Abstract:
Resources are needed to aid healthcare providers and families in making end-of-life nutrition care decisions for residents living in long-term care settings. This scoping review aimed to explore what is reported in the literature about resources to support decision-making at the end of life in long-term care. Four databases were searched for research published from 2003 to June 2023. Articles included peer-reviewed human studies published in the English language that reported resources to support decision-making about end-of-life nutrition in long-term care settings. In total, 15 articles were included. Thematic analysis of the articles generated five themes: conversations about care, evidence-based decision-making, a need for multidisciplinary perspectives, honouring residents\' goals of care, and cultural considerations for adapting resources. Multidisciplinary care teams supporting residents and their families during the end of life can benefit from resources to support discussion and facilitate decision-making.
摘要:
需要资源来帮助医疗保健提供者和家庭为长期护理环境中的居民做出临终营养护理决定。本范围审查旨在探讨文献中关于支持长期护理生命终结决策的资源的报道。搜索了四个数据库,以查找2003年至2023年6月发表的研究。文章包括以英语发表的同行评审的人类研究,这些研究报告了支持长期护理环境中临终营养决策的资源。总的来说,共包括15篇文章。对文章的主题分析产生了五个主题:关于护理的对话,基于证据的决策,需要多学科的观点,尊重居民的护理目标,以及适应资源的文化考虑。在生命结束时支持居民及其家人的多学科护理团队可以从支持讨论和促进决策的资源中受益。