Introduction: Evaluation of dysphagia in palliative care patients is an important indicator of care. In this study, it was evaluated how the swallowing test in palliative care patients guides the course of feeding route. Materials-Methods: This single center, retrospective study evaluated palliative care patients who underwent bedside dysphagia evaluation. The primary endpoint was the proportion of patients with dysphagia who could continue oral feeding. Results: The study included 65 patients [Age, mean ± SD: 76.2 ± 12.2 years (37 to 94 years); males: 53.8%). Two (3.3%) patients were not suitable for oral/enteral feeding. Thirty-eight (58.5%) patients had dysphagia, whereas 27 (41.5%) patients were found to have no dysphagia. Following admission, the route of feeding was modified in 49.2% of the sample. The proportion of patients who returned to oral feeding was 29.2% (n = 19), whereas 13.8% (n = 9) and 6.2% (n = 6) of the sample received PEG and nasoenteral tube placement, respectively. Among 33 patients who were on tube-feeding on admission, 12 (36.4%) individuals returned to oral feeding during their palliative care unit stay. Seven (58.4%) of these subjects who regained oral feeding were on nasoenteral tube feeding and 5 (41.6%) were on PEG feeding on admission. Conclusions: The present study showed a high rate of dysphagia on admission to palliative care unıt. On the other hand, safe and adequate oral feeding could be re-initiated in almost one-third of the patients with dysphagia on admission.
Introduction: Palliative care is a multidimensional care approach that aims to improve the quality of life. Nurses who take an active role in the palliative care process face many difficulties in the care process. Purpose: This study, it was aimed to determine the professional life experiences, palliative care nursing practices, and perspectives on the death of nurses working in the palliative care clinic. Methods: The population of the study, which was conducted in a qualitative study design, consists of 13 nurses working in the palliative care clinic of a training and research hospital. Grouping was not made, and the entire universe was reached. The data of the study were collected between 15.01.2022 and 15.02.2022. The collected data were evaluated by the content analysis method and thematic coding was done. Results: It was calculated that all of the participants were women, and the average age was 33.30±7.45 (min:23, max:47). The average working year in the profession was determined as 10.92±7.80 (min:2, max:25), and the working period in the palliative care clinic was determined as 2.15±1.21 (min:1, max:5) years. As a result of the descriptive and interpretive analyzes of the data, 5 main themes and 19 sub-themes were created. 4 sub-themes for the main theme of palliative care nursing approaches, 3 sub-themes for the main theme of feelings and thoughts of nurses providing palliative care, 3 sub-themes for the main theme of nurses' perception of death, 4 sub-themes for the main theme of nurses caring for the dying patient. The theme, nurses' motivation resources, and 5 sub-themes were determined. Conclusion: In our study, it was determined that nurses mostly focused on increasing the quality of life, self-care practices, and symptom management in palliative care. In addition, it was determined that the nurses had difficulties in giving care to the dying patient. In this context, it is recommended that to give in-service training to nurses on issues such as caring for the dying patient and supporting the family during the grief process.
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