دورية أكاديمية
The ethics of clinically assisted nutrition and hydration in adults and the role of the advanced clinical practitioner.
| العنوان: | The ethics of clinically assisted nutrition and hydration in adults and the role of the advanced clinical practitioner. |
|---|---|
| المؤلفون: | Alsararatee HH; Trainee Advanced Clinical Practitioner, Acute Medicine, Northampton General Hospital NHS Trust, Northampton. |
| المصدر: | British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2024 Jul 04; Vol. 33 (13), pp. S14-S24. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: MA Healthcare Country of Publication: England NLM ID: 9212059 Publication Model: Print Cited Medium: Internet ISSN: 0966-0461 (Print) Linking ISSN: 09660461 NLM ISO Abbreviation: Br J Nurs Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : MA Healthcare Original Publication: London : Mark Allen Pub., c1992- |
| مواضيع طبية MeSH: | Fluid Therapy*/ethics, Humans ; Adult ; Decision Making/ethics ; Nutritional Support/ethics ; Terminal Care/ethics ; Palliative Care/ethics |
| مستخلص: | Clinically assisted nutrition and hydration (CANH) decision-making in adult patients presents complex ethical dilemmas that require careful consideration and navigation. This clinical review addresses the multifaceted aspects of CANH, emphasising the importance of ethical frameworks and the role of advanced clinical practitioners (ACPs) in guiding decision-making processes. The pivotal role of ACPs is highlighted, from their responsibilities and challenges in decision-making to the collaborative approach they facilitate involving patients, families and multidisciplinary teams. The article also explores ethical principles such as autonomy, beneficence, non-maleficence, and justice, elucidating their application in CANH decision-making. Legal and ethical frameworks covering CANH are examined, alongside case studies illustrating ethical dilemmas and resolutions. Patient-centred approaches to CANH decision-making are discussed, emphasising effective communication and consideration of cultural and religious beliefs. End-of-life considerations and palliative care in CANH are also examined, including the transition to palliative care and ethical considerations in withdrawal or withholding of CANH. Future directions for research and implications for clinical practice are outlined, highlighting the need for ongoing ethical reflection and the integration of ACPs in CANH decision-making. |
| فهرسة مساهمة: | Keywords: Advanced clinical practice; Clinically assisted nutrition and hydration; End-of-life care; Ethical decision making; Patients' best interests; Withholding or withdrawing treatment |
| تواريخ الأحداث: | Date Created: 20240702 Date Completed: 20240702 Latest Revision: 20240702 |
| رمز التحديث: | 20240703 |
| DOI: | 10.12968/bjon.2024.0098 |
| PMID: | 38954455 |
| قاعدة البيانات: | MEDLINE |
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