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Permanent link (DOI): https://doi.org/10.7939/R31Z42221

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Attitudes and Opinions of Pediatric Physicians Regarding Decisions to Withdraw or Withhold Medically-Provided Hydration or Nutrition Open Access

Descriptions

Other title
Subject/Keyword
palliative care
medically-provided nutrition
pediatric
experience
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Belletrutti, Mark J
Supervisor and department
Spady, Don (School of Public Health Sciences, Medical Sciences - Paediatrics)
Examining committee member and department
Davies, Dawn (Medical Sciences - Paediatrics)
Leier, Brendan (Department of Medicine)
Byrne, Paul (Medical Sciences - Paediatrics)
Department
School of Public Health Sciences
Specialization
Clinical Epidemiology
Date accepted
2013-08-22T15:41:38Z
Graduation date
2013-11
Degree
Master of Science
Degree level
Master's
Abstract
Deciding to forego intravenous hydration (IH) and medically-provided nutrition (MPN) in pediatric patients remains controversial. Minimal published research exists that explores the attitudes and approaches of pediatricians who are making these decisions. This survey explored attitudes and opinions of pediatricians that influence decisions to forego IH & MPN in children. Sixty Canadian pediatricians responded amongst whom 49 had previous experience with foregoing IH & MPN. Respondents felt that IH & MPN were medical treatments, withdrawal was ethically permissible, and that these should be addressed separately from discussions about withdrawal of other life-sustaining therapies. Fewer respondents felt IH & MPN were ethically equivalent to other life-sustaining therapies. Most respondents felt greater discomfort withdrawing IH & MPN. Own emotional comfort was less influential in experienced pediatricians compared to pediatricians without experience. The approach of experienced pediatricians deserves further study to help refine current guidelines and education of new pediatricians who may face these issues.
Language
English
DOI
doi:10.7939/R31Z42221
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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File author: Mark Belletrutti
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