Artificial nutrition and hydration: The evolution of ethics, evidence, and policy

Journal of General Internal Medicine

Volumn 26, Issue 9, 2011, Pages 1053-1058

  Brody, Howard ^a,b   Hermer, Laura D ^a   Scott, Larry D ^c   Grumbles, L Lee ^b   Kutac, Julie E ^a   McCammon, Susan D ^a,b  

^a UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

^b University of Texas Medical Branch School of Medicine   (United States)

^c UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

Author keywords

artificial nutrition and hydration; ethics; health policy; palliative care; terminal care

Indexed keywords

ADL DISABILITY; ALZHEIMER DISEASE; ARTICLE; ARTIFICIAL FEEDING; ASPIRATION; BIOETHICS; CONSENSUS; EVIDENCE BASED PRACTICE; HUMAN; HYDRATION; MALNUTRITION; NURSING HOME; OUTCOME ASSESSMENT; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; RELIGION; STOMACH TUBE; WEIGHT REDUCTION;

CATHOLICISM; ETHICS, MEDICAL; FLUID THERAPY; HEALTH POLICY; HUMANS; NUTRITIONAL SUPPORT; PALLIATIVE CARE;

EID: 80052295254     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-011-1659-z     Document Type: Article

References (88)

1. SL Mitchell JM Teno J Roy, et al. 2003 Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment JAMA 290 73 80 12837714 10.1001/jama.290.1.73 (Pubitemid 37432868)
2. SL Mitchell DK Kiely MB Hamel 2004 Dying with advanced dementia in the nursing home Arch Intern Med 164 321 26 14769629 10.1001/archinte.164.3.321 (Pubitemid 38176474)
3. SL Mitchell JM Teno DK Kiely, et al. 2009 The clinical course of advanced dementia N Engl J Med 361 1529 38 19828530 10.1056/NEJMoa0902234 1:CAS:528:DC%2BD1MXht1Okt7rP
4. JM Teno SL Mitchell PL Gozalo, et al. 2010 Hospital characteristics associated with feeding tube placement in nursing home residents with advanced cognitive impairment JAMA 303 544 550 20145231 10.1001/jama.2010.79 1:CAS:528:DC%2BC3cXhvFCgs7Y%3D
5. Sampson EL, Candy B, Jones L. Enteral tube feeding for older people with advanced dementia. Cochrane Database Syst Rev 2009 Apr 15; (2):CD007209.
6. JS Howland 2009 A defense of assisted nutrition and hydration in patients with dementia Natl Cathol Bioeth Q 9 697 710
7. American Academy of Family Physicians. Ethics and advance planning for end-of-life care. 2008. http://www.aafp.org/online/en/home/policy/policies/e/ ethicsadvplan.html (accessed January 16, 2011).
8. American Academy of Hospice and Palliative Medicine. Statement on artificial nutrition and hydration at the end of life. December 2006.
9. Hospice and Palliative Nurses Association. HPNA Position paper-artificial nutrition and hydration in end-of-life care. 2003. http://www.hpna.org/pdf/ Artifical-Nutrition-and-Hydration-PDF.pdf (accessed January 16, 2011).
10. American Medical Association. Opinion E-2.20; http://www.ama-assn.org/ ama/pub/physician-resources/medical-ethics/about-ethics-group/ ethics-resource-center/end-of-life-care/ama-policy-end-of-life-care.shtml (accessed January 16, 2011).
11. A Meisel L Snyder T Quill 2000 Seven legal barriers to end-of-life care JAMA 284 2495 2401 11074780 10.1001/jama.284.19.2495 1:STN:280: DC%2BD3M%2FktFyksQ%3D%3D
12. GJ Annas 2005 "Culture of life" politics at the bedside: the case of Terri Schiavo N Engl J Med 352 1710 15 15784657 10.1056/NEJMlim050643 1:CAS:528:DC%2BD2MXjsFCltLw%3D (Pubitemid 40530239)
13. EJ Cassell 2005 The Schiavo case: a medical perspective Hastings Cent Rep 35 22 23 16092396 10.1353/hcr.2005.0057 (Pubitemid 41523640)
14. XII Pius 1958 The prolongation of life: allocution to the international congress of anesthesiologists Pope Speaks 4 393 97
15. JF Drane 2006 Stopping nutrition and hydration technologies: a conflict between traditional Catholic ethics and church authority Christian Bioethics 12 11 28 16830411 10.1080/13803600600629876
16. G Kelly 1950 The duty of using artificial means of preserving life Theological Studies 11 203 20
17. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Deciding to forgo life-sustaining treatment. Washington, DC: US Government Printing Office; 1983.
18. Lynn J, ed. By no extraordinary means: the choice to forgo life-sustaining food and water. Bloomington: Indiana University Press; 1986.
19. M Siegler AJ Weisbard 1985 Against the emerging stream: should fluids and nutritional support be discontinued? Arch Intern Med 145 129 31 3918521 10.1001/archinte.145.1.129 1:STN:280:DyaL2M7itFWquw%3D%3D (Pubitemid 15233132)
20. D Callahan 1983 On feeding the dying Hastings Cent Rep 13 22 6417051 1:STN:280:DyaL2c%2FmtVyqtw%3D%3D
21. Hastings Center. Guidelines on the termination of life-sustaining treatment and the care of the dying. Briarcliff Manor: Hastings Center; 1987.
22. B Lo L Dornbrand 1989 Understanding the benefits and burdens of tube feedings Arch Intern Med 149 1925 26 2505702 10.1001/archinte.149.9.1925 1:STN:280:DyaL1Mzntleiug%3D%3D
23. JD Baxter 2010 Air versus water Ann Intern Med 153 616 17 21041584
24. Nat'l Conf. of Comm'rs of Unif. State Laws. Uniform Rights of the Terminally Ill Act, § 6 (1989).
25. GJ Annas 1990 Nancy Cruzan and the right to die N Engl J Med 323 670 73 2385271 10.1056/NEJM199009063231010 1:STN:280:DyaK3czkvVOgsQ%3D%3D (Pubitemid 20280199)
26. Nat'l Conf. of Comm'rs of Unif. State Laws. Unif. Health-Care Decisions Act. §§ 1, 2, 5, 6 (1993).
27. RL Longenecker 1991 Health care proxies, living wills, and durable powers of attorney ABA-ALI Course of Study. C644 437 520
28. TE Finucane C Christmas K Travis 1999 Tube feeding in patients with advanced dementia JAMA 282 1365 70 10527184 10.1001/jama.282.14.1365 1:STN:280:DyaK1MvlsVejug%3D%3D (Pubitemid 29483195)
29. MR Gillick 2000 Rethinking the role of tube feeding in patients with advanced dementia N Engl J Med 342 206 10 10639550 10.1056/NEJM200001203420312 1:STN:280:DC%2BD3c%2Fpt1eluw%3D%3D (Pubitemid 30051656)
30. DS Sanders MJ Carter J D'Silva, et al. 2000 Survival analysis in percutaneous endoscopic gastrostomy feeding: a worse outcome in patients with dementia Am J Gastroenterol 95 1472 75 10894581 10.1111/j.1572-0241.2000.02079.x 1:STN:280:DC%2BD3czltFSkuw%3D%3D (Pubitemid 30396305)
31. D Garrow P Pride M William, et al. 2007 Feeding alternatives in patients with dementia: examining the evidence Clin Gastroenterol Hepatol 5 1372 78 18054747 10.1016/j.cgh.2007.09.014 (Pubitemid 350181607)
32. L Ganzini 2006 Artificial nutrition and hydration at the end of life: ethics and evidence Palliat Support Care 4 135 43 16903584 10.1017/ S1478951506060196
33. SM Dy 2006 Enteral and parenteral nutrition in terminally ill cancer patients: a review of the literature Am J Hosp Palliat Care 23 369 77 17060304 10.1177/1049909106292167
34. LM Murphy TO Lipman 2003 Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia Arch Intern Med 163 1351 53 12796072 10.1001/archinte.163.11.1351 (Pubitemid 36676201)
35. FA Cervo L Bryan S Farber 2006 To PEG or not to PEG: a review of evidence for placing feeding tubes in advanced dementia and the decision-making process Geriatrics 61 30 35 16768542
36. SA McClave WK Chang 2003 Complications of enteral access Gastrointest Endosc 58 739 51 14595312 10.1016/S0016-5107(03)02147-3 (Pubitemid 37370489)
37. D Casarett J Kapo A Caplan 2005 Appropriate use of artificial nutrition and hydration-fundamental principles and recommendations N Engl J Med 353 2607 12 16354899 10.1056/NEJMsb052907 1:CAS:528:DC%2BD2MXhtlWrtb%2FI (Pubitemid 41785901)
38. RS Morrison DE Meier 2004 Palliative care N Engl J Med 350 2582 90 15201415 10.1056/NEJMcp035232 1:CAS:528:DC%2BD2cXkvFKnt74%3D (Pubitemid 38758545)
39. D Cinocco 2007 The difficulties of swallowing at the end of life J Palliat Med 10 506 8 17472529 10.1089/jpm.2006.9969 (Pubitemid 46740225)
40. P Schmitz 1991 The process of dying with and without feeding and fluids by tube Law Med Health Care 19 23 26 1910129 1:STN:280:DyaK3MznsFSktQ%3D%3D
41. LA Printz 1988 Is withdrawing hydration a valid comfort measure in the terminally ill? Geriatrics 43 84 88 3181763 1:STN:280:DyaL1M%2FjtF2mtQ%3D%3D
42. JV Zerwekh 1983 The dehydration question Nursing 13 47 51 6549673 1:STN:280:DyaL3s%2FovFKrtA%3D%3D
43. SA Smith M Andrews 2000 Artificial nutrition and hydration at the end of life Medsurg Nurs 9 233 44 11904903 1:STN:280:DC%2BD387nt1ynsA%3D%3D
44. LA Printz 1992 Terminal dehydration, a compassionate treatment Arch Intern Med 152 697 700 1373053 10.1001/archinte.152.4.697 1:STN:280: DyaK383hsFSiug%3D%3D
45. M Yarborough 1989 Why physicians must not give food and water to every patient J Fam Pract 29 683 84 2592929 1:STN:280:DyaK3c%2FnvFeltw%3D%3D (Pubitemid 20082833)
46. CM Callahan KM Haag NN Buchanan R Nisi 1999 Decision-making for percutaneous endoscopic gastrostomy among older adults in a community setting J Am Geriatr Soc 47 1105 09 10484254 1:STN:280:DyaK1Mvht1Smtw%3D%3D (Pubitemid 29420618)
47. CA Monturo NE Strumpf 2007 Advance directives at end-of-life: nursing home resident preferences for artificial nutrition J Am Med Dir Assoc 8 224 28 17498605 10.1016/j.jamda.2007.01.005 (Pubitemid 46692565)
48. SL Schrader ML Nelson LM Eidsness 2009 "South Dakota's dying to know": a statewide survey about end of life J Palliat Med 12 695 705 19591624 10.1089/jpm.2009.0056
49. JW Shega GW Hougham CB Stocking GA Sachs 2003 Barriers to limiting the practice of feeding tube placement in advanced dementia J Palliat Med 6 885 93 14733680 10.1089/109662103322654767 (Pubitemid 38133251)
50. CA Vitale T Hiner WA Ury, et al. 2006 Tube feeding in advanced dementia: an exploratory survey of physician knowledge Care Manag J 7 79 85 17214240 10.1891/cmaj.7.2.79 (Pubitemid 44430451)
51. C Monteleoni C Clark 2004 Using rapid-cycle quality improvement methodology to reduce feeding tubes in patients with advanced dementia: before and after study BMJ 239 491 94 10.1136/bmj.329.7464.491 (Pubitemid 39158895)
52. Smith WJ. Culture of death: the assault on medical ethics in America. San Francisco: Encounter Books, 2000.
53. Ariz. Rev. Stat. 36-3231 (West 2009).
54. N. Dakota Cen. Code § 23-06.5-09(6) (West 2009).
55. NY Public Health Act § 2982(2) (West 2009).
56. NY Surrogate Court Procedure Act § 1750b(b)(iii) (West 2009).
57. OK St T. 63 § 3080.4.
58. OK St T. 63 § 3101.4.
59. OK St T. 63 § 3101.8.
60. OK St T. 63 § 3101.14.
61. 20 Pa. C.S.A. § 5456(c)(5)(iii) (West 2009).
62. SD Codified Laws § 59-7-2.7 (West 2009).
63. Stolberg SG. The Schiavo case: the legacy; a collision of disparate forces may be reshaping American law. New York Times, April 1, 2005:A18.
64. SB 2015. 2008 Leg. Reg. Sess. (MS 2008).
65. SB 2096. 2008 Leg. Reg. Sess. (MS 2008).
66. HB490, Alabama (2008).
67. HB 2741, Hawaii (2008).
68. SB 1255, Pennsylvania (2008).
69. HB 7049, Rhode Island (2008).
70. MS Swartz 2006 "Conscience clauses" or "unconscionable clauses": personal beliefs vs. professional responsibilities Yale J Health Policy Law Ethics 6 269 350 17133969
71. TM Pope 2007 Medical futility statutes: no safe harbor to unilaterally refuse life-sustaining treatment Tenn L Rev 75 1 81
72. 42 USC 300a-7(d) (West 2010); 45 CFR 88.4(d) (West 2010).
73. 42 USC § 2000e-2(a)(1) (West 2010).
74. Miss. Code § 41-107-5(1) & (2) (West 2009).
75. 745 Ill. Comp. Stat. §§ 70/4, 70/5 70/7, 70/9, 70/14 (West 2009).
76. TA Shannon JJ Walter 2004 Implications of the papal allocution on feeding tubes Hastings Cent Rep 34 18 20 15379098
77. Congregation for the Doctrine of the Faith. Responses to certain questions of the United States Conference of Catholic Bishops concerning artifician nutrition and hydration; http://www.pcf.va/roman-curia/congregations/ cfaith/documents/rc-con-cfaith-doc-20070801-risposte-usa-en.html (accessed January 15, 2011).
78. John Paul II. Address to the participants in the International Congress on 'Life-Sustaining Treatments and the Vegetative State: Scientific Advancements and Ethical Dilemmas,' March 20, 2004; http://www.vatican.va/holy-father/john- paul-ii/speeches/2004/march/documents/hf-jp-ii-spe-20040320-congress-fiamc-en. html (accessed January 15, 2011).
79. Consortium of Jesuit Bioethics Programs 2009 Undue burden? The Vatican and artificial nutrition and hydration Commonweal 136 13 15
80. CT Bradley 2009 Roman Catholic doctrine guiding end-of-life care: a summary of the recent discourse J Palliat Med 12 373 77 19327075 10.1089/jpm.2008.0162
81. Meyer H. Catholic directive may thwart end-of-life wishes. Kaiser Health News, Feb. 27, 2010, http://www.kaiserhealthnews.org/Stories/2010/February/24/ Catholic-directive-may-thwart-end-of-life-wishes.aspx (accessed January 15, 2011).
82. A Sanders 2009 The clinical reality of artificial nutrition and hydration for patients at the end of life Natl Cathol Bioeth Quart 9 293 304
83. RC Graham 1988 Decisions about CPR [letter] N Engl J Med 318 1273
84. EJ Palecek JM Teno DJ Casarett, et al. 2010 Comfort feeding only: a proposal to bring clarity to decision-making regarding difficulty with eating for persons with advanced dementia J Am Geriatr Soc 58 580 84 20398123 10.1111/j.1532-5415.2010.02740.x
85. American Medical Association. Opinion H-140.874. Opposition to legislation that presumes to prescribe patients' preferences for artificial hydration and nutrition 2010, www.ama-assn.org/ad-com/polfind/Hlth-Ethics.pdf (accessed January 16, 2011).
86. E Menkin 2004 Artificial nutrition and the public guardian J Palliat Med 7 723 26 15588368 10.1089/jpm.2004.7.723 (Pubitemid 39491656)
87. ES Menkin 2005 Tell it to the judge J Palliat Med 8 6 8 15662165 10.1089/jpm.2005.8.6 (Pubitemid 40144244)
88. Rhee F. Senators eliminate end of life provision. Boston Globe, August 14, 2009, http://www.boston.com/news/nation/washington/articles/2009/08/14/ senators-eliminate-end-of-life-provision/ (accessed January 16, 2011).