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https://onlinelibrary.wiley.com/doi/full/10.1046/j.1464-410x.2000.00480.x
The ethical and legal duty of basic clinical care includes attention to drinking and eating, hygiene and simple measures to promote comfort, and relieving symptoms. Provided there is no reason to prevent it, a person who can swallow and who expresses a desire or willingness to drink or eat should always be encouraged and, if necessary, assisted to do so, and be supplied with appropriate fluid and nutrients.Cited by: 25
https://www.bapen.org.uk/resources-and-education/education-and-guidance/clinical-guidance/ethical-and-legal-aspects-of-clinical-hydration-and-nutritional-support
Application to the court should be made regarding the legality of withdrawing artificial hydration and nutrition from a patient in a vegetative state. Under carefully specified circumstances, it can be legal to enforce nutritional treatment for an unwilling patient with mental disorder, including anorexia nervosa.
https://www.sciencedirect.com/science/article/pii/S0002822308003908
Guidelines on the ethical considerations to forgo or discontinue hydration and nutrition support have been written by numerous organizations, including the American Medical Society , the American Nurses Association , the American College of Physicians , the American Academy of Family Physicians Center , and the American Academy of Neurology , in addition to the American Dietetic Association.
https://www.nutritioncare.org/NBPNS/Curriculum_Guide_for_Physician_Nutrition_Specialists/Curriculum_Guide_Table_of_Contents/Ethical_and_Legal_Issues/
Clinical algorithms, practice standards, position papers American Dietetic Association. Position of the American Dietetic Association: Ethical and legal issues in nutrition, hydration, and feeding. J Am Diet Assoc 2002;102:716-726. A systematic review of issues related to feeding the dying patient, including multiple case examples.
https://www.researchgate.net/publication/244829452_Basics_in_clinical_nutrition_Ethical_and_legal_aspects
Basics in clinical nutrition: Ethical and legal aspects Article in e-SPEN the European e-Journal of Clinical Nutrition and Metabolism 3(6) · December 2008 with 22 Reads How we measure 'reads'
http://espen.info/documents/ENEthics.pdf
These guidelines address some of the ethical and legal issues which are increasingly part of the clinical decision-making process involved in provid-ing nutrition support. The European ethical tradi-tion is based on the Graeco–Roman ideas, refined by religious considerations and further developed during the …
https://link.springer.com/chapter/10.1007%2F978-3-319-21831-1_12
Paradoxically, the most ethically troubling decisions in critical care involve therapies of little or no utility. Rarely is the decision to do something questioned by care-givers or family. But the decision to withhold treatment or to discontinue “low yield” therapy is always troubling. Nowhere is this more difficult than with nutrition support.Cited by: 4
https://www.espen.org/files/ESPEN-Guidelines/3__ESPEN_guideline_on_ethical_aspects_of_artificial_nutrition_and_hydration.pdf
The results werediscussed at the ESPENCongress in Lisbon 2015 and accepted in an online surveyamong ESPEN members. Results: The ESPEN Guideline on Ethical Aspects of Artificial Nutrition and Hydration is focused on the adult patient and provides a critical summary …
https://www.ncbi.nlm.nih.gov/pubmed/23684296
Across the life span, there are multiple instances when nutrition and hydration issues create ethical dilemmas. There is strong clinical, ethical, and legal support both for and against the administration of food and water when issues arise regarding what is or is not wanted by the individual and what is or is not warranted by empirical clinical evidence.Cited by: 21
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