Abstract

Abstract A recent trend in the professional literature has seen articles on nutrition and hydration that focus not on new techniques to provide nourishment but rather on withholding or withdrawing food and fluids from patients, particularly those who are critically and terminally ill. Neonatal intensive care unit nurses are aware of such discussions involving newborns, and recent legal developments regarding infants born with congenital anomalies or extreme low birth weight and gestational age are discussed. Resources in nursing codes of ethics and nursing ethics texts are reviewed, together with articles in the professional literature. A brief description of the various positions taken in the debate over whether to provide nutritional support is given. While the author personally favors the provision (rather than the withdrawal) of fluids and nutrition to patients, he argues that all pediatric nurses have a professional obligation to educate themselves on the ethical questions involved so as to be able to take a position with regard to their patients, particularly in an era when economic issues may increasingly influence such treatment decisions.

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