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Withholding and withdrawing artificial nutrition and hydration
Paediatrics & Child Health
|April 3, 2012
Summary
Withholding or withdrawing artificial nutrition and hydration (ANH) in children is ethically complex. This guidance helps Canadian pediatricians ethically consider ANH withdrawal within palliative care plans.
Area of Science:
- Medical Ethics
- Pediatric Palliative Care
Background:
- Withholding and withdrawing artificial nutrition and hydration (ANH) is increasingly common but remains ethically debated, especially in pediatrics.
- Decisions about ANH must align with a child's comprehensive care plan.
Purpose of the Study:
- To offer guidance to Canadian pediatric health care practitioners.
- To clarify ethical permissibility of withholding or withdrawing ANH in pediatric palliative care.
- To address practical considerations for ANH management.
Main Methods:
- Practice point development.
- Ethical analysis.
- Review of clinical considerations.
Main Results:
- Guidance provided for ethical decision-making regarding ANH in pediatric palliative care.
- Pragmatic considerations for ANH management are addressed.
Conclusions:
- Withholding or withdrawing ANH can be ethically permissible within a pediatric palliative care context.
- Individualized care planning is crucial for ANH decisions.
- Guidance supports Canadian pediatric practitioners in complex ethical situations.
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