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The Catholic Tradition on the Use of Nutrition and Fluids

  • John J. Paris
Part of the Philosophy and Medicine book series (PHME, volume 41)

Abstract

In an important essay in the 1985 Archives of Internal Medicine entitled “Against the Emerging Stream”, Siegler and Weisband note “that if five or even three years earlier anyone had seriously proposed removing food and water from a terminally or comatose patient, the very notion would have met strenuous objection”. Yet, only five years after the publication of that article, the United States Supreme Court in Cruzan v. Missouri State Hospital ruled that a competent patient could refuse life-sustaining nutrition and fluids, and that, if evidentiary standards set by the state were met, a similar decision could be made for an incompetent patient. That shift in policy and practice precipitated a widespread and at times somewhat tumultuous debate on the morality of withdrawing nutrition and fluids from terminally ill, irreversibly comatose and severely demented patients, a debate in which moral theologians, and at times Catholic bishops, found themselves on opposite sides of the issue.

Keywords

Comatose Patient Persistent Vegetative State Artificial Feeding Sick Person Artificial Nutrition 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Bibliography

  1. Adlestein, S. J., R. E. Cranford, S. H. Wanzer, et al.: 1984, ‘The physician’s responsibility toward the hopelessly ill patient’, The New England Journal of Medicine 310, 955–959.CrossRefGoogle Scholar
  2. AMA Judicial Council: 1988, Current Opinions of the Judicial Council of the American Medical Association, American Medical Association, Chicago.Google Scholar
  3. Achbishop Eugene A. Marino: 1988, ‘Brief by Atlanta Archdiocese In re Larry James McAfee’, Origins 19,274–279.Google Scholar
  4. Archbishop Phillip Hanna’s: 1986 ‘Feeding the comatose and the common good in the Catholic tradition’, P. Barry The Thomist 53, pp. 1–30.Google Scholar
  5. Barry, R. L.: 1985, ‘The ethics of providing life-sustaining nutrition and fluids to incompetent patients’, The Journal of Family and Culture 1, 23–37.Google Scholar
  6. Barry, R., O. Griese, W. E. May, et al.: 1987, ‘Feeding and hydrating the permanently unconscious and other vulnerable, persons’, Issues in Law & Medicine 3, 203–217.Google Scholar
  7. Bishop James McHugh: October 12, 1989, ‘Principles in, regard to withholding or withdrawing artificially assisted nutrition/hydration’, Origins, 314–316.Google Scholar
  8. Bishop Louis Gelineau: 1988, ‘Brief on In re Maria Gray’, Origins 21, 546–547.Google Scholar
  9. Bishops of Texas and Texas Conference of Catholic Health Facilities: June 7, 1990, ‘An interim pastoral statement on artificial nutrition and hydration’, Origins 20, N.4.Google Scholar
  10. Catholic Health Association of Wisconsin: 1989, ‘Nutrition and Hydration Guidelines’.Google Scholar
  11. Childress, J. F. and Lynn, J.: October 1983, ‘Must patients always be given food and water?’ Hastings Center Report 13, 17–21.Google Scholar
  12. Connery, J. R.: 1986, ‘The ethical standards for withholding/withdrawing nutrition and Hydration’ Issues in Law & Medicine 2, 87–97.Google Scholar
  13. Connery, J. R.: 1985, ‘In the matter of Claire Conroy’, Linacre Quarterly 52, 321–328.Google Scholar
  14. Cronin, D. A.: 1958, The Moral Law In Report to the Ordinary and Extraordinary Means of Conserving Life (Dissertatio ad Laudem in Facultate Theologica Pontificae Universitatis Gregorianae), Romae.Google Scholar
  15. DeVitoria, F.: 1587, ‘Relectio de Temperentia’, Reflectiones Theologicae, Lugdundi.Google Scholar
  16. Dunphy, J. E.: 1976, ‘On caring for the patient with cancer’, The New England Journal of Medicine 295, 313–319.CrossRefGoogle Scholar
  17. Fletcher, A. B. and Paris, J. J.: 1983, ‘Infant doe regulations and the absolute requirement to use nourishment and fluids for the dying infant’, Law, Medicine & Health Care, 210–213.Google Scholar
  18. Hill, P. T.: 1986, ‘Defining sacred bonds: A lawyer looks at church, law & medical policy’, Commonweal 113, 620–622.Google Scholar
  19. Holbert, C.: 1977, ‘A quiet death with dignity’, America 136, 214–216.Google Scholar
  20. Kelly, G.: 1950, ‘The duty of using artificial means of preserving life’, Theological Studies 12, 550–556.Google Scholar
  21. McCartney, J. J.: 1980, ‘The development of the doctrine of ordinary and extraordinary means of preserving life in catholic moral theology before the Karen Quinlan Case’, Linacre Quarterly 47, 215–226.Google Scholar
  22. McCormick, R. A.: 6, 1985, ‘Caring or starving? The case of Claire Conroy’, America 152, 269–273.Google Scholar
  23. McCormick, R. A.: 1982, ‘Transcript of proceedings, President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research’, Meeting No. 21, p. 98.Google Scholar
  24. McFadden, C. J.: 1967, Medical Ethics, F.A. Davis Co., Philadelphia, Pennsylvania.Google Scholar
  25. Micetich, K., P. H. Steinecker, D. Thomasma: 1986, ‘Continuance of nutritional care in the terminally ill patient’, Critical Care Clinics 2, 61–71.Google Scholar
  26. Micetich, K., P. H. Steinecker, D. Thomasma: 1983, ‘Are intravenous fluids morally required for a dying patient?— Archives of Internal Medicine 143, 975–978.CrossRefGoogle Scholar
  27. Moraczewski, A. S.: 1985, ‘Is food always obligatory? Feeding the comatose patient’, Ethics & Medicine 10, 13-4,9.Google Scholar
  28. New Jersey State Catholic Conference Brief: 1987, ‘Providing food and fluids to severely brain damaged Patients’, Origins 16, 582–584.Google Scholar
  29. O’Rourke, K.: 1989, ’should nutrition and hydration be provided to permanently unconscious and other mentally disabled persons?’, Issues in Law & Medicine 5, 181–196.Google Scholar
  30. Paris, J. J. and McCormick, R. A.: ‘The catholic tradition on the use of nutrition and fluids’, America, May 2,’, pp. 356–361.Google Scholar
  31. Paris, J. J., and Varga, A. C.: 1984, ‘Care of the Hopelessly Ill’, America 151, 141–144.Pius XII: 1958, ‘The Prolongation of Life’, Pope Speaks 4,393-398.Google Scholar
  32. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: 1983, Deciding to Forego Life-Sustaining Treatment, U. S. Government Printing Office, Washington, D. C.Google Scholar
  33. Ramsey, P.: 1970, ‘On (only) caring for the dying’, The Patient as Person, Yale University Press, New Haven, Connecticut.Google Scholar
  34. Sacred Congregation for Faith: 1980, ‘Declaration on Euthanasia’, Origins 10, 154–157.Google Scholar
  35. Siegler, M. and Weisband A.: 1985, ‘Against the emerging stream: Should fluids and nutritional support be discontinued?’, Archives of Internal Medicine 145, 129–131.CrossRefGoogle Scholar
  36. Statement of the Pontifical Academy of Sciences: 1985, L’Osservatore Romano, 10.Google Scholar
  37. United States Bishops’ Committee for Pro-Life Activities: 1987, The rights of the terminally ill’, Origins 16, 222–226.Google Scholar
  38. Walter, J. J.: 1986, ‘Food and water: An ethical burden: The withdrawal of artificial nutrition’, Commonweal 113, 616–619, at 619.Google Scholar
  39. Zerwekh, Joyce: 1983, ‘The dehydration question’, Nursing, 47–51.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1992

Authors and Affiliations

  • John J. Paris

There are no affiliations available

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