Polemical Note on Marcus, Golan, and Goodman. Ethical Issues Related to End of Life Treatment in Patients with Advanced Dementia – The Case of Artificial Nutrition and Hydration
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Abstract
This polemical note looks at the ethical issue of providing artificial nutrition and hydration (ANH) to patients with advanced dementia from the perspective of an Aristotelian and naturalist ethics. I argue that this issue may be considered in terms of the Aristotelian notion of eudaimonia, well-being. I present a number of facts about the conditions of human life that contribute to eudaimonia. In addition, I present a number of facts about advanced dementia as well as clarify the goals of medicine. From these facts, I argue that we are not ethically obligated to provide ANH to this class of patients.
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