儿科病房中在身体约束下进行鼻胃管喂养：关于这种挽救生命干预措施的伦理、法律和实际考量
Nasogastric tube feeding under physical restraint on paediatric wards: ethical, legal and practical considerations regarding this lifesaving intervention.
作者信息
Fuller Sarah J, Chapman Simon, Cave Emma, Druce-Perkins James, Daniels Poppy, Tan Jacinta
机构信息
Advanced Specialist Eating Disorders Dietitian, East London NHS Foundation Trust and Child; and Child and Adolescent Mental Health Department, Imperial College London, UK.
Consultant in Paediatric and Adolescent Medicine, Department of Paediatrics, King's College London, UK.
出版信息
BJPsych Bull. 2023 Apr;47(2):105-110. doi: 10.1192/bjb.2022.11.
Abstract
Eating disorders have the highest mortality rate of any psychiatric condition. Since the COVID-19 pandemic, the number of patients who have required medical stabilisation on paediatric wards has increased significantly. Likewise, the number of patients who have required medical stabilisation against their will as a lifesaving intervention has increased. This paper highlights a fictional case study aiming to explore the legal, ethical and practical considerations a trainee should be aware of. By the end of this article, readers will be more aware of this complex issue and how it might be managed, as well as the impact it can have on the patient, their family and ward staff.
摘要
饮食失调在所有精神疾病中死亡率最高。自新冠疫情以来，需要在儿科病房进行医学稳定治疗的患者数量显著增加。同样，作为一种挽救生命的干预措施，违背患者意愿进行医学稳定治疗的患者数量也有所增加。本文重点介绍了一个虚构的案例研究，旨在探讨实习医生应了解的法律、伦理和实际考量因素。在本文结尾，读者将更清楚地了解这个复杂问题及其可能的处理方式，以及它对患者、其家人和病房工作人员可能产生的影响。
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J Hum Nutr Diet. 2021 Feb;34(1):33-41. doi: 10.1111/jhn.12765. Epub 2020 May 12.
2
The development of consensus-based guidelines for dietetic practice in nasogastric tube feeding under restraint for patients with anorexia nervosa using a modified Delphi process.使用改良 Delphi 法为神经性厌食症约束下经鼻胃管喂养的患者制定基于共识的饮食实践指南。
J Hum Nutr Diet. 2020 Jun;33(3):287-294. doi: 10.1111/jhn.12731. Epub 2020 Feb 5.
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