Gluten sensitivity: a many headed hydra.

نویسندگان

  • M Hadjivassiliou
  • R A Grünewald
  • G A Davies-Jones
چکیده

However, it follows a wide ranging consultation exercise, during which over 2000 responses were considered and were instrumental in deciding its scope and contents. The list of factors that should be taken into account in making decisions to withdraw or withhold treatment and the recommended extra safeguards in relation to withdrawing or withholding artificial hydration or nutrition from patients who are not in a persistent vegetative state fill longstanding lacunas. These include, for the former, the quality of the evidence about the condition; the need for a proper assessment of the benefits, risks, and burdens of treatment; the level of awareness the patient has of his or her existence or surroundings; and the views of people close to the patient about what the patient is likely to see as beneficial; and, for the latter, the need for an independent formal clinical review. Nevertheless, like many reports giving guidance on ethical aspects of medical practice, the report also raises many new issues. There can be no doubt that both legal and ethical thinking relating to this difficult area of medical practice will continue to evolve over the next decade.

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عنوان ژورنال:
  • BMJ

دوره 318 7200  شماره 

صفحات  -

تاریخ انتشار 1999