Home parenteral nutrition: an ethical decision making dilemma

Ethics is a hot topic these days. Home health care providers need not be ethicists, however they do need to be able to identify problems quickly, and know how to address them. This paper explores the ethical issues arising from a narrative analysis involving an advanced cancer patient receiving Tota...

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Bibliographic Details
Published inAustralian journal of advanced nursing Vol. 19; no. 4; pp. 27 - 32
Main Authors Breier-Mackie, Sarah, Newell, Christopher J
Format Journal Article
LanguageEnglish
Published Australia 01.06.2002
Subjects
Aged
Decision Making
Ethics, Nursing
Female
Home Care Services - standards
Humans
Neoplasms - therapy
Nursing
Nursing ethics
Parenteral Nutrition, Home Total - nursing
Parenteral Nutrition, Home Total - standards
Patient Participation
Quality of Life
Tasmania
Treatment
Tumors
Tasmania
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Summary:Ethics is a hot topic these days. Home health care providers need not be ethicists, however they do need to be able to identify problems quickly, and know how to address them. This paper explores the ethical issues arising from a narrative analysis involving an advanced cancer patient receiving Total Parenteral Nutrition (TPN) at home. It shows how complicated it is today to make nutrition support decisions that would have been customary less than 30 years ago. For and against arguments of TPN for advanced cancer patients are reviewed. Ethical positions adopted by the medical and nursing professions are explored and contrasted. The importance of patient autonomy, within a holistic notion of care, including decisions incorporating quality of life, are affirmed, providing a challenge to monitoring the status quo in approaches to decision making. (author abstract)
Bibliography:Australian Journal of Advanced Nursing, The, Vol. 19, No. 4, 2002 Jun-Sep: 27-32
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ISSN:0813-0531
1447-4328