services, neoplasm, nutritional support palliative care, parenteral nutrition
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-128326DOI: 10.1177/0269216309105811ISI: 000268638600010OAI: oai:DiVA.org:uu-128326DiVA: diva2:331269
Available from: 2010-07-22 Created: 2010-07-20 Last updated: 2010-07-22Bibliographically approved

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