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首页> 外文期刊>Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association >An Ethical Discussion on Voluntarily Stopping Eating and Drinking by Proxy Decision Maker or by Advance Directive
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An Ethical Discussion on Voluntarily Stopping Eating and Drinking by Proxy Decision Maker or by Advance Directive

机译：关于自愿停止饮食和饮用代理决策者或预先指令的道德讨论

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摘要

The number of people living with Alzheimer disease and other dementias continues to grow because of the aging of the US population. Increasingly, the issue of patient- and/or surrogate-directed withholding of oral, hand-fed food and fluids in cases of late-stage dementia is confronting caregivers. Major media outlets have covered several cases wherein patients with explicit directives or clear surrogate decision making were not allowed to face the end of their lives according to their wishes. Ethical and legal scholars, as well as many end-of-life advocacy groups, are working to develop a framework and provide guidance in these cases. A local hospice organization was faced with these ethical deliberations when an activated proxy decision maker advocated for caregivers to stop hand feeding an incapacitated patient with end-stage dementia. In this article, this case is summarized, and this important ethical issue is presented in the setting of a literature review and nursing implications.
机译：由于美国人群的老龄化，与阿尔茨海默病和其他痴呆症的人数继续增长。越来越多地，在晚期痴呆症的病例中，患者和/或代理人的拒绝扣留口腔，喂食食物和液体的问题是面对护理人员。主要媒体网点涵盖了几种情况，其中有明确指令或明确的代理决策的患者不允许根据其愿望面对他们的生活结束。道德和法律学者以及许多生活终端倡导团体正在努力制定框架并在这些案件中提供指导。当一个激动的代理决策者主张护理人员才能止动患者饲喂患有终级痴呆的患者时，将面临着这些道德审议。在本文中，概述了这种情况，在文献审查和护理含义的制定中提出了这一重要的道德问题。

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