MacFie J
Combined Gastroenterology Unit, Scarborough Hospital, North Yorkshire, United Kingdom.
Wien Klin Wochenschr. 1997 Nov 14;109(21):850-7.
Whilst much has been written on the implications of withholding or withdrawing nutritional support therapy from the terminally ill, the comatose or vegetative patients relatively little has been published on the ethical implications of nutritional therapy in other groups. This article outlines a surgeon's view of ethical issues as they apply to nutrition and concludes that failure to provide nutritional support in one form or another for patients who have or who are expected to have seven days or more of inadequate oral intake should now be considered unethical.
虽然关于对绝症患者、昏迷或植物人患者停止或撤销营养支持治疗的影响已有大量著述,但关于营养治疗在其他群体中的伦理影响的发表内容相对较少。本文概述了一位外科医生对适用于营养问题的伦理问题的看法,并得出结论:对于那些已经或预计有七天或更长时间经口摄入量不足的患者,不提供某种形式的营养支持现在应被视为不道德。