Ethical issues and dilemmas in artificial nutrition and hydration

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dc.contributor.authorCardenas, Diana
dc.date.accessioned2021-03-01T14:06:43Z
dc.date.available2021-03-01T14:06:43Z
dc.date.issued2021
dc.description.abstractenglishWhen the natural oral intake of food and liquids is disturbed the role of caregivers is to assist the patient in order to cover the individual's need for nutrition by nutrition therapy. Nutrition therapy is a medical intervention, which requires an indication for achieving a treatment goal and the informed consent of the competent patient. Withholding and withdrawing nutrition therapy and artificial hydration must be evaluated in specific situations (terminally ill, palliative care, dementia, aged patients) and always case by case according to the patients' cultural and spiritual needs. In the case of ethical issues or dilemmas, application of the four principles of autonomy, beneficence, non-maleficence, and justice is recommended. These principles assist the caregiver in the decision as whether to feed or not to feed. Caregivers must emphasize the right to self-determination and thus to respect the autonomy of the patient, and also the particular vulnerability of the patient suffering from or at risk of malnutrition. Caregivers must be ethically capable of responding to the nutritional needs according to the patient's will and desires even if the patient is not capable of self-determination, always looking for the best benefit to the patient and avoiding harm.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.clnesp.2020.12.010
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2405-4577
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5472
dc.language.isoeng
dc.publisherEuropean Society for Clinical Nutrition and Metabolismspa
dc.publisherElsevier Ltd.spa
dc.publisher.journalClinical Nutrition ESPENspa
dc.relation.ispartofseriesClinical Nutrition ESPEN, 2405-4577, Vol. 4, Nro. C, 2021 p. 23-29spa
dc.relation.urihttps://clinicalnutritionespen.com/article/S2405-4577(20)31116-5/fulltext
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2021
dc.rights.localAcceso abiertospa
dc.subject.keywordsEthicsspa
dc.subject.keywordsNutritional therapyspa
dc.subject.keywordsPrinciplismspa
dc.subject.keywordsAutonomyspa
dc.subject.keywordsBeneficiencespa
dc.titleEthical issues and dilemmas in artificial nutrition and hydrationspa
dc.title.translatedEthical issues and dilemmas in artificial nutrition and hydrationspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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