Tag Archives: Artificial Nutrition and Hydration

Use of Feeding Tubes in Patients with Advanced Dementia is Higher in For-Profit Facilities Clinical Bioethics

 Dementia is now a leading cause of death in the United States A study was published this week in JAMA (Journal of the American Medical Association) regarding nursing home patients with advanced dementia and who have feeding tubes inserted. The results showed that the frequency of feeding tubes is  greater in for-profit hospitals versus government or state owned hospitals.  "A higher rate of feeding tube insertions also was independently associated with for-profit ownership vs hospitals owned by state or local government… White residents had the lowest likelihood of feeding tube insertion, while black residents experienced nearly a 2-fold increase in…

Life, for some in Texas, is Cheap Abandonment

HEALTH AND SAFETY CODE CHAPTER 166.039. PROCEDURE WHEN PERSON HAS NOT EXECUTED OR ISSUED A DIRECTIVE AND IS INCOMPETENT OR INCAPABLE OF COMMUNICATION For the most vulnerable patients, without friends or family, life for some medical patients in Texas, is cheap.  On vague and specious grounds and without proper oversight or transparency, physicians may withdraw life sustaining treatment from a patient, even if the patient is conscious, talking, and aware of his or her surroundings. This statute allows this to occur if a physician treating the patient concludes that the patient will die within six months and there is no…

Family Dilemmas in End of Life Care – Withdrawal of Artificial Nutrition and Hydration Withdrawal/Withholding of Care

The patient, Larry M, is a man in his 40s with a wife and three children at his bedside. He is in end stage liver cancer. He has been receiving total parenteral nutrition and IV fluids and has now decided to have his feeding tube and IV fluids withdrawn and to then return home with his wife and children, and with the assistance of hospice, die as comfortably as possible. The patient feels that this is be best for him and helpful to his wife and children to go through this process with him. His physicians fully support this decision….