دورية أكاديمية
أعرض في EDS

Ethical Implications of Nutrition Therapy at the End of Life.

التفاصيل البيبلوغرافية
العنوان: Ethical Implications of Nutrition Therapy at the End of Life.
المؤلفون: Bower KL; Carilion Clinic, Department of Surgery, Virginia Tech Carilion School of Medicine, 1906 Belleview Ave., Roanoke, VA, 24014, USA. klbower@vt.edu.; Carilion Clinic Palliative Medicine, Virginia Tech Carilion School of Medicine, 1906 Belleview Ave, Roanoke, VA, 24014, USA. klbower@vt.edu., Shilling DM; Mayo Clinic, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA., Bonnes SL; Mayo Clinic, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA., Shah A; Cooper University Health Care, Cooper Medical School of Rowan University Digestive Health Institute, Camden, NJ, USA., Lawson CM; Division of Trauma and Critical Care Surgery, Univeristy of Tennessee, Knoxville, TN, USA., Collier BR; Carilion Clinic, Department of Surgery, Virginia Tech Carilion School of Medicine, 1906 Belleview Ave., Roanoke, VA, 24014, USA., Whitehead PB; Carilion Clinic Palliative Medicine, Virginia Tech Carilion School of Medicine, 1906 Belleview Ave, Roanoke, VA, 24014, USA.
المصدر: Current gastroenterology reports [Curr Gastroenterol Rep] 2023 Mar; Vol. 25 (3), pp. 69-74. Date of Electronic Publication: 2023 Mar 02.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Current Science Inc Country of Publication: United States NLM ID: 100888896 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1534-312X (Electronic) Linking ISSN: 15228037 NLM ISO Abbreviation: Curr Gastroenterol Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Current Science Inc., c1999-
مواضيع طبية MeSH: Nutritional Support* , Nutritional Status*, Humans ; Death
مستخلص: Purpose of Review: Provide an evidence-based resource to inform ethically sound recommendations regarding end of life nutrition therapy.
Recent Findings: • Some patients with a reasonable performance status can temporarily benefit from medically administered nutrition and hydration(MANH) at the end of life. • MANH is contraindicated in advanced dementia. • MANH eventually becomes nonbeneficial or harmful in terms of survival, function, and comfort for all patients at end of life. • Shared decision-making is a practice based on relational autonomy, and the ethical gold standard in end of life decisions. A treatment should be offered if there is expectation of benefit, but clinicians are not obligated to offer non-beneficial treatments. A decision to proceed or not should be based on the patient's values and preferences, a discussion of all potential outcomes, prognosis for given outcomes taking into consideration disease trajectory and functional status, and physician guidance provided in the form of a recommendation.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Artificial nutrition; End of life; Enteral nutrition; Ethics; Medically administered nutrition; Parenteral nutrition; Shared decision-making
تواريخ الأحداث: Date Created: 20230302 Date Completed: 20230315 Latest Revision: 20230315
رمز التحديث: 20231215
DOI: 10.1007/s11894-023-00862-z
PMID: 36862286
قاعدة البيانات: MEDLINE
الوصف
تدمد:1534-312X
DOI:10.1007/s11894-023-00862-z