McAlister Neil H, McAlister Nazlin K, Challin Catherine G
Can Fam Physician. 1989 May;35:1057-62.
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.
对于拒绝人工喂食的痴呆患者进行人工喂养的问题，是一个令人痛苦的情感问题，可能会影响临床判断。采用分析方法进行决策会有所帮助。有五个步骤：收集全面的临床数据库；确定治疗目标；了解可用的治疗方案、其负担和潜在益处；了解法律；以及确定给予护理的道德框架。这种方法可用于为无法为自己说话的无行为能力老年患者制定符合其最佳利益的治疗计划。
