Ethical considerations of refusing nutrition after stroke.

Full Abstract

The aim of this article is to analyse and discuss the ethically problematic conflict raised by patients with stroke who refuse nutritional treatment. In analysing this conflict, the focus is on four different aspects: (1) Is nutritional treatment biologically necessary? (2) If necessary, is the reason for refusal a functional disability, lack of appetite or motivation, misunderstanding of the situation or a genuine conflict of values? (3) If the latter, what values are involved in the conflict? (4) How should we deal with the different kinds of refusal of nutritional treatment? We argue that patients' autonomy should be respected as far as possible, while also considering that those who have suffered a stroke might re-evaluate their life as a result of a beneficial prognosis. However, if patients persist with their refusal, health care professionals should force nutritional treatment only when it is clear that the patients will re-evaluate their future life.

Author information

Author/s: Sandman, Lars (L); Agren Bolmsjö, Ingrid (I); Westergren, Albert (A);

Affiliation: School of Health Sciences, University College of Borås, Borås, Sweden. lars.sandman(-atsign-)hb.se

Journal and publication information

Publication Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review

Journal: Nursing ethics (Nurs Ethics), published in England. (Language: eng)

Reference: 2008-Mar; vol 15 (issue 2) : pp 147-59

Dates: Created 2008/02/14; Completed 2008/05/02;

PMID: 18272606, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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