| The artificial nutrition debate: still an issue... after all these years. | |
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MedLine Citation:
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PMID: 19321894 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Debate over withdrawal or withholding of artificial nutrition appeared a distant discussion until the furor over the Schiavo case and a Papal Allocation reignited this ethical dilemma. The purpose of this article is to provide a review of the bioethical opinion regarding artificial nutrition, as published in the Hastings Center Report from 1971 until 2007. A clinical and religious history of the evolution and use of artificial nutrition prefaces the review containing common themes and categories framed within a chronology of bioethical and legal events. Finally, an interpretative philosophical discussion is offered on the resurgence of the ethical dilemma concerning withdrawal or withholding of artificial nutrition. Through a combination of classic content analysis and grounded theory, 8 inductively derived categories emerged from a sample of 63 articles/letters with a primary focus on artificial nutrition, enteral nutrition or parenteral nutrition. These categories included illness/treatment trajectory, personhood, family, provider, cost, religion, legal, and ethics and morality. In more than 35 years, surprisingly little has changed with regard to withdrawal or withholding of artificial nutrition. As the Schiavo case revealed, despite a sense in bioethics of a firm consensus about handling the withdrawal of food and water, many are still searching for answers to this dilemma. |
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Authors:
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Cheryl Monturo |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition Volume: 24 ISSN: 0884-5336 ISO Abbreviation: Nutr Clin Pract Publication Date: 2009 Apr-May |
Date Detail:
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Created Date: 2009-03-26 Completed Date: 2009-05-07 Revised Date: 2010-04-29 |
Medline Journal Info:
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Nlm Unique ID: 8606733 Medline TA: Nutr Clin Pract Country: United States |
Other Details:
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Languages: eng Pagination: 206-13 Citation Subset: IM; N |
Affiliation:
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West Chester University, College of Health Sciences, West Chester, PA 19383, USA. cmonturo@wcupa.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Advance Directives Ethics Committees, Clinical Ethics, Medical* Euthanasia, Passive / ethics* Family Humans Life Support Care / ethics* Nutritional Support / ethics*, methods Religion Withholding Treatment / ethics* |
| Comments/Corrections | |
Comment In:
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Nutr Clin Pract. 2009 Apr-May;24(2):176-8
[PMID:
19321891
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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