Critical review: Palliative care in the patient with advanced cancer.

Abstract

Nutritional intervention is the process aimed at maintaining an adequate weight and body composition, timely symptom control throughout the development of a pathology, and proper hydration status. The present secondary research, titled "Critical Review: Palliative Care in Advanced Cancer Patients," aimed to explore the management of Enteral Nutrition via Nasogastric Tube in Palliative Care patients and its effects on improving quality of life. The clinical question was: What is the current approach to palliative care in patients with advanced cancer? Evidence-Based Nutrition (NuBE) methodology was used. The information search was conducted in PUBMED/MEDLINE, EMBASE, SCOPUS, WOS, SCIENCE DIRECT, yielding 31 articles, of which 21 were selected and evaluated with the CASPE tool. The final selected systematic review was titled "Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review," which has an AI evidence level and strong recommendation grade according to the author’s expertise. The critical commentary concluded that there are no studies with statistically significant results providing clear evidence about the well-being and quality of life in palliative care patients receiving Enteral Nutrition through a nasogastric tube. Therefore, this technique should be used individually, evaluating its benefits and drawbacks for each patient.

Esta investigación tuvo como objetivo determinar la relación entre el consumo de proteínas de alto valor biológico y la sarcopenia de adultos mayores no institucionalizados que acudieron a un centro de servicios a la comunidad, Estudio de tipo transversal, no experimental, descriptivo correlacional, n= 21 adultos mayores. Se encontró seis (6) casos de los 21 adultos mayores mostraron inadecuado consumo de proteínas. Además, se demostró que existe una correlación entre sarcopenia y el consumo de proteína de origen animal Coeficiente biserial puntual: 0.1998. Es necesario valorar el consumo de proteínas del adulto mayor a fin de evitar pérdida de peso y eso lo conduzca a tener sarcopenia, enfermedades y mala calidad de vida.