Abstract
This paper explores ethical issues relating to the management of patients who are terminally ill and unable to maintain their own nutrition and hydration. A policy of sedation without hydration or nutrition is used in palliative medicine under certain circumstances. The author argues that this policy is dangerous, medically, ethically and legally, and can be disturbing for relatives. The role of the family in management is discussed. This issue requires wide debate by the public and the profession.
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Selected References
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- Andrews K. Managing the persistent vegetative state. BMJ. 1992 Aug 29;305(6852):486–487. doi: 10.1136/bmj.305.6852.486. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ashby M., Stoffell B. Therapeutic ratio and defined phases: proposal of ethical framework for palliative care. BMJ. 1991 Jun 1;302(6788):1322–1324. doi: 10.1136/bmj.302.6788.1322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Illidge T. M., Kirkham S. R. Euthanasia. BMJ. 1992 Nov 14;305(6863):1225–1225. doi: 10.1136/bmj.305.6863.1225. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MAIN T. F. The ailment. Br J Med Psychol. 1957 Sep 6;30(3):129–145. doi: 10.1111/j.2044-8341.1957.tb01193.x. [DOI] [PubMed] [Google Scholar]
- Micetich K. C., Steinecker P. H., Thomasma D. C. Are intravenous fluids morally required for a dying patient? Arch Intern Med. 1983 May;143(5):975–978. [PubMed] [Google Scholar]
- Tapsfield W., Amis P. Euthanasia. BMJ. 1992 Oct 17;305(6859):951–951. doi: 10.1136/bmj.305.6859.951-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Twycross R. G. Assisted death: a reply. Lancet. 1990 Sep 29;336(8718):796–798. doi: 10.1016/0140-6736(90)93253-l. [DOI] [PubMed] [Google Scholar]