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Related Experiment Videos

Artificial feeding: the least restrictive alternative?

G R Scofield1

  • 1Department of Psychology, Craig Hospital, Englewood, Colorado.

Journal of the American Geriatrics Society
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

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Feeding tubes are not always medically necessary for adequate patient nutrition. Re-evaluating medical indications and consent processes can prevent inappropriate feeding tube use, especially for the elderly.

Area of Science:

  • Medical Ethics
  • Geriatric Care
  • Clinical Decision-Making

Background:

  • Feeding tube decisions are often debated in the context of end-of-life care.
  • This focus can overshadow the fundamental issue of whether a feeding tube is medically indicated.
  • Inappropriate initiation of feeding tubes risks occurring without proper evaluation or patient consent.

Purpose of the Study:

  • To re-evaluate the criteria for initiating or withdrawing feeding tubes.
  • To emphasize the importance of medical indication and patient consent in feeding tube decisions.
  • To address the risk of inappropriate feeding tube use.

Main Methods:

  • Analysis of current practices surrounding feeding tube decisions.
  • Review of the role of medical indication and informed consent.
Keywords:
Death and EuthanasiaHealth Care Financing AdministrationProfessional Patient Relationship

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  • Incorporation of new federal regulations regarding consent processes.

    • Main Results:

    • The "right-to-die" debate has distracted from the basic need for adequate nutrition.
    • Re-emphasizing medical indication and the least restrictive alternative doctrine can improve clinical judgment.
    • Physicians can deter improper practices by adhering to these principles.

    Conclusions:

    • Clinical judgment regarding feeding tubes requires a balance between patient needs and medical indications.
    • New federal regulations support re-incorporating medical indication and the least restrictive alternative doctrine into consent.
    • Improving the quality of care for the elderly is crucial for the effective implementation of these concepts.