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New taxonomy for prolonged disorders of consciousness may help with decisions on withdrawal of clinically assisted nutrition and hydration: A proposed decision-making pathway

2021Journal article Open access
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dc.contributor.authorTeixeira, Liliana da Conceição
dc.contributor.authorRocha, Nuno
dc.contributor.authorNunes, Rui
dc.date.accessioned2022-05-13T13:48:51Z
dc.date.available2022-05-13T13:48:51Z
dc.date.issued2021
dc.description.abstractThe number of patients surviving severe brain injury is increasing; however, many are left in a prolonged disorder of consciousness. With appropriate treatment, these patients can survive for years. Unless a living will exists; the doctors can authorize withdrawal of artificial nutrition and hydration for these patients, based on best interests. There is an urge to revise the current terminology used in prolonged disorders of consciousness (vegetative state and minimally conscious state) to better reflect our understanding of these conditions, which will, in turn, ease the challenges faced when making a decision about withdrawal of artificial nutrition and hydration of these patients. A decision-making pathway based on a new taxonomy is proposed. The importance of reassessment is reinforced to clarify diagnosis and help with prognosis. Adopting a new classification for prolonged disorders of consciousness would clarify how we think about these patientspt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationda Conceição Teixeira, L., Rocha, N., & Nunes, R. (2021). New taxonomy for prolonged disorders of consciousness may help with decisions on withdrawal of clinically assisted nutrition and hydration: A proposed decision-making pathway. Journal of rehabilitation medicine, 53(5), jrm00193. https://doi.org/10.2340/16501977-2834pt_PT
dc.identifier.doi10.2340/16501977-2834pt_PT
dc.identifier.eissn1651-2081
dc.identifier.urihttp://hdl.handle.net/10400.8/7130
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFoundation of Rehabilitation Informationpt_PT
dc.relationCenter for Innovative Care and Health Technology
dc.relationCenter for Innovative Care and Health Technology
dc.relation.ispartofseries5;
dc.relation.publisherversionhttps://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2834pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectClinically assisted nutrition and hydrationpt_PT
dc.subjectConsciousnesspt_PT
dc.subjectCovert cognitionpt_PT
dc.subjectDecision-makingpt_PT
dc.subjectMinimally conscious statept_PT
dc.subjectProlonged disorders of consciousnesspt_PT
dc.subjectVegetative statept_PT
dc.titleNew taxonomy for prolonged disorders of consciousness may help with decisions on withdrawal of clinically assisted nutrition and hydration: A proposed decision-making pathwaypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F05704%2F2020/PT
oaire.citation.endPage8pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of Rehabilitation Medicinept_PT
oaire.citation.volume53pt_PT
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
person.familyNameda Conceição Teixeira
person.familyNameBarbosa Rocha
person.familyNameNunes
person.givenNameLiliana
person.givenNameNuno
person.givenNameRui
person.identifier1298780
person.identifierM-9821-2013
person.identifier2169066
person.identifier.ciencia-id9811-DD3D-DD0F
person.identifier.ciencia-idAE16-A494-5F8B
person.identifier.ciencia-idB91E-DC28-1C7B
person.identifier.orcid0000-0001-9408-859X
person.identifier.orcid0000-0002-3139-2786
person.identifier.orcid0000-0002-1377-9899
person.identifier.ridAAD-8708-2019
person.identifier.scopus-author-id7102596331
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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