Artificial nutrition in cerebrovascular disease, necessity or futility: Case report.
| Autor: | Sarmiento Palma JV; Pontificia Universidad Javeriana, School of Medicine, Bogotá, Colombia., Castillo Pinto AN; Pontificia Universidad Javeriana, School of Medicine, Bogotá, Colombia., Rodríguez Campos LF; Pontificia Universidad Javeriana, School of Medicine, Hospital Universitario San Ignacio, Bogotá, Colombia. |
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| Jazyk: | angličtina |
| Zdroj: | Heliyon [Heliyon] 2024 Aug 02; Vol. 10 (15), pp. e35576. Date of Electronic Publication: 2024 Aug 02 (Print Publication: 2024). |
| DOI: | 10.1016/j.heliyon.2024.e35576 |
| Abstrakt: | Introduction: Stroke is one of the leading causes of mortality and disability in the world, with clinical manifestations and severe complications that they negatively affect the patient's recovery, contributing to an uncertain prognosis and difficult decisions with bioethical dilemmas such as artificial nutrition in the context of severe stroke. Presentation of the Case: A 49-year-old patient with a Cerebrovascular Accident in a chronic vegetative state, tracheostomy, and gastrostomy user, admitted for infectious complications, whom, under therapeutic proportionality, the decision is made, shared by medical staff and family, to withdraw artificial nutrition. Conclusions: Difficult decision-making involves multiple challenges for both the health personnel and the patient and his or her environment. It must be guided by bioethical principles and proportionality in favor of the quality of life and the patient's benefit. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 Published by Elsevier Ltd.) |
| Databáze: | MEDLINE |
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