Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration
Summary: “Ethics is knowing the difference between what you have a right to do and what is right to do.” -Potter Stewart.In their position paper, “Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper”, [1] Schwartz et al. eloquently communicate key ethical co...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-02-01
|
| Series: | Clinical Nutrition Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268522000626 |
| _version_ | 1797942986427858944 |
|---|---|
| author | Stephanie Dobak Mary Russell |
| author_facet | Stephanie Dobak Mary Russell |
| author_sort | Stephanie Dobak |
| collection | DOAJ |
| description | Summary: “Ethics is knowing the difference between what you have a right to do and what is right to do.” -Potter Stewart.In their position paper, “Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper”, [1] Schwartz et al. eloquently communicate key ethical concepts surrounding the care of patients receiving artificially administered nutrition and hydration (AANH). Ethically, all clinicians have the right and responsibility to provide nutrition-related access and resources to individuals in their care. At the same time, AANH is not always the right treatment to offer or provide.This revised position paper, published in Nutrition in Clinical Practice (NCP) in April 2021 [1], is the work of the American Society for Parenteral and Enteral Nutrition (ASPEN) International Clinical Ethics Position Paper Update Workgroup. It represents a comprehensive update of the Ethics Position Paper of the ASPEN Ethics Position Paper Task Force, published in NCP in 2010. [2] The revised position paper includes a detailed discussion of important ethical considerations not covered in the 2010 paper: cancer and AANH, eating disorders and AANH, ethical considerations raised during the COVID-19 pandemic, and an international perspective on ethics and AANH. The position paper also references the Cartagena Declaration of 2019, which “stresses the recognition that nutrition care is a human right” [1,3] and comments that “extrapolating from this document, it appears to support resource allocation in a fair, transparent and consistent fashion” [1,3].This commentary summarizes the position paper and serves as a “call to action”. All medical professionals can and should engage in ethical aspects of AANH. Roles may vary depending on professional discipline and setting, but each interdisciplinary team member provides critical value. We also strongly encourage all readers to engage in conversations surrounding the topic of AANH and ethics: disseminating the principles in the position paper via local, regional, and national conference presentations, journal club discussions, grand rounds, and within the fundamental educational preparation of all clinicians involved in nutrition therapy practice. |
| first_indexed | 2024-04-10T20:16:57Z |
| format | Article |
| id | doaj.art-edc3b2ebe0a04e45ad90b4bd22526428 |
| institution | Directory Open Access Journal |
| issn | 2667-2685 |
| language | English |
| last_indexed | 2024-04-10T20:16:57Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj.art-edc3b2ebe0a04e45ad90b4bd225264282023-01-26T04:47:41ZengElsevierClinical Nutrition Open Science2667-26852023-02-01477477Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydrationStephanie Dobak0Mary Russell1Clinical Dietitian III, Jefferson Weinberg ALS Center, Philadelphia, PA 19107, USAInternational Clinical Ethics Section, American Society for Parenteral and Enteral Nutrition (ASPEN), Silver Spring, MD 20910 USA; Corresponding author.Summary: “Ethics is knowing the difference between what you have a right to do and what is right to do.” -Potter Stewart.In their position paper, “Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper”, [1] Schwartz et al. eloquently communicate key ethical concepts surrounding the care of patients receiving artificially administered nutrition and hydration (AANH). Ethically, all clinicians have the right and responsibility to provide nutrition-related access and resources to individuals in their care. At the same time, AANH is not always the right treatment to offer or provide.This revised position paper, published in Nutrition in Clinical Practice (NCP) in April 2021 [1], is the work of the American Society for Parenteral and Enteral Nutrition (ASPEN) International Clinical Ethics Position Paper Update Workgroup. It represents a comprehensive update of the Ethics Position Paper of the ASPEN Ethics Position Paper Task Force, published in NCP in 2010. [2] The revised position paper includes a detailed discussion of important ethical considerations not covered in the 2010 paper: cancer and AANH, eating disorders and AANH, ethical considerations raised during the COVID-19 pandemic, and an international perspective on ethics and AANH. The position paper also references the Cartagena Declaration of 2019, which “stresses the recognition that nutrition care is a human right” [1,3] and comments that “extrapolating from this document, it appears to support resource allocation in a fair, transparent and consistent fashion” [1,3].This commentary summarizes the position paper and serves as a “call to action”. All medical professionals can and should engage in ethical aspects of AANH. Roles may vary depending on professional discipline and setting, but each interdisciplinary team member provides critical value. We also strongly encourage all readers to engage in conversations surrounding the topic of AANH and ethics: disseminating the principles in the position paper via local, regional, and national conference presentations, journal club discussions, grand rounds, and within the fundamental educational preparation of all clinicians involved in nutrition therapy practice.http://www.sciencedirect.com/science/article/pii/S2667268522000626EthicsArtificially administered nutrition and hydrationAutonomyBeneficenceJustice |
| spellingShingle | Stephanie Dobak Mary Russell Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration Clinical Nutrition Open Science Ethics Artificially administered nutrition and hydration Autonomy Beneficence Justice |
| title | Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration |
| title_full | Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration |
| title_fullStr | Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration |
| title_full_unstemmed | Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration |
| title_short | Commentary on the American Society for Parenteral and Enteral Nutrition (ASPEN) position paper: Ethical aspects of artificially administered nutrition and hydration |
| title_sort | commentary on the american society for parenteral and enteral nutrition aspen position paper ethical aspects of artificially administered nutrition and hydration |
| topic | Ethics Artificially administered nutrition and hydration Autonomy Beneficence Justice |
| url | http://www.sciencedirect.com/science/article/pii/S2667268522000626 |
| work_keys_str_mv | AT stephaniedobak commentaryontheamericansocietyforparenteralandenteralnutritionaspenpositionpaperethicalaspectsofartificiallyadministerednutritionandhydration AT maryrussell commentaryontheamericansocietyforparenteralandenteralnutritionaspenpositionpaperethicalaspectsofartificiallyadministerednutritionandhydration |