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Literature DB >> 7527863

On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?

Abstract

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 of the family in management is discussed. This issue requires wide debate by the public and the profession.

Entities: Species

Keywords: Airedale NHS Trust v. Bland; Death and Euthanasia

Mesh：

Substances：
Hypnotics and Sedatives

Year: 1994 PMID： 7527863 PMCID： PMC1376497 DOI： 10.1136/jme.20.3.139

Source DB: PubMed Journal: J Med Ethics ISSN： 0306-6800 Impact factor: 2.903

7 in total

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7 in total

15 in total

Review 1. Practical guide to palliative sedation.

Authors: John D Cowan; Teresa W Palmer
Journal: Curr Oncol Rep Date: 2002-05 Impact factor: 5.075

2. [Parenteral nutrition: at what price? An ethical orientation to "percutaneous endoscopic gastrostomy" (PEG catheter) nutrition].

Authors: Ulrich Eibach; Klaus Zwirner
Journal: Med Klin (Munich) Date: 2002-09-15

On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?

1. Managing the persistent vegetative state.

2. Euthanasia.

3. Euthanasia.

4. The ailment.

5. Assisted death: a reply.

6. Therapeutic ratio and defined phases: proposal of ethical framework for palliative care.

7. Are intravenous fluids morally required for a dying patient?

Review 1. Practical guide to palliative sedation.

2. [Parenteral nutrition: at what price? An ethical orientation to "percutaneous endoscopic gastrostomy" (PEG catheter) nutrition].

Review 3. Artificial hydration and alimentation at the end of life: a reply to Craig.

4. Nutrition, dehydration and the terminally ill.

5. ["Terminal" dehydration, part 2 : Medical indications and therapeutic approach].

6. Applying best interests to persistent vegetative state--a principled distortion?

7. Nutrition, dehydration and the terminally ill.

8. Palliative care ethics: non-provision of artificial nutrition and hydration to terminally ill sedated patients.

9. The meaning of parenteral hydration to family caregivers and patients with advanced cancer receiving hospice care.

10. On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far? A reply.