Artificial Nutrition And Hydration

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Artificial Nutrition and Hydration

Author : Christopher Tollefsen
Publisher : Springer Science & Business Media
Page : 235 pages
File Size : 52,5 Mb
Release : 2007-12-08
Category : Medical
ISBN : 9781402062070

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Artificial Nutrition and Hydration by Christopher Tollefsen Pdf

Pope John Paul II surprised much of the medical world in 2004 with his strongly worded statement insisting that patients in a persistent vegetative state should be provided with nutrition and hydration. This collection of essays featuring some of the most prominent Catholic bioethicists addresses the Pope’s statements, the moral issues surrounding artificial feeding and hydration, the refusal of treatment, and the ethics of care for those at the end of life.

Interdisciplinary Nutritional Management and Care for Older Adults

Author : Ólöf G. Geirsdóttir,Jack J. Bell
Publisher : Springer Nature
Page : 274 pages
File Size : 52,9 Mb
Release : 2021
Category : Geriatric nursing
ISBN : 9783030638924

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Interdisciplinary Nutritional Management and Care for Older Adults by Ólöf G. Geirsdóttir,Jack J. Bell Pdf

This open access book aims to primarily support nurses as leaders and champions of multimodal, Interdisciplinary nutrition care for older adults. A structured approach to fundamentals of nutrition care across Interdisciplinary settings is combined with additional short chapters about special topics in geriatric nutrition. The book is designed to provide highly accessible information on evidence-based management and care for older adults, with a focus on practical guidance and advice across acute, rehabilitation, and primary and secondary malnutrition prevention settings.The cost of malnutrition in England alone has been estimated to be £19.6 billion per year, or more than 15% of the total public expenditure on health and social care. ^65 years). The importance and benefit of specialised nutrition care, delivered by experts in field, is well established for those with complex nutrition care needs. However, despite the substantial adverse impact of malnutrition on patient and healthcare outcomes, specialised management of this condition is often under-resourced, overlooked and under-prioritised by both older adults and their treating teams. As an alternative, timely, efficient, and effective supportive nutrition care opportunities may be appropriately implemented by nurses and non-specialist Interdisciplinary healthcare team members, working together with nutrition specialists and the older adults they care for. Practical, low-risk opportunities should be considered across nutrition screening, assessment, intervention, and monitoring domains for many patients with, or at risk of malnutrition. Whilst a variety of team members may contribute to supportive nutrition care, the nursing profession provide a clear focal point. Nurses across diverse settings provide the backbone for Interdisciplinary teamwork and essential patient care. The nursing profession should consequently be considered best placed to administer Interdisciplinary, multimodal nutrition care, wherever specialist nutrition care referrals are unlikely to add value or are simply not available. As such, the book is a valuable resource for all healthcare providers dedicated to working with older patients to improve nutrition care. .

Artificial Nutrition and Hydration and the Permanently Unconscious Patient

Author : Ronald P. Hamel,James J. Walter
Publisher : Georgetown University Press
Page : 308 pages
File Size : 48,6 Mb
Release : 2007-09-13
Category : Medical
ISBN : 1589012429

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Artificial Nutrition and Hydration and the Permanently Unconscious Patient by Ronald P. Hamel,James J. Walter Pdf

During the past few decades, high-profile cases like that of Terry Schiavo have fueled the public debate over forgoing or withdrawing artificial nutrition and hydration from patients in a persistent vegetative state (PVS). These cases, whether involving adults or young children, have forced many to begin thinking in a measured and careful way about the moral legitimacy of allowing patients to die. Can families forgo or withdraw artificial hydration and nutrition from their loved ones when no hope of recovery seems possible? Many Catholics know that Catholic moral theology has formulated a well-developed and well-reasoned position on this and other end-of-life issues, one that distinguishes between "ordinary" and "extraordinary" treatment. But recent events have caused uncertainty and confusion and even acrimony among the faithful. In his 2004 allocution, Pope John Paul II proposed that artificial nutrition and hydration is a form of basic care, thus suggesting that the provision of such care to patients neurologically incapable of feeding themselves should be considered a moral obligation. The pope's address, which seemed to have offered a new development to decades of Catholic health care ethics, sparked a contentious debate among the faithful over how best to treat permanently unconscious patients within the tenets of Catholic morality. In this comprehensive and balanced volume, Ronald Hamel and James Walter present twenty-one essays and articles, contributed by physicians, clergy, theologians, and ethicists, to reflect the spectrum of perspectives on the issues that define the Catholic debate. Organized into six parts, each with its own introduction, the essays offer clinical information on PVS and feeding tubes; discussions on the Catholic moral tradition and how it might be changing; ecclesiastical and pastoral statements on forgoing or withdrawing nutrition and hydration; theological and ethical analyses on the issue; commentary on Pope John Paul II's 2004 allocution; and the theological commentary, court decisions, and public policy resulting from the Clarence Herbert and Claire Conroy legal cases. A valuable resource for students and scholars, this teachable volume invites theological dialogue and ethical discussion on one of the most contested issues in the church today.

Oxford Textbook of Palliative Medicine

Author : Nathan I. Cherny,Marie Fallon,Stein Kaasa,Russell K. Portenoy,David Currow
Publisher : Oxford University Press, USA
Page : 1281 pages
File Size : 45,6 Mb
Release : 2015
Category : Medical
ISBN : 9780199656097

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Oxford Textbook of Palliative Medicine by Nathan I. Cherny,Marie Fallon,Stein Kaasa,Russell K. Portenoy,David Currow Pdf

Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.

Hard Decisions

Author : Eileen Patricia Flynn
Publisher : Rowman & Littlefield
Page : 116 pages
File Size : 55,8 Mb
Release : 1990
Category : Medical
ISBN : 1556123043

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Hard Decisions by Eileen Patricia Flynn Pdf

What are feeding tubes? Why are they used? Must they always be used? What does Catholic teaching have to say about tube feeding? How can relatives reach sound moral decisions about using, forgoing, or withdrawing tube feeding from incompetent loved ones? Why do courts, state legislatures, and well-informed citizens disagree about whether or not tube feeding is ordinarily required? In Hard Decisions, Eileen P. Flynn, a respected Roman Catholic moral theologian, presents through and balanced answers to today's questions about tube feeding.

Euthanasia: Searching for the Full Story

Author : Timothy Devos
Publisher : Springer Nature
Page : 110 pages
File Size : 42,9 Mb
Release : 2021-03-17
Category : Medical
ISBN : 9783030567958

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Euthanasia: Searching for the Full Story by Timothy Devos Pdf

This open access book has been written by ten Belgian health care professionals, nurses, university professors and doctors specializing in palliative care and ethicists who, together, raise questions concerning the practice of euthanasia. They share their experiences and reflections born out of their confrontation with requests for euthanasia and end-of-life support in a country where euthanasia has been decriminalized since 2002 and is now becoming a trivial topic.Far from evoking any militancy, these stories of life and death present the other side of a reality needs to be evaluated more rigorously.Featuring multidisciplinary perspectives, this though-provoking and original book is intended not only for caregivers but also for anyone who questions the meaning of death and suffering, as well as the impact of a law passed in 2002. Presenting real-world cases and experiences, it highlights the complexity of situations and the consequences of the euthanasia law.This book appeals to palliative care providers, hematologists, oncologists, psychiatrists, nurses and health professionals as well as researchers, academics, policy-makers, and social scientists working in health care. It is also a unique resource for those in countries where the decriminalization of euthanasia is being considered. Sometimes shocking, it focuses on facts and lived experiences to challenge readers and offer insights into euthanasia in Belgium.

Artificial Nutrition and Hydration

Author : Colin; Partridge Campbell (Richard),Richard Partridge
Publisher : Unknown
Page : 34 pages
File Size : 51,8 Mb
Release : 2009-11
Category : Electronic
ISBN : 1898915539

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Artificial Nutrition and Hydration by Colin; Partridge Campbell (Richard),Richard Partridge Pdf

The Vegetative State

Author : Bryan Jennett
Publisher : Cambridge University Press
Page : 246 pages
File Size : 41,9 Mb
Release : 2002-02-28
Category : Law
ISBN : 0521441587

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The Vegetative State by Bryan Jennett Pdf

A survey of the medical, ethical and legal issues that surround this controversial topic.

Fragility Fracture Nursing

Author : Karen Hertz,Julie Santy-Tomlinson
Publisher : Springer
Page : 169 pages
File Size : 43,8 Mb
Release : 2018-06-15
Category : Medical
ISBN : 9783319766812

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Fragility Fracture Nursing by Karen Hertz,Julie Santy-Tomlinson Pdf

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Nutrition support in adults. Quick reference guide

Author : National Collaborating Centre for Acute Care
Publisher : Unknown
Page : 20 pages
File Size : 42,9 Mb
Release : 2006
Category : Electronic
ISBN : 184629150X

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Nutrition support in adults. Quick reference guide by National Collaborating Centre for Acute Care Pdf

Life-Sustaining Treatments and Vegetative State

Author : G. Gigli,Nathan D. Zasler
Publisher : IOS Press
Page : 146 pages
File Size : 44,7 Mb
Release : 2004
Category : Medical
ISBN : 1586034936

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Life-Sustaining Treatments and Vegetative State by G. Gigli,Nathan D. Zasler Pdf

The miracles of modern medicine have created scenarios in which patients remain dependent on life-sustaining treatments for years. Possibly, one of the most dramatic examples of such a clinical scenario is the vegetative state (VS), a clinical condition that occurs when an individual enters a neurological state marked by periods of wakefulness and arousal but without associated demonstrable awareness/consciousness. There is extensive debate as to whether assisted nutrition and hydration (ANH) should be withdrawn from patients in VS, permanent or otherwise. This book will provide cutting edge information to many scientists and clinicians interested in this clinical topic. It could also be a source of anthropological, philosophical and ethical reflection. The many dilemmas raised by the medical, religious, ethical and societal response to persons in VS go well beyond the clinical condition itself and have profound implications for the fundamental values in our global society.It is for this reason that the authors thought it was important to also provide a vehicle, not only for scientific and bioethical reflections, but also for the religious views and tenants of Judeo-Christian thought on the controversial topic of VS and, inherent in that conversation, the controversy of withdrawal and withholding of care.

Diet and Nutrition in Critical Care

Author : Rajkumar Rajendram,Victor R. Preedy,Vinood B. Patel
Publisher : Springer
Page : 0 pages
File Size : 40,5 Mb
Release : 2015-06-12
Category : Medical
ISBN : 1461478375

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Diet and Nutrition in Critical Care by Rajkumar Rajendram,Victor R. Preedy,Vinood B. Patel Pdf

Finding all the information necessary to treat or meet the nutritional requirements of patients who are severely ill or establish new protocols has historically been problematic. This is addressed in Diet and Nutrition in Critical Care. This major reference work encapsulates the latest treatments and procedures to meet the dietary and nutritional needs of the critically ill. Where evidence is available this is presented. However, where evidence is absent, the authors highlight this and provide guidance based on their analysis of other available data and their clinical experience. Diet and Nutrition in Critical Care is a three volume set which addresses the needs of all those concerned with diet and nutrition in the critically ill and covers General Aspects, Enteral Aspects, and Parenteral Aspects. Each volume is stand alone and is further divided into separate sections. The Sections in the General Aspects are: General conditions in the severely ill General metabolic effects and treatments Assessment protocols General nutritional aspects Specific nutrients Adverse aspects The next two volumes Enteral Aspects and Parenteral Aspects contain the following sections: General aspects and methods Specific nutrients Specific conditions Adverse aspects and outcomes Comparisons or dual parenteral and enteral support or transitions Preclinical studies The authors recognise the limitations in simplistic divisions and there is always difficulty in categorising treatment regimens. For example, some regimens involve transitions from one feeding protocol to another or the development of co-morbid conditions and in some cases enteral support may be supplemented with parenteral support. This complexity however, is addressed by the excellent indexing system. Contributors are authors of international and national standing, leaders in the field and trendsetters. Emerging fields of science and important discoveries relating to artificial support will also be incorporated into Diet and Nutrition in Critical Care. This volume represents a one stop shop of material related to enteral and parenteral support and is essential reading for those specialising in intensive and critical care, dietitians, nutritionists, gastroenterologists, cardiologists, pharmacologists, health care professionals, research scientists, molecular or cellular biochemists, general practitioners as well as those interested in diet and nutrition in general.

Nutrition and Hydration in Hospice Care

Author : Charlette Gallagher-Allred,Madalon O'Rawe Amenta
Publisher : Routledge
Page : 164 pages
File Size : 53,5 Mb
Release : 2016-04-15
Category : Health & Fitness
ISBN : 9781317826903

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Nutrition and Hydration in Hospice Care by Charlette Gallagher-Allred,Madalon O'Rawe Amenta Pdf

This scholarly book enables health care professionals to appropriately address hospice patients’and families’concerns about nutrition and hydration. Nutrition and Hydration in Hospice Care is a comprehensive resource that provides hands-on practical information that readers can use in everyday hospice practice. The chapters identify problems, solutions, and ethical issues of nutrition and hydration in hospice care. The contributing authors provide the way for health care professionals, especially those in nursing, dietary, and pharmacy units, to jointly and effectively manage troublesome symptoms and ethical issues. The following topics are included in the scope of coverage: nutrition/hydration needs during end-stage disease nursing and dietary roles in identifying nutrition/hydration problems and implementing treatment how needs of dying children and adults are different legal and ethical dilemmas of withholding or withdrawing nutrition and hydration appropriate and inappropriate uses of enteral and parenteral nutrition support during end-stage diseases food service considerations in inpatient hospice facilities appetite stimulant use in palliative care Because Nutrition and Hydration in Hospice Care is comprehensive, all members of hospice staffs can find practical information to use each day. The authors cover issues not found in other books for nurses, dietitians, pharmacists, and physicians. They will find the information ready to apply at their work settings.

Voluntarily Stopping Eating and Drinking

Author : Timothy E. Quill,Paul T. Menzel,Thaddeus Pope,Judith K. Schwarz
Publisher : Oxford University Press
Page : 313 pages
File Size : 48,6 Mb
Release : 2021-07-27
Category : Medical
ISBN : 9780190080761

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Voluntarily Stopping Eating and Drinking by Timothy E. Quill,Paul T. Menzel,Thaddeus Pope,Judith K. Schwarz Pdf

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

Cancer Cachexia

Author : Egidio Del Fabbro,Akio Inui,Florian Strasser
Publisher : Springer
Page : 83 pages
File Size : 41,9 Mb
Release : 2015-04-02
Category : Medical
ISBN : 9781910315071

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Cancer Cachexia by Egidio Del Fabbro,Akio Inui,Florian Strasser Pdf

Cancer Cachexia is a concise, fully illustrated handbook written with the aim of increasing awareness of cancer cachexia and highlighting best practice diagnosis, treatment, and management options for this devastating disorder. This is another title in the ongoing Springer Healthcare Cancer Supportive Care Series.