食物如爱：在最低意识状态下退出人工营养和补水的伦理和道德困境。

IF 1.3 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2021-05-03 DOI:10.1177/08258597211014359

Kelley Finch Newcomer, Robert L Fine, Antoinette Fidelia Newman

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引用次数: 1

摘要

支持性姑息治疗和临终关怀专业人员经常在生命即将结束时照顾最低意识状态（MCS）患者，在这样做的过程中，他们面临着维持或停止人工营养和水合作用的决定。尽管伦理和法律专家认为在这种情况下拒绝和停止使用人工营养和水合作用是可以接受的，但并非所有家庭和医疗保健专业人员都同意这一点。本文将探讨严重脑损伤的基本方面，特别是MCS，食物在人际关系中的心理作用，以及临床伦理学的经验教训，这些经验教训有助于关于ANH戒断的护理目标讨论。

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Food as Love: Ethical and Moral Dilemmas in Withdrawal of Artificial Nutrition and Hydration in the Minimally Conscious State.

Supportive Palliative Care and Hospice professionals frequently attend to Minimally Conscious State (MCS) patients near the end of life and in so doing, face decisions over maintenance or withdrawal of artificial nutrition and hydration. Although both withholding and withdrawal of artificial nutrition and hydration (ANH) in such circumstances are considered by experts in ethics and law to be acceptable, not all families nor health care professionals agree. This paper will explore basic aspects of serious brain injuries, especially MCS, the psychological role of food in interpersonal relationships, and lessons from clinical ethics that can help in goals of care discussions about withdrawal of ANH.

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来源期刊

Journal of Palliative Care 医学-卫生保健

CiteScore

3.20

自引率

5.90%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.