{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:38:30Z","timestamp":1771274310302,"version":"3.50.1"},"reference-count":21,"publisher":"Dietitians of Canada","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Journal of Dietetic Practice and Research"],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:p> Within long-term care homes (LTCHs), conflicts occur between residents\u2019 desires, LTCH constraints, and healthcare providers\u2019 concerns about risks of harm. Due to the high prevalence of dysphagia and malnutrition in these settings, decisions regarding food choices are a common source of such tensions. Existing biomedical ethical models fail to capture the complexity of the interprofessional chronic care environment. This article proposes an alternative ethical lens, the relational ethics model. We describe a case illustrating the application of a decision-making framework with a relational ethics lens for a resident with severe dysphagia and malnutrition. We highlight how the bioethics model excludes important actors from ethical decision making. We encourage registered dietitians working in LTCH to incorporate a relational ethics model into their practice to help identify resident\u2019s values and bring attention to the interconnectedness of caring relationships and contextual factors. This approach can inform difficult decisions regarding the food and nutrition choices of residents and may facilitate meaningful outcomes for both individuals and the long-term care community. <\/jats:p>","DOI":"10.3148\/cjdpr-2023-028","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T16:40:37Z","timestamp":1710520837000},"page":"91-94","source":"Crossref","is-referenced-by-count":2,"title":["Eating at Risk within Long-Term Care: A Case for the Relational Ethics Lens"],"prefix":"10.3148","volume":"85","author":[{"suffix":"MAN, RD","given":"Rebekah","family":"Sandhu","sequence":"first","affiliation":[{"name":"Queen\u2019s University, Kingston, ON"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"MSc, RSLP","given":"Meara","family":"Brown","sequence":"additional","affiliation":[{"name":"Vancouver Island Health Authority, Victoria, BC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"MSW PhD","given":"Jodi","family":"Webber","sequence":"additional","affiliation":[{"name":"Algoma University, Sault St. Marie, ON"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1715","reference":[{"key":"refg1\/ref1","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2014.1002656"},{"key":"refg2\/ref2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733015576357"},{"key":"refg3\/ref3","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014557719"},{"key":"refg4\/ref4","doi-asserted-by":"crossref","unstructured":"Beauchamp T, Childress J. Principles of biomedical ethics: marking its fortieth anniversary. 2019, Taylor & Francis. pp. 9\u201312.","DOI":"10.1080\/15265161.2019.1665402"},{"key":"refg5\/ref5","unstructured":"Beauchamp TL, Childress J. Principles of biomedical ethics. 1994: Edicoes Loyola."},{"key":"refg6\/ref6","first-page":"1","author":"Metz T","year":"2016","journal-title":"Inter Encyclopedia Ethics"},{"key":"refg7\/ref7","unstructured":"Holstein MB, Waymack M, Parks JA. Ethics, aging, and society: The critical turn. 2010: Springer publishing company."},{"key":"refg8\/ref8","unstructured":"Corey G, Corey MS, Callanan P. Issues and ethics in the helping professions. 9th ed. 2014, Belmont, CA; Australia: Brooks\/Cole\/Thomson Learning."},{"key":"refg9\/ref9","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJSLP-18-0150"},{"key":"refg10\/ref10","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10762"},{"key":"refg11\/ref11","doi-asserted-by":"publisher","DOI":"10.12968\/nrec.2022.0014"},{"key":"refg12\/ref12","doi-asserted-by":"publisher","DOI":"10.1044\/2016_AJSLP-15-0041"},{"key":"refg13\/ref13","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12189"},{"key":"refg14\/ref14","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics3040069"},{"key":"refg15\/ref15","unstructured":"Jameton A. Nursing practice, the ethical issues. 1984, Englewood Cliffs, N.J: Prentice-Hall."},{"key":"refg16\/ref16","unstructured":"Webster G, Baylis F. Moral residue, in Margin of error: The ethics of mistakes in the practice of medicine, S.B. Rubin and L. Zoloth, Editors. 2000, University Pub. Group: Hagerstown, Md. pp. 217\u2013230."},{"key":"refg17\/ref17","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2019-105855"},{"key":"refg18\/ref18","doi-asserted-by":"publisher","DOI":"10.1086\/JCE200920406"},{"key":"refg19\/ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14948"},{"key":"refg20\/ref20","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12115"},{"issue":"1","key":"refg21\/ref21","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s12126-017-9288-4","volume":"43","author":"Braedley S","year":"2018","journal-title":"Ageing International"}],"container-title":["Canadian Journal of Dietetic Practice and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dcjournal.ca\/doi\/pdf\/10.3148\/cjdpr-2023-028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T12:01:20Z","timestamp":1718798480000},"score":1,"resource":{"primary":{"URL":"https:\/\/dcjournal.ca\/doi\/10.3148\/cjdpr-2023-028"}},"subtitle":[],"editor":[{"given":"Naomi","family":"Cahill","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,6,1]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6,1]]}},"alternative-id":["10.3148\/cjdpr-2023-028"],"URL":"https:\/\/doi.org\/10.3148\/cjdpr-2023-028","relation":{},"ISSN":["1486-3847","2292-9592"],"issn-type":[{"value":"1486-3847","type":"print"},{"value":"2292-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,1]]}}}