Don’t recommend enteral nutrition (PEG, percutaneous endoscopic gastrostomy or naso-gastric feeding tube) in patients with advanced dementia; instead offer oral assisted feeding.
Enteral nutrition is aimed at maintaining or improving patient quality of life and functionality, and prolonging survival. In patients with severe dementia, functional decline and comorbidities may suggest poor long-term benefits from enteral nutrition. Furthermore,...
Don’t schedule elective, non medically indicated inductions of labour or Cesarean deliveries before 39 weeks 0 days gestational age.
Delivery prior to 39 weeks 0 days has been shown to be associated with an increased risk of learning disabilities and a potential increase in morbidity and mortality. There are clear medical indications for delivery prior to 39 weeks 0 days based on maternal and/or...
Don’t clamp the umbilical cord before 1 minute in neonates that do not need immediate resuscitation manouvres.
In term and preterm neonates that don’t need immediate resuscitation manouvres the umbilical cord should be clamped after 1 minute from birth or when it stops pulsating. Delayed cord clamping increases birth weight and haemoglobin levels in neonates. Iron deposits are...
Do not use, to the extent possible, prolonged radiation therapy for palliative treatments in frail patients with a short life expectancy
Several clinical studies showed that a prolonged treatment regimen including radiotherapy and/or chemotherapy does not provide any survival benefit in cancer patients having a short life expectancy. However, radiotherapy plays a crucial role in providing patients with...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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