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Ethical considerations of refusing nutrition after stroke
University College of Borås.
Lund University.
Kristianstad University College, School of Health and Society.
2008 (English)In: Nursing Ethics, ISSN 0969-7330, Vol. 15, no 2, 147-59 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2008. Vol. 15, no 2, 147-59 p.
Keyword
Autonomy, ethics, nutrition, refusal, stroke
National Category
Nutrition and Dietetics Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-87DOI: 10.1177/0969733007086013PubMedID: 18272606OAI: oai:DiVA.org:hkr-87DiVA: diva2:134451
Available from: 2009-01-21 Created: 2009-01-21 Last updated: 2009-02-06Bibliographically approved

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