ArticleMedicine, health care, and philosophy2022
Managing feeding needs in advanced dementia: perspectives from ethics of care and ubuntu philosophy.
Article in Medicine, health care, and philosophy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 9 citations in OpenAlex.
- Strengthening Africa's brain health and economic resilience.Nature medicine · 2025Review
- That was just your life: rethinking dementia for advance directives.Frontiers in psychiatry · 2024Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
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Abstract
The response to feeding needs in advanced dementia patients is a subject of ethical inquiry. Advanced dementia is the debilitating result of a range of neurodegenerative diseases. As this terminal illness progresses, patients develop mild to severe dysphagia that can make swallowing difficult. Of the two available options, artificial tube feeding or oral hand feeding, an estimated one-third of these patients will receive artificial tube feeding. However, observational studies have failed to validate the clinical benefits of tube feeding. Ethics of care, the feminist philosophical perspective, and Ubuntu philosophy offer arguments for the choice of oral hand-feeding as a preferrable first option by caregivers as far as possible. These moral theories acknowledge that human beings can be dependent for long periods, mostly early and later years of life. Both views reflect an approach that draws people into a system of interdependent caring relationships. They encourage hand feeding as a way of exhibiting solidarity and respecting human dignity even at the end of life.
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