Ethical Dilemmas: The Case of Mrs. J. The previous ethics column dealt with the issue of caregivers who are not able to follow through with recommendations and strategies, putting a patient at risk. This column will address a related topic; one that has no straightforward answer (certainly, no ethical dilemma does), one that may have as ... Article
Article  |   November 01, 1997
Ethical Dilemmas: The Case of Mrs. J.
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Swallowing, Dysphagia & Feeding Disorders / Ethical Dilemmas
Article   |   November 01, 1997
Ethical Dilemmas: The Case of Mrs. J.
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), November 1997, Vol. 6, 3-4. doi:10.1044/sasd6.3.3
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), November 1997, Vol. 6, 3-4. doi:10.1044/sasd6.3.3
The previous ethics column dealt with the issue of caregivers who are not able to follow through with recommendations and strategies, putting a patient at risk. This column will address a related topic; one that has no straightforward answer (certainly, no ethical dilemma does), one that may have as many approaches as there are facilities in which we are employed.
What should your recommendation be if your patient can tolerate an oral diet only if specific techniques are used and the patient is supervised closely and given cueing/assistance? Additionally, you have concerns that the staff members who typically handle meal supervision (at least during the evenings or on weekends) are not able to provide this supervision. The final piece that can make this an urgent dilemma is that you feel the patient should have an alternative nutrition source in place if he/she is not able to have this supervision each time he/she takes food/liquid.
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