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Pope John Paul II surprised much of the medical world in 2004 with his strongly worded statement insisting that patients in a persistent vegetative state should be provided with nutrition and hydration. While many Catholic bioethicists defended the Pope’s claim that the life of all human beings, even those in a persistent vegetative state or a coma, was worth protecting, others argued that the Pope’s position marked a shift from the traditional Catholic teaching on the withdrawal of medical treatment at the end of life. The debate among Catholic bioethicists over the Pope’s statement only grew more intense during the controversy surrounding Terry Schiavo’s death in 2005, as bioethicists on both sides of the debate argued about the legitimacy of removing her feeding tubes. This collection of essays by some of the most prominent Catholic bioethicists addresses the Pope’s statements, the moral issues surrounding artificial feeding and hydration, the refusal of treatment, and the ethics of care for those at the end of life.

Artificial feeding --- Moral and ethical aspects. --- Artificial nutrition --- Feeding, Artificial --- Nutrition --- Medical ethics. --- Religion. --- Ethics. --- Philosophy. --- Medicine-Philosophy. --- Theory of Medicine/Bioethics. --- Religious Studies, general. --- Philosophy of Religion. --- Philosophy of Medicine. --- Medicine --- Mental philosophy --- Humanities --- Deontology --- Ethics, Primitive --- Ethology --- Moral philosophy --- Morality --- Morals --- Philosophy, Moral --- Science, Moral --- Philosophy --- Values --- Religion, Primitive --- Atheism --- God --- Irreligion --- Religions --- Theology --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Medical logic --- Moral and ethical aspects --- Health Workforce --- Religion—Philosophy. --- Medicine—Philosophy.

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During the past few decades, high-profile cases like that of Terry Schiavo have fueled the public debate over forgoing or withdrawing artificial nutrition and hydration from patients in a persistent vegetative state (PVS). These cases, whether involving adults or young children, have forced many to begin thinking in a measured and careful way about the moral legitimacy of allowing patients to die. Can families forgo or withdraw artificial hydration and nutrition from their loved ones when no hope of recovery seems possible?Many Catholics know that Catholic moral theology has formulated a well-

Religion and Medicine. --- Persistent Vegetative State --- Fluid Therapy --- Enteral Nutrition --- Catholicism. --- Euthanasia, Passive --- Euthanasia --- Artificial feeding. --- Fluid therapy --- Loss of consciousness. --- Persistent vegetative state --- Medical ethics. --- Fluid replacement therapy --- Fluids --- Therapeutics --- Water-electrolyte balance (Physiology) --- Blackouts (Loss of consciousness) --- Consciousness, Loss of --- Insensibility --- Unconscious state --- Unconsciousness --- Neurologic manifestations of general diseases --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Minimally conscious state --- Permanent vegetative state --- Persistent unawareness state --- Post-traumatic vegetative state --- Posttraumatic vegetative state --- PVS (Persistent vegetative state) --- Unawareness state, Persistent --- Vegetative state, Persistent --- Brain damage --- Loss of consciousness --- Coma --- Artificial nutrition --- Feeding, Artificial --- Nutrition --- Roman Catholic Ethics --- Roman Catholicism --- Roman Catholics --- Catholic, Roman --- Catholicism, Roman --- Catholics, Roman --- Ethic, Roman Catholic --- Ethics, Roman Catholic --- Roman Catholic --- Roman Catholic Ethic --- Medicine and Religion --- Parish Nursing --- therapy. --- ethics. --- Moral and ethical aspects. --- Religious aspects --- Catholic Church. --- Therapeutic use --- Moral and ethical aspects --- Patients --- Religious aspects. --- Health Workforce --- Comatose state

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Finding all the information necessary to treat or meet the nutritional requirements of patients who are severely ill or establish new protocols has historically been problematic. This is addressed in Diet and Nutrition in Critical Care. This major reference work encapsulates the latest treatments and procedures to meet the dietary and nutritional needs of the critically ill. Where evidence is available this is presented. However, where evidence is absent, the authors highlight this and provide guidance based on their analysis of other available data and their clinical experience. Diet and Nutrition in Critical Care is a two volume set which addresses the needs of all those concerned with diet and nutrition in the critically ill and covers General Aspects, Enteral Aspects, and Parenteral Aspects. Each volume is stand alone and is further divided into separate sections. The Sections in the General Aspects are: General conditions in the severely ill General metabolic effects and treatments Assessment protocols General nutritional aspects Specific nutrients Adverse aspects The next two volumes Enteral Aspects and Parenteral Aspects contain the following sections: General aspects and methods Specific nutrients Specific conditions Adverse aspects and outcomes Comparisons or dual parenteral and enteral support or transitions Preclinical studies The authors recognise the limitations in simplistic divisions and there is always difficulty in categorising treatment regimens. For example, some regimens involve transitions from one feeding protocol to another or the development of co-morbid conditions and in some cases enteral support may be supplemented with parenteral support. This complexity however, is addressed by the excellent indexing system. Contributors are authors of international and national standing, leaders in the field and trendsetters. Emerging fields of science and important discoveries relating to artificial support will also be incorporated into Diet and Nutrition in Critical Care. This volume represents a one stop shop of material related to enteral and parenteral support and is essential reading for those specialising in intensive and critical care, dietitians, nutritionists, gastroenterologists, cardiologists, pharmacologists, health care professionals, research scientists, molecular or cellular biochemists, general practitioners as well as those interested in diet and nutrition in general.

Medicine & Public Health. --- Clinical Nutrition. --- Intensive / Critical Care Medicine. --- Complementary & Alternative Medicine. --- Nutrition. --- Medicine. --- Alternative medicine. --- Critical care medicine. --- Personal health and hygiene. --- Médecine --- Nutrition --- Médecines parallèles --- Soins intensifs --- Diet therapy --- Diet in disease --- Artificial feeding --- Critical care medicine --- Nutritional Support --- Critical Care --- Patient Care --- Nutrition Therapy --- Therapeutics --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Diet & Clinical Nutrition --- Health & Biological Sciences --- Therapy --- Treatment --- Therapeutic --- Therapies --- Treatments --- Disease --- Medical Nutrition Therapy --- Nutrition Therapy, Medical --- Therapy, Medical Nutrition --- Therapy, Nutrition --- Informal care --- Care, Patient --- Informal cares --- care, Informal --- cares, Informal --- Surgical Intensive Care --- Intensive Care --- Intensive Care, Surgical --- Care, Critical --- Care, Intensive --- Care, Surgical Intensive --- Artificial Feeding --- Feeding, Artificial --- Support, Nutritional --- Intensive care --- Intensive medicine --- Alimentation --- Food --- Artificial nutrition --- Diet and disease --- Disease, Diet in --- Sick --- Clinical nutrition --- Diet --- Dietotherapy --- Medical nutrition therapy --- MNT (Medical nutrition therapy) --- Nutrition therapy --- therapy --- Health aspects --- Therapeutic use --- Complementary medicine. --- Clinical nutrition. --- Complementary medicine --- Healing systems --- Systems, Healing --- Systems, Therapeutic --- Therapeutic systems --- Medicine --- Integrative medicine --- Health --- Physiology --- Dietetics --- Digestion --- Food habits --- Malnutrition --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Therapeutics, Physiological --- Emergency medicine --- Intensive care units --- Nutrition   .

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During the past few decades, high-profile cases like that of Terry Schiavo have fueled the public debate over forgoing or withdrawing artificial nutrition and hydration from patients in a persistent vegetative state (PVS). These cases, whether involving adults or young children, have forced many to begin thinking in a measured and careful way about the moral legitimacy of allowing patients to die. Can families forgo or withdraw artificial hydration and nutrition from their loved ones when no hope of recovery seems possible?Many Catholics know that Catholic moral theology has formulated a well-

Christian moral theology --- Professional ethics. Deontology --- Artificial feeding. --- Coma --- Euthanasia --- Fluid therapy --- Loss of consciousness. --- Medical ethics. --- Persistent vegetative state --- Religion and medicine. --- Euthanasia, Passive --- Catholicism --- Catholicism. --- Enteral Nutrition --- Fluid Therapy --- Persistent Vegetative State --- Religion and Medicine --- Religion and Medicine. --- Patients --- Religious aspects --- Moral and ethical aspects. --- Catholic Church. --- ethics --- ethics. --- therapy --- therapy. --- -Loss of consciousness. --- -Religion and medicine. --- -Euthanasia, Passive --- 241.63*4 --- Medicine and Religion --- Parish Nursing --- Roman Catholic Ethics --- Roman Catholicism --- Roman Catholics --- Catholic, Roman --- Catholicism, Roman --- Catholics, Roman --- Ethic, Roman Catholic --- Ethics, Roman Catholic --- Roman Catholic --- Roman Catholic Ethic --- Assisted death (Euthanasia) --- Assisted dying (Euthanasia) --- Death, Assisted (Euthanasia) --- Death, Mercy --- Dying, Assisted (Euthanasia) --- Killing, Mercy --- Mercy death --- Mercy killing --- Homicide --- Medical ethics --- Assisted suicide --- Right to die --- Medicine and religion --- Religion and medicine --- Pastoral medicine --- Fluid replacement therapy --- Fluids --- Therapeutics --- Water-electrolyte balance (Physiology) --- Blackouts (Loss of consciousness) --- Consciousness, Loss of --- Insensibility --- Unconscious state --- Unconsciousness --- Neurologic manifestations of general diseases --- Comatose state --- Loss of consciousness --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- -Religious aspects --- -Catholicism. --- Theologische ethiek: euthanasie --- Therapeutic use --- Moral and ethical aspects --- Artificial feeding --- Feeding Methods --- Christianity --- Drug Therapy --- Brain Damage, Chronic --- Morals --- Withholding Treatment --- Nutritional Support --- Religion --- Patient Care --- Terminal Care --- Brain Diseases --- Psychology, Social --- Consciousness Disorders --- Humanities --- Nutrition Therapy --- Neurobehavioral Manifestations --- Central Nervous System Diseases --- Behavior and Behavior Mechanisms --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Services --- Health Care Facilities, Manpower, and Services --- Neurologic Manifestations --- Nervous System Diseases --- Psychiatry and Psychology --- Signs and Symptoms --- Health Care --- Diseases --- Pathological Conditions, Signs and Symptoms --- Ethics --- Health & Biological Sciences --- Pathology --- Catholic Church --- 241.63*4 Theologische ethiek: euthanasie --- Minimally conscious state --- Permanent vegetative state --- Persistent unawareness state --- Post-traumatic vegetative state --- Posttraumatic vegetative state --- PVS (Persistent vegetative state) --- Unawareness state, Persistent --- Vegetative state, Persistent --- Brain damage --- Artificial nutrition --- Feeding, Artificial --- Nutrition --- Religious aspects&delete& --- Religiosity Coping --- Spiritual Coping --- Coping, Religiosity --- Coping, Spiritual --- Religiosity Copings