Artificial nutrition and hydration

The evolution of ethics, evidence, and policy

Howard Brody, Laura D. Hermer, Larry D. Scott, Loretta Grumbles, Julie E. Kutac, Susan D. McCammon

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Introduction: The debate over use of artificial nutrition and hydration (ANH) in terminal illness, including advanced dementia, remains contentious despite extensive ethical and empirical investigation. Methods: For this narrative review we undertook a focused, selective review of literature reflecting ethical analysis, empirical assessment of outcomes, legal responses, and thinking within the Roman Catholic religious tradition. Results: The history of the debate over the past 60 years results from a complex interplay of ethical concerns, a growing empirical database, legal changes, public opinion, and financial as well as institutional concerns. Discussions of ANH today are often conducted without any understanding of this historical context. Discussion: Patients' interests could be better protected through remedial action at both the individual and the policy levels.

Original languageEnglish (US)
Pages (from-to)1053-1058
Number of pages6
JournalJournal of General Internal Medicine
Volume26
Issue number9
DOIs
StatePublished - Sep 2011

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Ethical Analysis
Public Opinion
Ethics
Dementia
History
Outcome Assessment (Health Care)
Databases
Thinking

Keywords

  • artificial nutrition and hydration
  • ethics
  • health policy
  • palliative care
  • terminal care

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Brody, H., Hermer, L. D., Scott, L. D., Grumbles, L., Kutac, J. E., & McCammon, S. D. (2011). Artificial nutrition and hydration: The evolution of ethics, evidence, and policy. Journal of General Internal Medicine, 26(9), 1053-1058. https://doi.org/10.1007/s11606-011-1659-z

Artificial nutrition and hydration : The evolution of ethics, evidence, and policy. / Brody, Howard; Hermer, Laura D.; Scott, Larry D.; Grumbles, Loretta; Kutac, Julie E.; McCammon, Susan D.

In: Journal of General Internal Medicine, Vol. 26, No. 9, 09.2011, p. 1053-1058.

Research output: Contribution to journalArticle

Brody, H, Hermer, LD, Scott, LD, Grumbles, L, Kutac, JE & McCammon, SD 2011, 'Artificial nutrition and hydration: The evolution of ethics, evidence, and policy', Journal of General Internal Medicine, vol. 26, no. 9, pp. 1053-1058. https://doi.org/10.1007/s11606-011-1659-z
Brody, Howard ; Hermer, Laura D. ; Scott, Larry D. ; Grumbles, Loretta ; Kutac, Julie E. ; McCammon, Susan D. / Artificial nutrition and hydration : The evolution of ethics, evidence, and policy. In: Journal of General Internal Medicine. 2011 ; Vol. 26, No. 9. pp. 1053-1058.
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