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Artificial nutrition and hydration 

Artificial nutrition and hydration
Chapter:
Artificial nutrition and hydration
Author(s):

Michelle S. Gabriel

and Jennifer A. Tschanz

DOI:
10.1093/med/9780199332342.003.0013
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date: 12 November 2018

Decreased appetite or inability to tolerate or enjoy food and fluids is often a hallmark of the terminal phase of an illness. Discussions and decisions regarding initiating or withholding artificial nutrition and hydration at the end of life are guided by goals of care, evaluation of benefits and burden, ethical and cultural considerations, and the beliefs and wishes of the patient and family. Patients have the right to refuse hydration and nutrition, whether parenteral or oral. Nurses are responsible for promoting patient autonomy, providing education regarding benefits and burdens of interventions in order, promoting informed decision making, and delivering quality care with the rest of the are team.

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