Navigating Voluntarily Stopping Eating and Drinking in Hospice Settings: A Multidisciplinary Approach.

IF 1.3 4区 医学 Q3 NURSING Journal of Hospice & Palliative Nursing Pub Date : 2025-02-01 Epub Date: 2024-11-11 DOI:10.1097/NJH.0000000000001078
Jamie M Day, Lisa Woodley, Margaret Ivancic
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Abstract

This article explores current global research on voluntarily stopping eating and drinking (VSED) and presents a detailed, deidentified case study of a patient who elected VSED in a hospice setting in the Southeastern United States. It highlights the collaborative efforts of health care professionals in effectively supporting the patient and family, sharing multiple perspectives from various health care team members who cared for the patient and family. It offers evidence-based recommendations to guide health care teams through the ethical, medical, and emotional challenges of VSED, ensuring compassionate and competent care. The article emphasizes the importance of structured protocols and empathetic care in hospice settings, advocating for the education and preparation of health care teams and families to address the complex challenges associated with VSED. By promoting open communication, interdisciplinary collaboration, and comprehensive support, hospices can respect the autonomy of patients and families choosing VSED, ensuring a compassionate and dignified end-of-life experience.

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在安宁疗护环境中引导自愿停止饮食:多学科方法。
本文探讨了当前有关自愿停止进食和饮水(VSED)的全球研究,并对美国东南部安宁疗护环境中一名选择自愿停止进食和饮水的患者进行了详细的去身份化案例研究。报告强调了医护专业人员在有效支持病人和家属方面所做的共同努力,分享了护理病人和家属的不同医护团队成员的多种观点。文章提供了以证据为基础的建议,指导医护团队应对 VSED 带来的伦理、医疗和情感挑战,确保提供富有同情心和称职的护理。文章强调了安宁疗护环境中结构化协议和同理心护理的重要性,提倡对医护团队和家属进行教育并使其做好准备,以应对与 VSED 相关的复杂挑战。通过促进开放式沟通、跨学科合作和全面支持,安宁疗护机构可以尊重选择VSED的患者和家属的自主权,确保他们获得富有同情心和尊严的生命末期体验。
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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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