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Home Parenteral Nutrition: An Ethical Decision Making Dilemma

journal contribution
posted on 2023-05-16, 13:58 authored by Breier-Mackie, S, Newell, CJ
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.

History

Publication title

Australian Journal of Advanced Nursing

Volume

19

Issue

4

Pagination

27-32

ISSN

0813-0531

Department/School

Tasmanian School of Medicine

Publisher

Australian Nursing Federation

Place of publication

Melbourne

Repository Status

  • Restricted

Socio-economic Objectives

Palliative care

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