What Do Apple Pie and Motherhood Have to Do With Feeding Tubes and Caring for the Patient?
Archives of Internal Medicine. 1995 Jun 26; 155(12): 1258-1263.
Medical and ethical guidelines state that the forgoing of artificial nutrition and hydration is no different from the forgoing of any other medical treatment. Yet a significant number of health care professionals believe that artificial nutrition and hydration must always be continued, even when the burdens of this treatment outweigh the benefits of prolonging life. I believe that health care professionals should accept the premise that artificial nutrition and hydration are medical treatment (which may be forgone under justifiable clinical and ethical conditions) rather than "basic care" (which morally cannot be forgone) because of (1) social meanings that create humans symbolically as "persons"; and (2) the permission medicine is given by society to touch the human body in various antisocial, but medically necessary, ways.
Aged; Allowing to Die; Artificial Feeding; Attitudes; Caring; Decision Making; Dehumanization; Emotions; Food; Guidelines; Health; Health Care; Human Body; Life; Medicine; Nutrition; Patient Care; Personhood; Physicians; Prolongation of Life; Psychological Stress; Risks and Benefits; Terminally Ill; Values; Withholding Treatment;
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