Journal of Pain and Symptom Management
Volume 38, Issue 3 , Pages 358-364 , September 2009

Artificial Hydration Therapy for Terminally Ill Cancer Patients: A Nurse-Education Intervention

  • Akemi Yamagishi, RN, PhD

      Affiliations

    • Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
    • ,
  • Fukuko Tanaka, MD, PhD

      Affiliations

    • International University of Health and Welfare, Ohtawara, Japan
    • ,
  • Tatsuya Morita, MD

      Affiliations

    • Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan
    • Corresponding Author InformationAddress correspondence to: Tatsuya Morita, MD, Department of Palliative and Supportive Care, Seirei Mikatahara Hospital, 3453 Mikatahara-cho, Hamamatsu, Shizuoka 433-8558, Japan.

,Accepted 15 October 2008.

References 

  1. Morita T, Shima Y, Adachi I Japan Palliative Oncology Study (J-POS) Group. Attitudes toward terminal dehydration of Japanese physicians: a nationwide survey. J Clin Oncol. 2002;20:4699–4704
  2. American Society for Parenteral and Enteral Nutrition . Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. J Parenter Enteral Nutr. 2001;26:1SA–138SA
  3. Biswas B, Dunphy K, Ellershaw J, et al. Ethical decision-making in palliative care: artificial hydration for people who are terminally ill. London: National Council for Hospice and Specialist Palliative Care Services; 1994;
  4. Bozzetti F, Amadori D, Bruera E, et al. Guidelines on artificial nutrition versus hydration in terminally ill cancer patients. European Association for Palliative Care. Nutrition. 1996;12:163–167
  5. Ripamonti C, Twycross R, Baines M, et al. Clinical-practice recommendations for the management of bowel obstruction in patients with end-stage cancer. Support Care Cancer. 2001;9:223–233
  6. Bachmann P, Marti-Massoud C, Blanc-Vincent MP, et al. Summary version of the standards, options and recommendations for palliative or terminal nutrition in adults with progressive cancer (2001). Br J Cancer. 2003;89:S107–S110
  7. Emanuel LL, Ferris FD, von Gunten CF, et al. EPEC-O: Education in palliative and end-of-life care for oncology. Chicago, IL: The EPEC Project; 2005;Available at: http://www.epec.net/EPEC/Webpages/index.cfm. Accessed February 1, 2006
  8. Morita T, Bito S, Koyama H, Uchitomi Y, Adachi I. Development of a national clinical guideline for artificial hydration therapy for terminally ill patients with cancer. J Palliat Med. 2007;10:770–780
  9. Partridge MR. Translating research into practice: how are guidelines implemented?. Eur Respir J Suppl. 2003;39:23–29
  10. Chaillet N, Dube E, Dugas M, et al. Evidence-based strategies for implementing guidelines in obstetrics: a systematic review. Obstet Gynecol. 2006;108:1234–1245
  11. Tan WC, Ait-Khaled N. Dissemination and implementation of guidelines for the treatment of asthma. Int J Tuberc Lung Dis. 2006;10:710–716
  12. Miller M, Kearney N. Guidelines for clinical practice: development, dissemination and implementation. Int J Nurs Stud. 2004;41:813–821
  13. Cerchietti L, Navigante A, Sauri A, et al. Hypodermoclysis for control of dehydration in terminal-stage cancer. Int J Palliat Nurs. 2000;6:370–374
  14. Morita T, Tei Y, Tsunoda J, et al. Determinants of the sensation of thirst in terminally ill cancer patients. Support Care Cancer. 2001;9:177–186
  15. McCann RM, Hall WJ, Groth-Juncker A. Comfort care for terminally ill patients. The appropriate use of nutrition and hydration. JAMA. 1994;272:1263–1266
  16. Morita T, Akechi T, Ikenaga M, et al. Late referrals to specialized palliative care service in Japan. J Clin Oncol. 2005;23:2637–2644Epub February 22, 2005
  17. Miyashita M, Hirai K, Morita T, Sanjo M, Uchitomi Y. Barriers to referral to inpatient palliative care units in Japan: a qualitative survey with content analysis. Support Care Cancer. 2008;16(3):217–222
  18. Morita T, Miyashita M, Shibagaki M, et al. Knowledge and beliefs about end-of-life care and the effects of specialized palliative care: a population-based survey in Japan. J Pain Symptom Manage. 2006;31:306–316
  19. Morita T, Tsunoda J, Inoue S, Chihara S. Perceptions and decision-making on rehydration of terminally ill cancer patients and family members. Am J Hosp Palliat Care. 1999;16:509–516
  20. Miyashita M, Morita T, Shima Y, et al. Physician and nurse attitudes toward artificial hydration for terminally ill cancer patients in Japan: results of 2 nationwide surveys. Am J Hosp Palliat Care. 2008;24(5):383–389
  21. Morita T, Adachi I, Japan Palliative Oncology Study Group . Satisfaction with rehydration therapy for terminally ill cancer patients: concept construction, scale development, and identification of contributing factors. Support Care Cancer. 2002;10(1):44–50

PII: S0885-3924(09)00451-5

doi: 10.1016/j.jpainsymman.2008.10.007

Journal of Pain and Symptom Management
Volume 38, Issue 3 , Pages 358-364 , September 2009

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