Artificial nutrition and hydration: Bioethical and biolegal profiles Artificial nutrition

Main Article Content

Michele Antonio Ahmed Karaboue
Michele Massaro
Giorgia Lacasella

Keywords

NIA, nutrition, bioethics

Abstract

The issue of artificial hydration and nutrition - NIA - shifts the focus to the duties that medical practice has to fulfil towards patients and their conditions. The need to adopt different forms of ethical evaluation, given the probabilistic and statistical nature of any clinical diagnosis, leads to different scenarios that ascribe immediate moral significance to human life, but at the same time link moral attribution (ethical or legal) to the subjective-existential dimension of the persons in whom that life is embodied. The choice of one point of view or the other seems to guide most current bioethical issues, such as the legitimacy of suspending medical treatments, the redefinition of the concept of health and its legal protection, and finally the definition of a new threshold between the "normal" and the "pathological". In this regard, some efforts lead to a shift, not so much epistemological as ethic-legal, of the state of vegetative state under the category of disability

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References

Baker J. A matter of life and deathJ Med Ethics 2017;43(7):427-434 .
2. Ferrato A. The new boundaries of therapeutic self-determination: The right to renounce artificial hydration and nutrition therapy. Archivio Penale 2019;71(3): ISSN 00040304.
3. Karaboue MAA, Milone V, Lacasella GV et al. What will our children do when we are gone? Italian legislature does not tackle the worries of parents of disabled children. Reflections on disability Med Histor 2022;6(1):e2022013.
4. Kitzinger C, Kitzinger J. Withdrawing artificial nutrition and hydration from minimally conscious and vegetative patients: Family perspectives. J Med Ethics 2015;41(2):157-60 .
5. Lacasella GV, Karaboue K. A short history of human nutrition from prehistory to ancient civilisations Progress in Nutrition 2022;4(2): e2022135
6. Giaconi C, Manetti AC, Turco S, et al. Post-mortem computer tomography in ten cases of death while diving: a retrospective evaluation Radiol Med 2022;127(3):318-329.
7. Raspini M, Cavalcanti R, Clementini M et al. Periodontitis and italians (2016-2020): Need for clinical guidelines to perform effective therapy Dental Cadmos 2021;89(5):346-356.
8. Karaboue MAA, Lacasella GV, Cecannecchia C et al. End-of-Life in Italy: Critical and Bioethical Aspects of the Bill on Physician-Assisted Suicide Med Histor 2022;6(1):e2022026.
9. Bergstresser SM, Castellanos E. Feeding versus artificial nutrition and hydration: At the boundaries of medical intervention and social interaction. International Journal of Feminist Approaches to Bioethics 2015;8(2):204-225.
10. Jacobs BB, Taylor C. "Seeing" artificial hydration and nutrition through an ethical lens. Home Healthc Nurse 2005;23(11):739-42.
11. Pastorini A, Karaboue M, Di Luca A, Mario di Luca NM, Ciallella C. Medico-legal aspects of tort law patient safeguards within the Gelli-Bianco piece of legislation Clin Ter 2018;169(4):e170-e177.
12. Kapp MB. Life‐Sustaining Technologies: Value Issues. J Soc Issues 1993;49(2):151-6 .
13. Mazzariol B, Karaboue M, Di Luca A, Di Luca NM. Guidelines, good practices and best clinical health practices: Valuable guidance for physicians and judges? Clin Ter 2018;169(6):E292-E296.
14. Ciliberti R, Gulino M, Gorini I. New Italian law about end of life: Self-determination and shared care pathway. Recenti Prog Med 2018;109(5):267-271.
15. Cantisani V, Iannetti G, Miele V et al. Addendum to the sonographic medical act. J Ultrasou 2021;24(3):229-230.
16. Karaboue MAA, Ferrara M, Bertozzi G et al. To vaccinate or not: literacy against hesitancy Med Histor 2022;6(1):e2022014
17. Russo A, Reginelli A, Lacasella GV et al. Clinical Application of Ultra-High-Frequency Ultrasound J Pers Med 2022;12(10):1733.
18. Will JF. Dying with Dignity; Living with Laws (and Ethics) Hastings Cent Rep 2019;49(3):6-7.
19. Bernetti A, La Russa R, De Sire A et al. Cervical Spine Manipulations: Role of Diagnostic Procedures, Effectiveness, and Safety from a Rehabilitation and Forensic Medicine Perspective: A Systematic Review Diagnostics 2022;12(5):1056
20. Downie J. An alternative to medical assistance in dying? The legal status of voluntary stopping eating and drinking (VSED). Canadian Journal of Bioethics 2018;1(2):48-58.
21. Fiorini F, Granata A, Battaglia Y, Karaboue MAA. Talking about medicine through mass media G Ital Nefrol 2019;36(1):2019-vol1
22. Heuberger R, Wong H, Knowledge, Attitudes, and Beliefs of Physicians and Other Health Care Providers Regarding Artificial Nutrition and Hydration at the End of Life J Aging Health 2019;31(7):1121-1133
23. Eusebi L. Decisions on medical treatments or “right to die”? The interpretative issues about the law N. 219/2017 and the reading of its text in the ordinance on the costitutional legitimacy question of art. 580 C.P., 2018, Rivista Italiana di Medicina Legale e del Diritto in Campo Sanitario 2018;40(2):415-438.
24. Orzeszyna, K. The right to a natural and dignified death. Studia Iuridica Lublinensia 2020;29(4):221-232.
25. De Luca L, Veneziano FA, Karaboue M. Late Presenters with ST-Elevation Myocardial Infarction: A Call to Action. J Clin Med 2022;11(17):5169
26. Zanza C, Tornatore G, Naturale C et al. Cervical spine injury: clinical and medico-legal overview. Radiol Med 2023;128(1):103-112
27. Morena D, Delogu G, Volonnino G, Alessandrini S, Karaboue MAA, Arcangeli M COVID-19 Risk Management: a Survey among Italian physicians. Clin Ter 2023;174(2):167-179
28. Cappabianca P, Russo GM, Atripaldi U et al. Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging. Med Sci (Basel) 2021;9(4):61.
29. Cioffi A, Cecannecchia C, Baldari B, Karaboue MAA Informal caregivers in Italy: the 'phantom zone' of welfare. Acta Biomed 2023;94(1):e2023018
30. Lacasella GV, Karaboue K. Nutrition and hydration of patients in a persistent vegetative state Progress in Nutrition 2022;24(2): e2022136.