Clinical recommendations for nutritional support in palliative care
Disease related malnutrition (DRM) creates extremely unfavorable conditions for adequate implementation of the basic methods of palliative care. Cachexia, loss of muscle mass, low serum proteins always lead to the development of a number of serious complications, and low efficiency of drug therapy. In order to maintain adequate water balance and nutritional status of patients in palliative care should be used methods of nutritional support- enteral and parenteral nutrition.. Authors proposed a draft clinical guidelines, defining the main indications, contraindications, technological protocols of key nutritional therapy methods implementation. The main types of enteral diets and parenteral nutrition solutions, which can be used in palliative medicine, were presented with necessary clinical comments.