喂还是不喂？一例晚期痴呆患者禁食禁水的病例报告及伦理分析
To Feed or Not to Feed? A Case Report and Ethical Analysis of Withholding Food and Drink in a Patient With Advanced Dementia.
作者信息
Meier Cynthia A, Ong Thuan D
机构信息
Department of Palliative Medicine, Harborview Medical Center, Seattle, Washington, USA.
Division of Gerontology and Geriatric Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
出版信息
J Pain Symptom Manage. 2015 Dec;50(6):887-90. doi: 10.1016/j.jpainsymman.2015.07.009. Epub 2015 Aug 20.
It is well established that competent patients have the right to refuse artificial nutrition and hydration. There is less clarity regarding withholding nutrition in patients who lack decision-making capacity but who are still physically able to eat and drink. This case highlights the ethical dilemma of withholding food and drink in a patient with advanced dementia.
众所周知，有行为能力的患者有权拒绝人工营养和水分补充。对于缺乏决策能力但仍能自主进食和饮水的患者，在停止提供营养方面的情况则不太明确。本案例凸显了在晚期痴呆患者中停止提供食物和饮料所面临的伦理困境。
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