On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?
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چکیده
منابع مشابه
On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?
This paper explores ethical issues relating to the management of patients who are terminally ill and unable to maintain their own nutrition and hydration. A policy of sedation without hydration or nutrition is used in palliative medicine under certain circumstances. The author argues that this policy is dangerous, medically, ethically and legally, and can be disturbing for relatives. The role o...
متن کاملOn withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far? A commentary.
One has to share some of Dr Craig's anxieties. We must strive for an accurate diagnosis for those who have not long to live or we cannot provide all possible help for them. But we know that hospice physicians create more routine investigations and a balance between over-investigation and neglect in the care of the dying is not easily achieved. I remember Dame Albertine Winner saying that a cup ...
متن کاملOn withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far? A reply.
Patients who are dying of cancer usually give up eating and then stop drinking. This raises ethical dilemmas about providing nutritional support and fluid replacement. The decision-making process should be based on a knowledge of the risks and benefits of giving or withholding treatments. There is no clear evidence that increased nutritional support or fluid therapy alters comfort, mental statu...
متن کاملHas Evidence-Based Medicine Gone Too Far?
Health is a complex interaction requiring complex science techniques, say Ana Fernandez and colleagues from the University of Sydney and the University of Newcastle, Australia. They argue that randomised controlled trials (RCTs) can be useful in the discovery phase, but inadequate in the field of implementation. Implementing change in healthcare needs to take into account not only the evidence,...
متن کاملOn withholding artificial hydration and nutrition from terminally ill sedated patients. The debate continues.
The author reviews and continues the debate initiated by her recent paper in this journal. The paper was critical of certain aspects of palliative medicine, and caused Ashby and Stoffell to modify the framework they proposed in 1991. It now takes account of the need for artificial hydration to satisfy thirst, or other symptoms due to lack of fluid intake in the terminally ill. There is also a m...
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ژورنال
عنوان ژورنال: Journal of Medical Ethics
سال: 1994
ISSN: 0306-6800
DOI: 10.1136/jme.20.3.139