Ethical issues in nutrition support of severely disabled elderly persons: a guide for health professionals.

Details

Serval ID
serval:BIB_D77E82702C2D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Ethical issues in nutrition support of severely disabled elderly persons: a guide for health professionals.
Journal
Jpen. Journal of Parenteral and Enteral Nutrition
Author(s)
Monod S., Chiolero R., Büla C., Benaroyo L.
ISSN
0148-6071 (Print)
ISSN-L
0148-6071
Publication state
Published
Issued date
2011
Volume
35
Number
3
Pages
295-302
Language
english
Abstract
Providing or withholding nutrition in severely disabled elderly persons is a challenging dilemma for families, health professionals, and institutions. Despite limited evidence that nutrition support improves functional status in vulnerable older persons, especially those suffering from dementia, the issue of nutrition support in this population is strongly debated. Nutrition might be considered a basic need that not only sustains life but provides comfort as well by patients and their families. Consequently, the decision to provide or withhold nutrition support during medical care is often complex and involves clinical, legal, and ethical considerations. This article proposes a guide for health professionals to appraise ethical issues related to nutrition support in severely disabled older persons. This guide is based on an 8-step process to identify the components of a situation, analyze conflicting values that result in the ethical dilemma, and eventually reach a consensus for the most relevant plan of care to implement in a specific clinical situation. A vignette is presented to illustrate the use of this guide when analyzing a clinical situation.
Pubmed
Web of science
Create date
17/05/2011 15:01
Last modification date
03/12/2020 10:32
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