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Home Parenteral Nutrition: An Ethical Decision Making Dilemma


Breier-Mackie, S and Newell, CJ, Home Parenteral Nutrition: An Ethical Decision Making Dilemma, Australian Journal of Advanced Nursing, 19, (4) pp. 27-32. ISSN 0813-0531 (2002) [Refereed Article]


Ethics is a hot topic these days. Home health care providers need not be ethicists, however they do need to be able to identify problems quickly, and know how to address them. This paper explores the ethical issues arising from a narrative analysis involving an advanced cancer patient receiving Total Parenteral Nutrition (TPN) at home. It shows how complicated it is today to make nutrition support decisions that would have been customary less than 30 years ago. For and against arguments of TPN for advanced cancer patients are reviewed. Ethical positions adopted by the medical and nursing professions are explored and contrasted. The importance of patient autonomy, within a holistic notion of care, including decisions incorporating quality of life, are affirmed, providing a challenge to monitoring the status quo in approaches to decision making.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Nursing
Research Field:Acute care
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Palliative care
UTAS Author:Newell, CJ (Associate Professor Christopher Newell)
ID Code:25900
Year Published:2002
Deposited By:General Practice
Deposited On:2002-08-01
Last Modified:2003-05-23

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