Decision-Making in Artificial Nutrition and Hydration: Ethical and Legal Considerations forMinors and Incapable Patients
Keywords:
Artificial Nutrition and Hydration , Bioethics, Ethical Considerations, Medical Decisio-Making, Patient AutonomyAbstract
The complex issues surrounding the administration of Artificial Nutrition and Hydration (ANH) in
cases involving minors or individuals incapable of understanding and willing are examined,
focusing on who should make the relevant decisions and the ethical, deontological, and legal
aspects involved. Challenges in obtaining informed consent from minors and incapable individuals
are highlighted, emphasizing the importance of considering the best interest of the patient.
Advocating for a therapeutic alliance, the involvement of the minor, the guardian, and the physician
in the decision-making process is recommended to ensure the patient's rights and dignity are
respected. The need for a multidisciplinary approach in evaluating the benefits and risks of ANH is
addressed, stressing the principles of proportionality and beneficiality to prevent unnecessary
suffering. The role of the healthcare provider in navigating these ethical dilemmas and the
importance of collaboration among medical staff, legal guardians, and families are underscored to
ensure ethically and clinically appropriate care.
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