ArticleJournal of medical ethics1998
Autonomy and paternalism in geriatric medicine. The Jewish ethical approach to issues of feeding terminally ill patients, and to cardiopulmonary resuscitation.
Article in Journal of medical ethics, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 33 citations in OpenAlex.
- Consumers' satisfaction factors mining and sentiment analysis of B2C online pharmacy reviews.BMC medical informatics and decision making · 2020Article
- Withholding artificial feeding from the severely demented: merciful or immoral? Contrasts between secular and Jewish perspectives.Journal of medical ethics · 2003Article
- MRSA in The Netherlands: preventive measure raises a moral issue.Journal of medical ethics · 2003Article
- Artificial nutrition and hydration in the patient with advanced dementia: is withholding treatment compatible with traditional Judaism?Journal of medical ethics · 2001Article
- Percutaneous endoscopic gastrostomy in cognitively impaired older adults: a geropsychiatric perspective.American journal of Alzheimer's disease and other dementiasArticle
- Attitudes of relatives and nursing staff toward tuboenteral feeding in severely demented patients.American journal of Alzheimer's disease and other dementiasArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Respecting and encouraging autonomy in the elderly is basic to the practice of geriatrics. In this paper, we examine the practice of cardiopulmonary resuscitation (CPR) and "artificial" feeding in a geriatric unit in a general hospital subscribing to jewish orthodox religious principles, in which the sanctity of life is a fundamental ethical guideline. The literature on the administration of food and water in terminal stages of illness, including dementia, still shows division of opinion on the morality of withdrawing nutrition. We uphold the principle that as long as feeding by naso-gastric (N-G) or percutaneous endoscopic gastrostomy (PEG) does not constitute undue danger or arouse serious opposition it should be given, without causing suffering to the patient. This is part of basic care, and the doctor has no mandate to withdraw this. The question of CPR still shows much discrepancy regarding elderly patients' wishes, and doctors' opinions about its worthwhileness, although up to 10 percent survive. Our geriatric patients rarely discuss the subject, but it is openly ventilated with families who ask about it, who are then involved in the decision-making, and the decision about CPR or "do-not-resuscitate" (DNR) is based on clinical and prognostic considerations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.