Parenteral nutrition: Ethical and legal considerations

Postgraduate Medical Journal

Volumn 82, Issue 964, 2006, Pages 79-83

  Sayers, G M ^b,c   Lloyd, D A J ^a   Gabe, S M ^a,c  

^a ST MARK S HOSPITAL   (United Kingdom)

^b NORTHWICK PARK HOSPITAL   (United Kingdom)

^c IMPERIAL COLLEGE SCHOOL OF MEDICINE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; DECISION MAKING; HUMAN; INTESTINE CELL; MEDICAL ETHICS; MEDICOLEGAL ASPECT; PARENTERAL NUTRITION; REVIEW; RISK ASSESSMENT; TREATMENT FAILURE;

BIOETHICAL ISSUES; HEALTH RESOURCES; HUMANS; LEGISLATION, MEDICAL; LIFE SUPPORT CARE; MEDICAL FUTILITY; PARENTERAL NUTRITION; RISK FACTORS; THIRD-PARTY CONSENT; TREATMENT REFUSAL;

EID: 33144459185     PISSN: 00325473     EISSN: None     Source Type: Journal    
DOI: 10.1136/pgmj.2005.037127     Document Type: Review

References (36)

1. Elia M, Russell CA, Stratton RJ, et al. Trends in artificial nutrition support in the UK during 1996-2000. Redditch: Sovereign/BAPEN, 2001.
2. Elia M, Stratton R, Russell C. Report of British Artificial Nutrition Survey 2001. Redditch: Sovereign/BAPEN, 2002.
3. Richards DM, Deeks JJ, Sheldon TA, et al. Home parenteral nutrition: a systematic review. Health Technol Assess 1997;1.
4. Cohen LM, Germain MJ, Poppel DM. Practical considerations in dialysis withdrawal: "To have that option is a blessing". JAMA 2003;289:2113-19.
5. Buchman AL, Monkkarzel A, Goodson B, et al. Catheter-related infections associated with home parenteral nutrition and predictive factors for the need for catheter removal in their treatment. Journal of Parenteral Nutrition 1994;18:297-302.
6. Mailloux RJ, Delegge MH, Kirby DF. Pulmonary embolism as a complication of long-term parenteral nutrition. Journal of Parenteral Nutrition 1993;17:578-82.
7. AGA. AGA technical review on short bowel syndrome and intestinal transplantation. Gastroenterology 2003;124:1111-34.
8. Bowyer BA, Fleming CR, Ludwig J, et al. Does long term parenteral nutrition in adult patients cause chronic liver disease? Journal of Parenteral Nutrition 1985;9:11-17.
9. Chan S, McCowen KC, Bistrian BR, et al. Incidence, prognosis and etiology of end-stage liver disease in patients receiving home parenteral nutrition. Surgery 1999;126:28-34.
10. Richards DM, Irving MH. A cost-utility analysis of HPN. Br J Surg 1996;83:1226-9.
11. W Healthcare NHS Trust v H [2005] 1 WLR 834, per Brooke LJ p837G.
12. Keown J. Beyond Bland: a critique of the BMA guidance on withholding and withdrawing medical treatment. Legal Studies 2000;20:66-84, 70.
13. Rachels J. The end of life: euthanasia and morality. Oxford: Oxford University Press, 1987:25-7.
14. Davis A. Right to life of handicapped. J Med Ethics 1983;9:181.
15. Davis A. All babies should be kept alive as far as possible. In: Gillon R, ed. Principles of health care ethics. Chichester: Wiley, 1996:629-41.
16. Airedale NHS Trust v Bland [1993] 2 WLR 316, per Lord Goff p367F.
17. Mill JS. On liberty. In: Three essays: on liberty; representative government; the subjugation of women. Oxford: Oxford University Press, 1981:15.
18. Re B (adult: refusal of medical treatment) [2002] All ER 449, per Dame Elizabeth Butler-Sloss P p456a.
19. Grubb A, ed. Principles of medical law. 2nd ed. Oxford: Oxford University Press, 2004:131.
20. British Medical Association and The Law Society. Assessment of mental capacity: guidance for doctors and lawyers. 2nd ed. London: BMJ Books, 2004:120.
21. Mental Capacity Act 2005. London: The Stationery Office Limited, 2004:s9(1).
22. Savers GM, Beckett N, Waters H, et al. Surrogates' decisions regarding CPR, and the fallacy of substituted judgment. J Clin Ethics 2004;15:334-45.
23. Grubb A, ed. Principles of medical law. 2nd ed. Oxford: Oxford University Press, 2004; 4. 150, 277.
24. Mental Capacity Act 2005. London: The Stationery Office Limited, 2004:s4(6).
25. Airedale NHS Trust v Bland [1993] 2 WLR 316.
26. Airedale NHS Trust v Bland [1993] 2 WLR 316 p372C.
27. Sayers GM, Nesbitt T. Ageism in the NHS and the Human Rights Act 1998: an ethical and legal enquiry. European Journal of Health Law 2002;9:5-18.
28. NHS Trust A v M [2001] 2 WLR 942, p953C-D.
29. Schneiderman LJ, Jecker NS, Jonsen AR. Medical futility: its meaning and ethical implications. Ann Intern Med 1990;112:949-54.
30. Winter SM. Terminal nutrition: framing the debate for the withdrawal of nutritional support in terminally ill patients. Am J Med 2000;109:723-6.
31. W Healthcare NHS Trust v H [2005] 1 WLR 834.
32. W Healthcare NHS Trust v H [2005] 1 WLR 834 p841H.
33. Hoda D, Jatoi A, Burnes J, et al. Should patients with advanced, incurable cancers ever be sent home with total parenteral nutrition? Cancer 2005;103:863-8.
34. R v Cambridge Health Authority, Ex parte B [1995] 1 WLR 898, per Sir Thomas Bingham MR p906E.
35. In Re J (a minor) (child in care: medical treatment) [1992] 3 WLR 507, per Balcombe LJ p519E-F.
36. British Medical Association. Withholding and withdrawing life-prolonging treatment: guidance for decision making. 2nd ed. London: BMJ Books, 2001:23.