Statistics from Altmetric.com
The personal narrative in this issue (pages 64–65) is a stark reminder of the despair relatives/friends experience when they perceive care and communication at the end of life to be inadequate. Cessation of active management can be considered abandonment, especially when dying patients are made ‘nil by mouth’. The provision of food and fluids at the end of life requires examination in the light of new guidance from the Royal College of Physicians (RCP, 2010) and General Medical Council (GMC, 2010). First, it needs to be clarified that oral hydration and nutrition provision is part of ‘basic care’. The law defines basic care as essential procedures which maintain comfort, e.g. pain and symptom relief, prevention of pressure ulcers, hygiene measures and provision of oral nutrition and/or hydration. Basic care provision is mandatory (Law Commission, 1995). Patients have a legal right to oral nutrition and fluid, …
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.