Clinical Ethics and Nutrition Support
نویسنده
چکیده
Nutrition support should be considered optional when this therapy is not in congruence with an individual's wishes based on quality of life goals, during the end-of-life period. Ethical dilemmas, dealing with nutrition therapy, are often due to lack of early communication between individuals, their family, and healthcare providers. Landmark young adult ethical court cases, dealing with nutrition therapy, reveal that this is not just a topic for the elderly. Healthcare literacy, multicultural populations, and different faiths add to the diversity of perspectives on healthcare decisions dealing with withholding or withdrawing nutrition therapy. These dilemmas are preventable if action steps are taken to improve the current healthcare clinical ethics model. Healthcare decision-making in advance should be considered by the individual and their family as an opportunity to communicate and plan for the future rather than a taboo topic. Healthcare facilities need to develop a proactive, integrated, structured process for healthcare ethical decision-making with measurable outcomes and shared best practice. Resources and toolkits are available to educate both the healthcare professional and the public on advance care planning.
منابع مشابه
Wilson’s Disease: Nutrition Support
Wilson’s disease (WD) or hepato-lenticular degeneration is a rare autosomal-recessive disorder. A prevalence rate of 30 cases per million and a birth incidence rate of one per 30,000 to 40,000 are often quoted. In 40 to 50% of individuals with WD, hepatic dysfunction is the initial clinical manifestation. With the exception of liver transplantation, treatment of WD is only palliative and intend...
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Background Nutrition support and noticing the required goal calories in patients having critical conditions are essential aspects of medical care in preventing malnutrition in these patients. Materials and Methods This research is a clinical trial which was done on 60 children aging between 5 to 17 years old hospitalized in Intensive Care Unit (ICU) of Shiraz’s Namazee hospital, South West of I...
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The planning of an adequate nutritional support for meeting the metabolic requirements of sick neonates is a tedious time consuming calculation, needs practical expert knowledge and involves the risk of introducing possibly fatal errors. We therefore developed the interactive support system VIE–PNN for calculating the composition of parenteral nutrition solutions (PNS) for neonates at intensive...
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OBJECTIVE To investigate the impact of nutritional support on clinical outcomes in patients at nutritional risk who receive nutritional support that meets guideline standards and those who do not. METHODS This prospective cohort study enrolled hospitalized patients from the Second Affiliated Hospital of Kunming Medical University from February 2010 to June 2012. The research protocols were ap...
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