Rosner Fred, Abramson Neil
Mount Sinai School of Medicine and Albert Einstein College of Medicine, USA.
South Med J. 2009 Mar;102(3):248-50. doi: 10.1097/SMJ.0b013e318197f536.
The use of nutrition and hydration in the terminally ill had been considered normal supportive measures until recently. Currently, many institutions, health care personnel and family members hold that nutrition and hydration are extraordinary measures that may be terminated.
A case is offered to discuss the ruling by traditional Jewish law (Halachah) on the issue of nutrition and hydration.
Judaism upholds the supreme sanctity of human life. Fluids and nutrition are considered as ordinary supportive measures rather than heroic.
Withholding of fluids and nutrition is inconsistent with Jewish law. These modalities are neither withheld nor withdrawn on the patient with the brain tumor, dementia, and previous wishes not to be kept alive with machines.
直到最近,在绝症患者中使用营养和补液一直被视为常规支持措施。目前,许多机构、医护人员和家庭成员认为营养和补液是可以终止的特殊措施。
提供一个案例来讨论传统犹太律法(哈拉卡)对营养和补液问题的裁决。
犹太教坚持人类生命的至高神圣性。液体和营养被视为普通支持措施而非极端措施。
停止液体和营养与犹太律法不符。对于患有脑瘤、痴呆症且此前表示不愿靠机器维持生命的患者,既不停止也不撤销这些措施。