Does research support the use of enteral nutrition to prevent aspiration, improve wound healing, and prolong survival for patients with end-stage dementia?

Research generally indicates that enteral nutrition does not significantly support the prevention of aspiration, improve wound healing, or prolong survival in patients with end-stage dementia. In this population, the risk of aspiration is often increased due to swallowing difficulties, and enteral feeding may not adequately prevent aspiration pneumonia, which is a common concern. Furthermore, studies have shown that enteral nutrition does not meaningfully impact wound healing in this demographic; the healing process is complex and influenced by multiple factors, including overall health, mobility, and nutritional status.

Finally, regarding survival rates, evidence suggests that the use of enteral nutrition in advanced dementia does not provide a meaningful extension of life and may not align with the goals of care for such patients. Decisions about nutritional support in those with end-stage dementia should consider the patient's quality of life and the potential burdens of interventions, often leading to the conclusion that enteral feeding may not be beneficial. Therefore, the assertion that research supports enteral nutrition in all these areas for patients with end-stage dementia is inaccurate.