Medical officers in Acute Care Settings: Their Views on Medically Assisted Hydration at the end of Life

Author:

Good Phillip1,Sneesby Ludmilla2,Higgins Isabel3,Van der Riet Pamela4

Affiliation:

1. P Good (corresponding author) University of Newcastle, Callaghan, New South Wales, Australia, and University of Queensland, Brisbane, Queensland, Australia, and St. Vincent's Hospital Brisbane, 411 Main Street, Kangaroo Point, Brisbane, Queensland 4169, Australia;

2. Department of Palliative Care, Calvary Mater Newcastle Hospital, Waratah, New South Wales, Australia

3. School of Nursing and Midwifery, Faculty of Health, University of Newcastle, Callaghan, New South Wales, Australia, and Centre for Practice Opportunity and Development, Hunter New England Local Health Network, New Lambton, New South Wales, Australia

4. School of Nursing and Midwifery, University of Newcastle, Callaghan, New South Wales, Australia

Abstract

This study explored the perceptions of doctors in acute care settings regarding the use of medically assisted hydration (MAH) in end-of-life care. The use of MAH at the end of life is controversial, and practice varies across health care settings. A qualitative study using discourse analysis was carried out. Eight medical practitioners in the acute care setting were interviewed individually. MAH has been associated with care, comfort, and standard medical intervention to save lives. Medical officers have some concerns about the benefits or adverse effects of MAH at the end of life. In acute care settings, it can be difficult to recognize and diagnose dying. Often, family discussions regarding end-of-life care do not occur due to pursuit of cure and, therefore, continuation of futile and burdensome treatment such as MAH can occur in the last few days of life.

Publisher

SAGE Publications

Subject

General Medicine

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