No abstract

from voters who disagreed. Statements were only included if there was ≥80% agreement, otherwise there was an opportunity to review and modify the statement and enter into another round of electronic voting. If after two rounds there was continuing disagreement, if 50% of the group agreed and <20% disagreed, statements were accepted. The level of supporting evidence for each statement was assessed using the approach of the Oxford Centre for Evidence-Based Medicine 1 . This process took place over the course of 13 months.

No abstract

Many palliative care patients experience nutritional problems as their conditions progress. This includes those with progressive neurological conditions, chronic obstructive pulmonary disease (COPD) as well as advanced cancer. Nutritional issues not only impact patients physically but also psychologically and can also have an effect on those caring for them. It is important that patients are screened appropriately and that one identifies what symptoms are potentially affecting their intake. Decisions should always be patient-centred. Nutritional interventions range from food modification and nutritional supplements, to more intense methods such as enteral or parenteral nutrition, and these may have ethical and legal considerations. This article explores the nutritional issues faced by palliative patients, the ethical issues supporting decision-making and the methods of nutritional support available.