Nasogastric feeding at the end of life: A virtue ethics approach

Nursing Ethics

Volumn 18, Issue 4, 2011, Pages 485-494

  Krishna, Lalit ^a  

^a DIVISION OF MEDICAL ONCOLOGY   (Singapore)

Author keywords

duty of palliative care; end of life; nasogastric feeding; palliative care; virtue ethics

Indexed keywords

CLINICAL PRACTICE; ENTERIC FEEDING; ETHICAL THEORY; ETHICS; HUMAN; MEDICAL ETHICS; MORALITY; PALLIATIVE THERAPY; REVIEW; SINGAPORE;

ENTERAL NUTRITION; ETHICAL THEORY; ETHICS, MEDICAL; HUMANS; PALLIATIVE CARE; PHYSICIAN'S PRACTICE PATTERNS; SINGAPORE; VIRTUES;

EID: 79960738346     PISSN: 09697330     EISSN: 14770989     Source Type: Journal    
DOI: 10.1177/0969733011403557     Document Type: Review

References (75)

1. Advanced Medical Directive. Chapter 4A Section 2. http://statutes.agc.gov.sg/non_version/cgi-bin/cgi_retrieve.pl?actno=REVED-4A&doctitle=ADVANCE%20MEDICAL%20DIRECTIVE%20ACT%0A&date=latest&method=part&sl=1 (2008, accessed June 2010).
2. Sampson EL, Candy B. and Jones L. Enteral tube feeding for older people with advanced dementia. Cochrane Database of Systematic Reviews 2009; 2: Art. No. CD007209. DOI: 10.1002/14651858.CD007209.pub2.
3. Lanuke K., Fainsinger RL and de Demoissac D. Hydration management at the end of life. Journal of Palliative Medicine 2004; 7(2): 257-63.
4. Briggs S. and Vernon MJ Decisions on life sustaining therapy: nutrition and fluids in medical ethics and the elderly, third edition. Rai G (ed.). Abingdon: Radcliffe Publishing, 2009.
5. Delmore G. Should cancer patients with incurable disease receive parenteral or enteral nutritional support? European Journal of Cancer 1998; 34(3): 282-4.
6. Sobotka L. Basics in clinical nutrition: nutritional support in different clinical situations. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. http://www.sciencedirect.com/science?_ob=EmailFriendURL&_method=gatherInfo&refSource=html&count=1&_uoikey=B83WT-4X2BVCN-6&_acct=C000049385&_version=1&_userid=961183&md5=2986526b07707151f5d272209e27dfb5 (2004, accessed May 2010).
7. Bruera E.,et al.Effects of parenteral hydration in terminally ill cancer patients: a preliminary study. JCO 2005; 23(1): 2366-71.
8. Bozzetti F. Is enteral nutrition a primary therapy in cancer patients? Gut 1994; 35(suppl): S65-8.
9. Fainsinger R. Nonoral hydration in palliative care. Journal of Palliative Medicine 2006; 9(1): 206-8.
10. Tchekmedian NS, Zahyna D., Halpert C.,et al.Assessment and maintenance of nutrition in older cancer patients. Oncology 1992; 49(suppl 2): 105-11.
11. Cynober L. Basics in clinical nutrition: some laboratory measures of response to nutrition in research and clinical studies. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 2009; 4: e226-8.
12. Bavin L. Artificial rehydration in the last days of life: is it beneficial? International Journal of Palliative Nursing 2007; 13(9): 445-9.
13. Dalal S. and Bruera E. Dehydration in cancer patients: to treat or not to treat. Journal of Support Oncology 2004; 2: 467-87.
14. Morita T., Shima Y., Mitsunori M., Kimura R. and Adachi I. Physician- and nurse-reported effects of intravenous hydration therapy on symptoms of terminally ill patients with cancer. Journal of Palliative Medicine 2004; 7(5): 683-93.
15. Arends J.,et al. ESPEN guidelines on enteral nutrition. Nonsurgical Oncology 2006; 25(2): 245-59 [sec 3.6].
16. Tchekmedian NS, Zahyna D., Halpert C.,et al.Assessment and maintenance of nutrition in older cancer patients. Oncology 1992; 49(suppl 2): 105-11.
17. Burge FI Dehydration symptoms of palliative care cancer patients. JPSM 1993; 8: 454-64.
18. Waller A.,et al.Terminal dehydration and intravenous fluids. Lancet 1991; 337: 745.
19. Ellershaw JE Dehydration and the dying patient. JPSM 1995; 10: 192-7.
20. Mercadante S. Patients' and relatives' perceptions about IV and subcut hydration. JPSM 2005; 30(4): 354-8.
21. Oliver D. Terminal dehydration. Lancet 1984; 2: 631.
22. Acreman S. nutrition in palliative care. BJCN 2009; 14(10): 427-31.
23. Bruera E.,et al.Defining palliative care interventions. J PC 1997; 14(2): 23-4.
24. Feuz A. and Rapin CH An observational study of the role of pain control and food adaptation of aged cancer patients during terminal care. American J Dietetic Association 1994; 94: 767-70.
25. Cochrane TI and Troug RD Refusal of hydration and nutrition. Arch Intern Med 2006; 165(12): 2574-6.
26. Vullo-Navich K.,et al.Comfort and incidence of abnormal serum sodium, BUN, Creatnine and osmolality in dehydration of terminal illness. Am J Hospice and Pall Care 1998; March/April: 77-83.
27. Viola RA The effects of fluid status and fluid therapty on the dying. J Pall Care 1997; 13: 41-52.
28. Miyashita M., et al.Physician and nurse attitude toward ANH for terminally ill cancer patients in Japan. Am J Hospice and Palliat Med 2007; 24(5): 383-9.
29. Van der Reit P.,et al.Palliative care professionals perceptions of nutrition and hydration at the end of life. Int J Pall Nurs 2008; 14(3): 145-51.
30. Fainsinger R. Nonoral hydration in palliative care. Journal of Palliative Medicine 2006; 9(1): 206-8.
31. Smith SA ANH at the end of life. MedSurg Nursing 2000; 9(5): 233-47.
32. Buiting HM,et al.Forgoing ANH in patients nearing death in six European countries. JPSM 2007; 34(3): 305-14.
33. Frederich ME ANH in the terminally ill. AAHPM Bulletin 2002; Fall: 8, 9, 13.
34. Seah STA and Low JA Symptoms and care of dying elderly patients in an acute hospital. SMJ 2005; 46(5): 210-4.
35. Magne N.,et al.Comparison of nasogastric tube and percutaneous fluoroscopic gastrostomy in advanced H&N cancer patients. Eur Arch Oto-Rhino-Laryngo 2001; 258(2): 89-92.
36. Kwok T.,et al.Appendix - information given to participants on clinical outcomes of CPR and tube feeding. JAN 2007; 3: 262.
37. Winter SM Terminal nutrition: framing the debate for the withdrawal of nutritional support in terminally ill patients. Am J Med 2000; 109: 723-6.
38. Khan H. Social policy in Singapore: a Confucian model. World Bank Report 2001. The International Bank for Reconstruction and Development/The World Bank. WashiNGon, USA. http://siteresources.worldbank.org/WBI/Resources/wbi37165.pdf (2001, accessed October 2010).
39. Arbogast D. Enteral feeding with comfort and safety. Clin J Onco Nurs 2002; 6(5): 275-80.
40. Beauchamp T. and Childress J. Futility in nonmaleficence In: Beauchamp T and Childress J. Principles of biomedical ethics, sixth edition. New York: Oxford University Press, 2009, p149-76.
41. Krishna L. The duty of palliative care {DoPC}. Abstract. End of Life Decisions Conference, Singapore Jan2010.
42. Krishna L. The position of terminal sedation within the duty of palliative care {DoPC}. Abstract and Poster. Care end of life decisions: ethics in clinical practice, research and policy' XI Annual Swedish Symposium on Biomedicine, Ethics and Society, 8-9 June 2009.
43. Krishna L. Global ethics - a Malaysian-Singaporean perspective. EJAIB 2010; 20(5): 140-6.
44. Contaldo F. and Alfonsi L. Artificial nutrition at the bioethic cross-road between treatment and basic health care. Clinical Nutrition 2006; 25: 171-2.
45. Beauchamp T. and Childress J. Moral character. In: Beauchamp T and Childress J. Principles of biomedical ethics, sixth edition. New York: Oxford University Press, 2009, p.30-63.
46. Campbell AV The virtues (and vices) of the four principles. J Med Ethics 2003; 29: 292-6.
47. Merriam-Webster Online Dictionary. http://www.merriam-webster.com/dictionary/familism.
48. Knight BG, Robinson GS,et al.Cross cultural issues in caregiving for persons with dementia: do familism values reduce burden and distress? Aging International 2002; 27(3): 70-94.
49. Goh CR Challenges of cultural diversity. In: Beattie J and Goodlin S (eds). Supportive care in heart failure. Oxford; New York: Oxford University Press, 2008, p.451-61.
50. Goh CR Culture, ethnicity and illness. In: Walsh TD, Caraceni AT, Fainsinger R, Foley KM, Glare P, Goh C, Lloyd-Williams M, Olarte JN and Radbruch L (eds). Palliative Medicine. Philadelphia, PA: Saunders/Elsevier, 2008, p. 51-4.
51. Bowman KW and Hui EC Bioethics for clinicians: 20. Chinese bioethics. CMAJ 2000; 163(11): 1481-5.
52. Tsai DF How should doctors approach patients? A Confucian reflection on personhood. J Med Ethics 2001; 27(1): 44-50.
53. Fan R. Reconsidering surrogate decision making: Aristotelianism and Confucianism on ideal human relations. Philos East West 2002; 52(3): 346-72.
54. Kim SH Confucian bioethics and cross-cultural considerations in health care decision-making. J Nurs Law 2005; 10(3): 161-6.
55. Parveen S. and Morrison V. Predictors of familism in the caregiver role: a pilot study. J Health Psychol 2009; 14(8): 1135-43.
56. Tang ST, Li CY and Liao YC Factors associated with depressive distress among Taiwanese family caregivers of cancer patients at the end of life. Palliat Med 2007; 21(3): 249-57.
57. Scharlach AE, Kellam R., Ong N., Baskin A., Goldstein C. and Fox PJ Cultural attitudes and caregiver service use: lessons from focus groups with racially and ethnically diverse family caregivers. J Gerontol Soc Work 2006; 47(1-2): 133-56.
58. Kagawa-Singer M. and Blackhall LJ Negotiating cross-cultural issues at the end of life: 'you got to go where he lives'. JAMA 2001; 286(23): 2993-3001.
59. Buckley TA, Joynt GM, Tan PY,et al.Limitation of life support: frequency and practice in a Hong Kong intensive care unit. Crit Care Med 2004; 32(2): 415-20.
60. Kwok T., Twinn S. and Yann E. The attitudes of Chinese family caregivers of older people with dementia towards life sustaining treatments. J Adv Nurs 2007; 58(3): 256-62.
61. Kwak J. and Haley WE Current research findings on end-of-life decision making among racially or ethnically diverse groups. Gerontologist 2005; 45(5): 634-41.
62. Mc Cann RM and Hall WJ Comfort care for terminally ill patients. JAMA 1994; 272: 1263-6.
63. Low JA and Ng WC End of life issues preferences and choices of a group of elderly Chinese subjects attending a day care center in Singapore. Ann Acad Med Sing 2000; 29(1): 50-6.
64. Hopp F. Racial variations in end of life care. JAGS 2000; 48(6): 1-9.
65. Buckley TA,et al.Limitation of life support: frequency and practice in a Hong Kong intensive care. Crit Care Med 2004; 32: 415-19.
66. Pu SD Euthanasia in China. J Med Philo 1988; 16: 110-13.
67. Qiu RZ Mortality in flux. Medical Dilemma in the People's Republic of China. Kennedy Inst Ethics J 1991; 1: 16-27.
68. Do Yuen Kim, et al.Terminal nutrition to cancer patients in Korea. Cancer Res Treat 2006; 38(4): 214-7.
69. Talib N. Dilemmas surrounding passive euthanasia - a Malaysian perspective. Med Law 2005; 24: 605-13.
70. Leong IYO, et al.The practice of foregoing life support in the critically ill 'old old': a Singapore perspective. Annals Acad Med 2001; 30: 260.
71. Tang ST,et al.Concordance of preferences for end of life care between terminally ill cancer patients and their family caregivers in Taiwan. JPSM 2005; 30(5): 510-8.
72. Easson AM,et al.The role of tube feeding and TPN in advanced illness. J Am Coll Surg 2001; 194(2): 225-9.
73. Nichols R. Death and dying in four Asian American Cultures. Death Studies 1997; 21: 327-59.
74. Blackhall LJ, et al.Ethnicity and attitudes towards patient autonomy. JAMA 5; 274: 820-5.
75. Lee SK East Asian attitudes toward death- a search for the ways to help east Asian elderly dying in contemporary America. Perm J 2009; 13(3): 55-60.