[Home parenteral nutrition in patients with malignant bowel obstruction. Ethical considerations].

Background: patients with cancer are one of the main group of patients on home parenteral nutrition (HPN). Patients with malignant bowel obstruction (MBO) represent a challenging group when considering HPN. At the Ethics Working Group of SENPE ethical considerations on this subject were reviewed and a guidelines proposal was made.

[Nutrition in palliative care: guidelines from the Working Group on Bioethics, Spanish Society of Clinical Nutrition and Metabolism (SENPE)].

Palliative care provides a holistic approach and care for patients with a terminal illness and their families. In palliative care physical complaints as well as emotional, social and spiritual aspects are considered. Nutritional care should be also considered within palliative support.

[Nutritional management of advanced dementia: summary of recommendations of the SENPE Ethic Group].

This paper from the ethics Working Group presents a summary of the recommendations of the nutritional management of patients with advanced dementia.

An educational intervention on drug use in nursing homes improves health outcomes resource utilization and reduces inappropriate drug prescription.

Objective: Inappropriate drug prescription is a common problem in people living in nursing homes and is linked to adverse health outcomes. This study assessed the effect of an educational intervention directed to nursing home physicians in reducing inappropriate prescription and improving health outcomes and resource utilization.

Design: Prospective, randomized, multicenter study.

Inappropriate drug prescription at nursing home admission.

Background: Inappropriate prescriptions are common in older people admitted to nursing homes. Commonly used instruments to detect potential inappropriate prescriptions have limitations that have precluded wide use, and new instruments are needed.

Objective: The goal of this study was to determine the value of the Screening Tool of Older Person's potentially inappropriate Prescriptions/Screening Tool to Alert doctors to the Right, ie appropriate, indicated Treatment (STOPP-START) criteria and the Australian criteria to detect potentially inappropriate drug prescriptions in older people on admission to nursing home care.