Guiding the Hand That Feeds: Caring for the Demented Elderly
New England Journal of Medicine. 1984 Aug 9; 311(6): 402-404.
The dilemmas confronting physicians and family members when elderly, demented patients refuse to eat are discussed. Lo and Dornbrand outline the arguments for and against tube feeding for those who will neither feed themselves nor allow hand feeding by care givers. They offer recommendations on making decisions for these patients, defining the goals of care, weighing the benefits and burdens of tube feeding, and determining which treatment options are in the best interests of individual patients. (KIE abstract)
Aged; Allowing to Die; Artificial Feeding; Caring; Competence; Dementia; Extraordinary Treatment; Family Members; Force Feeding; Goals; Life; Patient Care; Patients; Physicians; Prolongation of Life; Quality of Life; Right to Die; Risks and Benefits; Selection for Treatment; Treatment Refusal; Tube Feeding;
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Lo, Bernard; Rouse, Fenella; Dornbrand, Laurie (1990-04-26)Two state courts recently have ruled on the issue of who may make decisions about life-sustaining treatment for incompetent patients. In