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Children's Palliative Care in Africa$
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Justin Amery

Print publication date: 2009

Print ISBN-13: 9780199567966

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199567966.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 16 June 2021

Feeding and hydration problems

Feeding and hydration problems

(p.133) Chapter 7 Feeding and hydration problems
Children's Palliative Care in Africa

Justin Amery

Oxford University Press

Food and drink are basic survival needs, but they are also used for pleasure, socializing, habit, comfort, or even boredom. Feeding one's child is also a very powerful maternal and paternal drive. For all these reasons, problems with childhood nutrition and hydration are often found to be very distressing problems in children's palliative care, particularly for parents. This seems to be an area that tends to be overlooked in the African children's palliative care setting, perhaps because malnutrition is so common in children with AIDS and/or cancer in Africa. This chapter notes that malnutrition is a social problem with medical consequences: people must address the social issues that caused it, or it will simply return. Management of terminal loss of appetite and thirst is guided largely by what the child wants: if he is thirsty or hungry, then drink and food should be given. If not, the situation is less clear.

Keywords:   feeding problems, Africa, malnutrition, dehydration, hydration, palliative care

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