Nutrition Support And Hydration Should Adhere An Informed Patient With Decision Making Capacity

1040 Words Nov 23rd, 2015 null Page
The AND’s position states that nutrition support and hydration will abide to an informed patient with decision making capacity. In the United States the principle of autonomy is the foundation of ethical principles of medical care choices. The individual’s right to self-determination will rule out the beliefs and desires of the health care team. This is the golden rule, the standard that all health care providers must follow, respect and uphold no matter what. If a patient denies oral, enteral or parenteral nutrition the best thing to do is attempt to educate and inform the patients about the benefits and possible risks that of such options. Providing information will help the patient make their decision and reducing the amount of stress from feeling responsible to provide the best of care. On December 1, 1991 the Patient Self-Determination Act went into effect and required all Medicare/Mediciad health providers to inform the patients their right to set and prepare advanced directives and refusal of treatment. The golden rule is not applicable when patients no longer are able to decide for themselves and no direct action has been established. In most cases the decision maker will be the spouse or family, in which they will have to be provided with information to increase justification upon their decision. There are many court cases from which the AND’s position uses as examples for morality and ethics. For example the case of Baby K who was born with anencephaly that…

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