{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:09:41Z","timestamp":1753888181148,"version":"3.41.2"},"reference-count":54,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Bio\u00e9t."],"abstract":"<jats:p>Resumen Dada la insuficiente evidencia cient\u00edfica, las decisiones sobre el uso de la nutrici\u00f3n e hidrataci\u00f3n artificiales en los pacientes terminales constituyen un importante dilema \u00e9tico. Se identifica un conflicto entre las perspectivas de \u201ctratar\u201d y \u201ccuidar\u201d, con variaciones en su uso seg\u00fan el contexto legal y cultural de los diferentes pa\u00edses. El objetivo de este estudio es dilucidar si esta pr\u00e1ctica constituye una medida de atenci\u00f3n b\u00e1sica o un tratamiento f\u00fatil y desproporcionado. Se realiza una revisi\u00f3n de las directrices y c\u00f3digos deontol\u00f3gicos de diferentes pa\u00edses europeos. En Portugal, Italia y Polonia, se considera esta pr\u00e1ctica como una medida de atenci\u00f3n b\u00e1sica; mientras que en pa\u00edses como Francia, Inglaterra, Noruega, Irlanda, Alemania, Finlandia, Holanda, B\u00e9lgica y Suiza, se considera un tratamiento f\u00fatil. En Ruman\u00eda, Croacia y Hungr\u00eda, el marco \u00e9tico y jur\u00eddico es insuficiente. Las diferencias en el tratamiento de los pacientes terminales pueden reflejar diferentes perspectivas culturales.<\/jats:p>","DOI":"10.1590\/1983-803420243604es","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T12:34:03Z","timestamp":1718368443000},"source":"Crossref","is-referenced-by-count":0,"title":["Dimensi\u00f3n \u00e9tica de la nutrici\u00f3n e hidrataci\u00f3n artificial en los pacientes terminales"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4440-6530","authenticated-orcid":false,"given":"Miguel \u00c2ngelo Basto Clemente de Oliveira e","family":"Magalh\u00e3es","sequence":"first","affiliation":[{"name":"Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4364-5535","authenticated-orcid":false,"given":"Maria Paula Correia Ribeiro da Costa e","family":"Silva","sequence":"additional","affiliation":[{"name":"Instituto Portugu\u00eas de Oncologia,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5160-7043","authenticated-orcid":false,"given":"Ivone Maria Resende Figueiredo","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/0148607109347209","article-title":"Ethical issues in artificial nutrition and hydration: a review","volume":"34","author":"Geppert CMA","year":"2010","journal-title":"J Parenter Enteral Nutr"},{"issue":"9","key":"ref2","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1002\/pon.2099","article-title":"Hydration and nutrition at the end of life: a systematic review of emotional impact, perceptions, and decision-making among patients, family, and health care staff","volume":"21","author":"Del R\u00edo MI","year":"2012","journal-title":"Psychooncology"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1200\/JCO.2004.02.056","article-title":"Doctor, does this mean I'm going to starve to death?","volume":"22","author":"Whitworth MK","year":"2004","journal-title":"J Clin Oncol"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.bpg.2014.02.005","article-title":"Artificial nutrition at the end of life: ethical issues","volume":"28","author":"Van de Vathorst S","year":"2014","journal-title":"Best Pract Res Clin Gastroenterol"},{"issue":"6","key":"ref5","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1089\/10966210260499104","article-title":"Tube feed or not tube feed?","volume":"5","author":"Hallenbeck J","year":"2002","journal-title":"J Palliat Med"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/SPC.0b013e328356ab4a","article-title":"Is there a role for parenteral nutrition or hydration at the end of life?","volume":"6","author":"Dev R","year":"2012","journal-title":"Curr Opin Support Palliat Care"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/SPC.0000000000000171","article-title":"The last days of life: symptom burden and impact on nutrition and hydration in cancer patients","volume":"9","author":"Hui D","year":"2015","journal-title":"Curr Opin Support Palliat Care"},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1080\/01639366.2010.521020","article-title":"Artificial nutrition and hydration at the end of life","volume":"29","author":"Heuberger RA","year":"2010","journal-title":"J Nutr Elder"},{"issue":"3","key":"ref9","first-page":"163","article-title":"Guidelines on artificial nutrition versus hydration in terminal cancer patients","volume":"12","author":"Bozzetti F","year":"1996","journal-title":"European Association for Palliative Care. 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