2021
DOI: 10.1002/ncp.10633
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Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper

Abstract: The American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles for clinician's decision-making in the use of artificially administered nutrition and hydration (AANH) for adult and pediatric patients. These basic principles are (1) autonomy, respect the patient's healthcare preferences; (2) beneficence, provide healthcare in the best interest of the patient; (3) nonmaleficence, do no harm; and (4) justice, provide all individuals a fair and appropr… Show more

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Cited by 33 publications
(29 citation statements)
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“…For this reason, it has been an essential source of ethical concern and controversy AAN (30). However, in 2021, the American Society for Parenteral and Enteral Nutrition (ASPEN) affirmed that AAN and hydration are medical treatments (9). Therefore, ethical principles could guide healthcare professionals' decisions in collaboration with patients and their surrogates (33)(34)(35).…”
Section: Bioethics Dilemmas In Artificial Nutritionmentioning
confidence: 99%
“…For this reason, it has been an essential source of ethical concern and controversy AAN (30). However, in 2021, the American Society for Parenteral and Enteral Nutrition (ASPEN) affirmed that AAN and hydration are medical treatments (9). Therefore, ethical principles could guide healthcare professionals' decisions in collaboration with patients and their surrogates (33)(34)(35).…”
Section: Bioethics Dilemmas In Artificial Nutritionmentioning
confidence: 99%
“…Recommendations for preventing and resolving ethical dilemmas are addressed with an emphasis on a collaborative interdisciplinary approach following the twenty proposed ethics position statements. The laws of individual states and national governments have to be considered, but overall the international perspective on the ethics of AANH are essentially similar 56 …”
Section: The Ethical Approachmentioning
confidence: 99%
“…The laws of individual states and national governments have to be considered, but overall the international perspective on the ethics of AANH are essentially similar. 56…”
Section: The Ethical Approachmentioning
confidence: 99%
“…Since patients/clients requiring nutrition support therapy present with varied and complex treatment issues, the RDN must consider the ethical implications 36–38 of nutrition and hydration, 39,40 particularly in certain populations, such as those with dementia 41 or receiving palliative 42 or end‐of‐life care. Care decisions need to reflect the wishes of the patient/client and/or family/surrogate decision‐maker, consistent with an advanced directive that may be in place.…”
Section: Overviewmentioning
confidence: 99%