Tags

Type your tag names separated by a space and hit enter

Feeding tubes in patients with severe dementia.
Am Fam Physician. 2002 Apr 15; 65(8):1605-10, 1515.AF

Abstract

Patients with advanced dementia are among the most challenging patients to care for because they are often bedridden and dependent in all activities of daily living. Difficulty with eating is especially prominent and distresses family members and health care professionals. Health care professionals commonly rely on feeding tubes to supply nutrition to these severely demented patients. However, various studies have not shown use of feeding tubes to be effective in preventing malnutrition. Furthermore, they have not been demonstrated to prevent the occurrence or increase the healing of pressure sores, prevent aspiration pneumonia, provide comfort, improve functional status, or extend life. High complication rates, increased use of restraints, and other adverse effects further increase the burden of feeding tubes in severely demented patients. Feeding tubes should be avoided in many situations in which they are currently used. The preferable alternative to tube feeding is hand feeding. Though it may not be effective in preventing malnutrition and dehydration, hand feeding allows the maintenance of patient comfort and intimate patient care.

Authors+Show Affiliations

Family Medicine Department, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. kostali@mindspring.com

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11989637

Citation

Li, Ina. "Feeding Tubes in Patients With Severe Dementia." American Family Physician, vol. 65, no. 8, 2002, pp. 1605-10, 1515.
Li I. Feeding tubes in patients with severe dementia. Am Fam Physician. 2002;65(8):1605-10, 1515.
Li, I. (2002). Feeding tubes in patients with severe dementia. American Family Physician, 65(8), 1605-10, 1515.
Li I. Feeding Tubes in Patients With Severe Dementia. Am Fam Physician. 2002 Apr 15;65(8):1605-10, 1515. PubMed PMID: 11989637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Feeding tubes in patients with severe dementia. A1 - Li,Ina, PY - 2002/5/7/pubmed PY - 2002/5/31/medline PY - 2002/5/7/entrez SP - 1605-10, 1515 JF - American family physician JO - Am Fam Physician VL - 65 IS - 8 N2 - Patients with advanced dementia are among the most challenging patients to care for because they are often bedridden and dependent in all activities of daily living. Difficulty with eating is especially prominent and distresses family members and health care professionals. Health care professionals commonly rely on feeding tubes to supply nutrition to these severely demented patients. However, various studies have not shown use of feeding tubes to be effective in preventing malnutrition. Furthermore, they have not been demonstrated to prevent the occurrence or increase the healing of pressure sores, prevent aspiration pneumonia, provide comfort, improve functional status, or extend life. High complication rates, increased use of restraints, and other adverse effects further increase the burden of feeding tubes in severely demented patients. Feeding tubes should be avoided in many situations in which they are currently used. The preferable alternative to tube feeding is hand feeding. Though it may not be effective in preventing malnutrition and dehydration, hand feeding allows the maintenance of patient comfort and intimate patient care. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/11989637/Feeding_tubes_in_patients_with_severe_dementia_ L2 - https://www.aafp.org/link_out?pmid=11989637 DB - PRIME DP - Unbound Medicine ER -