<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-5985</journal-id>
<journal-title><![CDATA[Acta Portuguesa de Nutrição]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Port Nutr]]></abbrev-journal-title>
<issn>2183-5985</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Nutrição]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-59852022000100052</article-id>
<article-id pub-id-type="doi">10.21011/apn.2022.2810</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[FOOD AND NUTRITION AS PART OF THE TOTAL PAIN CONCEPT IN PALLIATIVE CARE]]></article-title>
<article-title xml:lang="pt"><![CDATA[ALIMENTAÇÃO E NUTRIÇÃO COMO PARTE DO CONCEITO DE DOR TOTAL EM CUIDADOS PALIATIVOS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho-Reis]]></surname>
<given-names><![CDATA[Cíntia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[Ana Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital-Escola da Universidade Fernando Pessoa  ]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade de Cuidados Continuados da Fundação Fernando Pessoa  ]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Santa Maria- Porto,  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos  ]]></institution>
<addr-line><![CDATA[Senhora da Hora ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2022</year>
</pub-date>
<numero>28</numero>
<fpage>52</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-59852022000100052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-59852022000100052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-59852022000100052&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Total pain is an essential concept in palliative care and so it is food and nutrition. During the disease progression, patients&#8217; food and nutrition become very often altered and patients are faced with many losses related to the feeding process. These losses can range from the incapacity to taste, swallow, chew, digest and absorb nutrients properly to the loss of the patient&#8217;s ability to eat with autonomy, to manage cutlery and to use the oral route which may culminate in depression and social isolation. Many palliative care patients also present eating-related symptoms, involuntary weight loss, and food refusal. Mostly in the end-of-life phase spiritual issues related to food and nutrition may also emerge. All these issues interfere with daily family life and with patients&#8217; comfort and quality of life affecting all the patients&#8217; human being dimensions - physical, psychological, social, and spiritual - and contributing to patients&#8217; total pain.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A dor total é um conceito essencial em cuidados paliativos tal como a alimentação e a nutrição. Durante a progressão da doença, a alimentação e nutrição dos doentes torna-se frequentemente muito alterada, sendo que os doentes se confrontam com inúmeras perdas relacionadas com o processo de alimentação. Estas perdas poderão ir desde a incapacidade de saborear, deglutir, mastigar, digerir e absorver os nutrientes adequadamente até à perda da capacidade de se alimentar autonomamente, de utilizar os talheres e utilizar a via oral, podendo culminar em depressão e isolamento social. Muitos doentes em cuidados paliativos apresentam também sintomas relacionados com a alimentação, perda de peso involuntária e recusa alimentar. Maioritariamente na fase de fim de vida poderão emergir questões espirituais relacionadas com a alimentação e a nutrição. Todas estas situações interferem com o quotidiano da vida familiar e também com o conforto e a qualidade de vida dos doentes, afetando-os enquanto seres humanos em todas as suas dimensões - física, psicológica, social, e espiritual - e contribuindo para a dor total dos doentes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[End of life]]></kwd>
<kwd lng="en"><![CDATA[Feeding]]></kwd>
<kwd lng="en"><![CDATA[Nutrition]]></kwd>
<kwd lng="en"><![CDATA[Palliative care]]></kwd>
<kwd lng="en"><![CDATA[Total pain]]></kwd>
<kwd lng="pt"><![CDATA[Fim de vida]]></kwd>
<kwd lng="pt"><![CDATA[Alimentação]]></kwd>
<kwd lng="pt"><![CDATA[Nutrição]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="pt"><![CDATA[Dor total]]></kwd>
</kwd-group>
</article-meta>
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