Critical Review:
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چکیده
The use of enteral feeding in individuals with advanced dementia has been a subject of much debate. In North America, it is estimated that one-third of nursing home residents with advanced cognitive impairment are tube fed. Despite the documentation of the burden of care associated with feeding tubes in this population, the number of feeding tubes placed in older individuals continues to increase, and many health care professionals, including speech-language pathologists, view enteral feeding as the standard of care for treating dysphagia in advanced dementia. Given the predicted increase in the prevalence of Alzheimer’s disease in the next two decades, it is timely to examine the factors associated with tube feeding in patients with dementia. This evidence-based review examined original literature documenting the impact of tube feeding on pulmonary function and survival. Results of this review indicate that tube feeding is associated with aspiration pneumonia and fails to prolong survival in individuals with advanced dementia. In light of the evidence documenting a lack of benefit, future research is needed to identify other factors that may mediate the decision to use tube feeding in individuals with advanced dementia.
منابع مشابه
Critique of Arabic Texts/ Critical Review of Al-Adab al-Arabi Min-Asr al-Jahili, Ali Ghahramani and Masoud Bavanpour
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تاریخ انتشار 2009