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Creation and Maintenance of a Living Biobank - How We Do It
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Ethical biopsy.

Albert Barrocas1, Alison Evans2

  • 1Tulane University School of Medicine, New Orleans, Louisiana, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|August 22, 2025
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Summary
This summary is machine-generated.

This article introduces the "ethical biopsy," a structured approach to resolving complex decisions about artificially administered nutrition and hydration (AANH). It provides a patient-centered framework for navigating ethical dilemmas in clinical practice.

Keywords:
administrationenteral nutritionlife cyclelong‐term caremedical/nutrition ethicsnutrition support teamsoncologyparenteral nutritionpublic policyreimbursement

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Area of Science:

  • Medical Ethics
  • Clinical Nutrition
  • Bioethics

Background:

  • Artificially administered nutrition and hydration (AANH) present complex ethical challenges.
  • Decisions involve medical technology, ethical practice, and legal considerations, especially at end-of-life care.
  • Existing frameworks may not fully address the nuances of AANH dilemmas.

Purpose of the Study:

  • To introduce a novel ethical framework called the "ethical biopsy" for AANH decision-making.
  • To provide clinicians and ethics committees with a structured, patient-centered method for resolving ethical dilemmas.
  • To align medical and ethical criteria for compassionate care in complex nutrition support cases.

Main Methods:

  • The article proposes an "ethical biopsy" process, modeled after a medical biopsy.
  • This structured inquiry aligns medical and ethical criteria for dilemma resolution.
  • A case report illustrates the application of the ethical biopsy in a challenging AANH scenario.

Main Results:

  • The ethical biopsy framework offers a systematic approach to ethical inquiry.
  • It facilitates compassionate and patient-centered decision-making in AANH cases.
  • The case report demonstrates the practical utility of the ethical biopsy in resolving complex disagreements.

Conclusions:

  • The ethical biopsy is a valuable tool for navigating difficult decisions surrounding AANH.
  • This structured ethical inquiry promotes patient-centered care and ethical practice.
  • The framework supports clinicians and ethics committees in resolving complex dilemmas, particularly in palliative and end-of-life care.