Artificial feeding for severely disoriented, elderly patients.
作者信息
McAlister Neil H, McAlister Nazlin K, Challin Catherine G
出版信息
Can Fam Physician. 1989 May;35:1057-62.
Abstract
The issue of artificial feeding for patients with dementia who refuse feeding by hand is a wrenching emotional problem that can cloud clinical judgement. It is helpful to apply an analytic approach to decision making. There are five steps: gathering a comprehensive clinical database; defining the goal of treatment; knowing the treatment options available, their burdens and potential benefits; understanding the law; and defining the moral framework in which care is being given. Such an approach can be used to formulate a plan of treatment in the best interests of incompetent elderly patients who cannot speak for themselves.
摘要
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本文引用的文献
1
The right to natural death.
McGill Law J. 1981;26(4):847-79.
2
Dementia in the elderly: the silent epidemic.
Ann Intern Med. 1982 Aug;97(2):231-41. doi: 10.7326/0003-4819-97-2-231.
3
Quality of life and treatment decisions: the Canadian Law Reform report.
N Engl J Med. 1984 Feb 2;310(5):297-8. doi: 10.1056/NEJM198402023100506.
4
The dehydration question.
Nursing. 1983 Jan;13(1):47-51. doi: 10.1097/00152193-198301000-00015.
5
Reduced thirst after water deprivation in healthy elderly men.
N Engl J Med. 1984 Sep 20;311(12):753-9. doi: 10.1056/NEJM198409203111202.
6
Guiding the hand that feeds. Caring for the demented elderly.
N Engl J Med. 1984 Aug 9;311(6):402-4. doi: 10.1056/NEJM198408093110611.
7
The care of the terminally ill: morality and economics.
N Engl J Med. 1983 Dec 15;309(24):1490-4. doi: 10.1056/NEJM198312153092405.
8
On feeding the dying.
Hastings Cent Rep. 1983 Oct;13(5):22.
9
Benefits of supplementary tube feeding after fractured neck of femur: a randomised controlled trial.
Br Med J (Clin Res Ed). 1983 Nov 26;287(6405):1589-92.
10
Percutaneous endoscopic gastrostomy. Review of 150 cases.
Arch Surg. 1983 Aug;118(8):913-4. doi: 10.1001/archsurg.1983.01390080021006.
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