title: Ethical issues in nutritional support nursing. Withholding and withdrawing nutritional support.
abstract: A new and controversial debate in bioethics concerns the question, "Is it ever acceptable to withhold or withdraw specialized nutritional support from the dying adult patient?" In the opinion of many, the answer to this question is yes, but for only a very small number of patients. Provision of nutrition through artificial means is an invasive medical intervention. As such, procedures for supplying nutritional support impose burdens as well as provide benefits and may, under certain circumstances, be foregone. However, the needs of the vast majority of dying patients will best be served by providing specialized nutritional support.
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia.
authors.forename: L S
authors.initials: LS
authors.lastname: Knox
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D026686:Beneficence; D004750:Enteral Nutrition / Q000451:nursing*; D004993:Ethics, Nursing; D005065:Euthanasia; D005066:Euthanasia, Passive; D005260:Female; D006801:Humans; D008020:Life Support Care / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009014:Morals; D026684:Personal Autonomy; D018570:Risk Assessment; D013727:Terminal Care / Q000592:standards*; D014481:United States; D028761:Withholding Treatment