Ethical considerations of refusing nutrition after stroke
(2008) In Nursing Ethics 15(2). p.147-159- Abstract
- The aim of this article is to analyse and discuss the ethically problematic conflict raised by patients with stroke who refuse nutritional treatment. In analysing this conflict, the focus is on four different aspects: (1) Is nutritional treatment biologically necessary? (2) If necessary, is the reason for refusal a functional disability, lack of appetite or motivation, misunderstanding of the situation or a genuine conflict of values? (3) If the latter, what values are involved in the conflict? (4) How should we deal with the different kinds of refusal of nutritional treatment? We argue that patients' autonomy should be respected as far as possible, while also considering that those who have suffered a stroke might re-evaluate their life... (More)
- The aim of this article is to analyse and discuss the ethically problematic conflict raised by patients with stroke who refuse nutritional treatment. In analysing this conflict, the focus is on four different aspects: (1) Is nutritional treatment biologically necessary? (2) If necessary, is the reason for refusal a functional disability, lack of appetite or motivation, misunderstanding of the situation or a genuine conflict of values? (3) If the latter, what values are involved in the conflict? (4) How should we deal with the different kinds of refusal of nutritional treatment? We argue that patients' autonomy should be respected as far as possible, while also considering that those who have suffered a stroke might re-evaluate their life as a result of a beneficial prognosis. However, if patients persist with their refusal, health care professionals should force nutritional treatment only when it is clear that the patients will re-evaluate their future life. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1184867
- author
- Sandman, Lars ; Bolmsjö, Ingrid LU and Westergren, Albert LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- stroke, refusal, nutrition, autonomy, ethics
- in
- Nursing Ethics
- volume
- 15
- issue
- 2
- pages
- 147 - 159
- publisher
- SAGE Publications
- external identifiers
-
- wos:000254220000003
- scopus:40549120365
- pmid:18272606
- ISSN
- 1477-0989
- DOI
- 10.1177/0969733007086013
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Caring Sciences (Closed 2012) (016514020)
- id
- 0b81959e-fd26-49bf-b752-7fcc4b612ada (old id 1184867)
- date added to LUP
- 2016-04-01 11:46:45
- date last changed
- 2024-01-25 14:38:27
@article{0b81959e-fd26-49bf-b752-7fcc4b612ada,
abstract = {{The aim of this article is to analyse and discuss the ethically problematic conflict raised by patients with stroke who refuse nutritional treatment. In analysing this conflict, the focus is on four different aspects: (1) Is nutritional treatment biologically necessary? (2) If necessary, is the reason for refusal a functional disability, lack of appetite or motivation, misunderstanding of the situation or a genuine conflict of values? (3) If the latter, what values are involved in the conflict? (4) How should we deal with the different kinds of refusal of nutritional treatment? We argue that patients' autonomy should be respected as far as possible, while also considering that those who have suffered a stroke might re-evaluate their life as a result of a beneficial prognosis. However, if patients persist with their refusal, health care professionals should force nutritional treatment only when it is clear that the patients will re-evaluate their future life.}},
author = {{Sandman, Lars and Bolmsjö, Ingrid and Westergren, Albert}},
issn = {{1477-0989}},
keywords = {{stroke; refusal; nutrition; autonomy; ethics}},
language = {{eng}},
number = {{2}},
pages = {{147--159}},
publisher = {{SAGE Publications}},
series = {{Nursing Ethics}},
title = {{Ethical considerations of refusing nutrition after stroke}},
url = {{http://dx.doi.org/10.1177/0969733007086013}},
doi = {{10.1177/0969733007086013}},
volume = {{15}},
year = {{2008}},
}