These exceptions include parents making decisions for a child, or when the patient is pregnant or has dependent children.
Referral to a court of law should occur Termination of nutrition and hydration as a last resort. I would suggest the following, based on thoughts from Rae,14 Kilner,15 the state of American law, and John Wesley: It would not sufficiently account for important disanalogies. For many patients it will also be important not to confront their relatives with a prolonged dying process.
But whoever uses a means M to attain an end E and who knows that he realizes an intermediate end I by realizing M and, furthermore, thinks that it is only by realizing I that E can be attained, cannot plead that he only intends E and not I.
Discomfort in nursing home patients with severe dementia in whom artificial nutrition and hydration is forgone. It is compatible with saying that both procedures are morally acceptable, though the one is ethically advantageous.
It is important to explore with patients already on dialysis why they wish to stop the treatment. However, studies have affirmed that a very small minority of patients sedated at end of life experience life-threatening untoward adverse effects such as aspiration or respiratory depression.
What is made the object of discussion is a whole of which terminal sedation is only a part. Open in a separate window Morbidity of PS and the Doctrine of Double Effect As previously mentioned, evidence suggests that in most cases PS does not shorten life; rather, the underlying illness itself results in death.
For the gravely ill patient and for his or her family, friends, and health care providers, decisions about the use of life-sustaining treatment have profound consequences.
If the physician decides to forgo a non-beneficial treatment, the patient should be informed. The fact that this possibility exists in terminal sedation is important, especially if sedation is given in a situation in which the patient is incompetent and in which sedation makes him regain competence so that he is only then in a position to make use of his right to self-determination and to decide about the option of a final termination of treatment.
The ethical issues of PS and simultaneous refusal of ANH are complex, and opinions and treatment practices vary. Dehydration and the dying patient. Sometimes extraordinary is distinguished from ordinary by appealing to the prevalence of a treatment or its level of technological complexity. Smith, 33 years old Kate Adamson suffered a stroke.Forgoing nutrition and hydration is one of the most difficult treatment-termination decisions because of the association of nutrition and hydration with basic needs and human caring.
Nutrition Support at the End of Life: A Critical Decision Pope John Paul II stated that clinicians are obligated to provide nutrition and hydration to most patients in a persistent vegetative state According to Fine, Pope John Paul II encased this papal allocution in an inaccurate analysis of medical science.2 The pope referred to the.
Request PDF on ResearchGate | Termination of Nutrition and Hydration in a Child With Vegetative State | A child in a vegetative state may present difficult decisions for physicians and families.
Palliative sedation differs from physician-assisted suicide and euthanasia by intent and outcome (Table). 20 Although physician-assisted suicide is legal in some states, euthanasia is illegal throughout the United States.
2 The intent of PS is relief of unremitting and intractable suffering achieved by sedation, whereas the intent of. An Oklahoma Perspective: End of Life Decision-Making and Termination of Treatment Teresa Meinders Burkett Samantha Weyrauch 4 This document permits the individual to reject artificial nutrition and hydration under the same circumstances.5 Finally, the individual may direct other.
Termination of nutrition and hydration from patients that are in a persistent vegetative state is an example of an ethical dilemma, which will be discussed.
Ethical issue has raised questions regarding quality of life, appropriate use of resources, the wishes of the family, and professional responsibilities.Download