Document Detail


Artificial Nutrition and Hydration: The Evolution of Ethics, Evidence, and Policy.
MedLine Citation:
PMID:  21380599     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: The debate over use of artificial nutrition and hydration (ANH) in terminal illness, including advanced dementia, remains contentious despite extensive ethical and empirical investigation. METHODS: For this narrative review we undertook a focused, selective review of literature reflecting ethical analysis, empirical assessment of outcomes, legal responses, and thinking within the Roman Catholic religious tradition. RESULTS: The history of the debate over the past 60 years results from a complex interplay of ethical concerns, a growing empirical database, legal changes, public opinion, and financial as well as institutional concerns. Discussions of ANH today are often conducted without any understanding of this historical context. DISCUSSION: Patients' interests could be better protected through remedial action at both the individual and the policy levels.
Authors:
Howard Brody; Laura D Hermer; Larry D Scott; L Lee Grumbles; Julie E Kutac; Susan D McCammon
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-5
Journal Detail:
Title:  Journal of general internal medicine     Volume:  -     ISSN:  1525-1497     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Institute for the Medical Humanities, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555-1311, USA, habrody@utmb.edu.
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