End-of-life nutritional assessment Most patients and their families recognize that death can occur soon without body fluids. The current literature indicates that body fluid should not be given to dying patients on a daily basis and should not be automatically banned. Instead, the decision should be based on careful personal evaluation. Please consider the following factors when evaluating the start and continuous hydration options. Whether the patient's health condition is enhanced by the overall effect of hydration.
A public dialogue on whether nutrition and hydration must be provided at the end of life enhances the ability of hospice care providers to ensure patient comfort. These scales are usually evaluated in the same way as other medical scales. Here, the benefits and burden are compared against the patient's goal and value. Conventional alternative hydration often results in oral and pulmonary secretion where deceased patients exceed the ability to treat them. Thus, providing nutrition or hydration in a manner other than the oral route usually improves the comfort of the patient during the last few days of life.
The decision to discontinue or refuse cardiopulmonary resuscitation, selective intubation and artificial respiration, and artificial nutrition and hydration is a problem encountered in the management of dying patients. However, other interventions that may be discontinued or continued may include surgery, dialysis, antibiotics, diagnostic tests, medications or hospitalization in an emergency medical facility. Determining whether to refuse or revoke specific medical interventions depends on whether the intervention meets the objectives set by the physician, patient, and agent decision makers. From a medical point of view, the goal must be reasonable, feasible, and realistic. It is acceptable to agree to a specific intervention with a due date and intervention will be aborted if the goal is not met within the time specification.