Treatment Trials - The Need for an End-of-life Policy
Review TypePeer-review: Single Blind
Repository Posting Date2015-10-09T17:17:49Z
Author(s)Wurzbach, Mary Ellen
Author DetailsMary Ellen Wurzbach, RN, PhD John McNaughton Rosebush Professor Emerita University of Wisconsin - Oshkosh Oshkosh, Wisconsin, USA
Lead Author Sigma AffliationEta Pi
Level of EvidenceCase Study
MeSH HeadingsPalliative Care
Currently, there is an epidemic of elders in nursing homes with swallowing difficulties, Alzheimer’s, and other maladies, which cause diminished decision-making capacity and initiate the discussion of whether to insert a gastrostomy tube. Furthermore, there is an overriding belief among health care practitioners that once inserted the tube will remain until the death of the resident.
The need for policy provisions related to treatment trials of gastrostomy tubes at the end-of-life is discussed. The arguments supporting and opposing treatment trials as applied to the individual and to the community are articulated and the benefits of such a policy discussed from an individual and community perspective.
DescriptionThis article is based on a five-year case study and a doctoral dissertation.
Date of Publication10/9/2015
Citation of Original PublicationWurzbach, M. E. (2015). Treatment trials - The need for an End-of-life policy. The Virginia Henderson Global Nursing e-Repository. Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/579509
NotesThis work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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