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Rehydration or dehydration?

B Dicks1

  • 1Royal Marsden Hospital, London, UK.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|March 1, 1994
PubMed
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Advanced medical technology raises ethical questions about withholding or withdrawing nutrition and hydration from patients unable to choose for themselves. Healthcare professionals debate criteria for these complex medical decisions.

Area of Science:

  • Medical Ethics
  • Bioethics
  • Healthcare Law

Background:

  • Modern medical advancements enable life prolongation.
  • This capability introduces complex ethical dilemmas regarding patient care.
  • Withholding or withdrawing nutrition and hydration are key ethical concerns.

Purpose of the Study:

  • To review the ethical questions surrounding the withdrawal of nutrition and hydration.
  • To explore the dilemmas faced by healthcare professionals in such cases.
  • To discuss the criteria for decision-making when patients cannot choose.

Main Methods:

  • Literature review of ethical considerations in end-of-life care.
  • Analysis of debates among healthcare professionals.
  • Examination of ethical frameworks for patient decision-making.
Keywords:
Death and Euthanasia

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Main Results:

  • Significant ethical challenges exist in decisions about artificial nutrition and hydration.
  • Lack of consensus on criteria for withholding or withdrawing these interventions.
  • The review highlights the complexity of patient autonomy and surrogate decision-making.

Conclusions:

  • Ethical guidelines are needed for decisions on nutrition and hydration.
  • Further discussion is required among healthcare professionals and ethicists.
  • Balancing medical capabilities with patient well-being remains a critical challenge.