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JCPSLP Volume 17, Supplement 1, 2015 – Ethical practice in speech pathology 57
Tyler-Boltrek, E., Bonin, I.A., & Webb, K. (2009). Personal
worksheet for feeding tube placement. Adelaide: The
Queen Elizabeth Hospital & Health Service.
1 Names have been changed to protect the privacy of the client.
2 Cachexia = generally unwell with emaciation, usually occurring
with cancer or a chronic infectious disease or illness.
in this area need the mentoring, support, and guidance
from experienced speech pathologists to help them
navigate the complex interplay between clinical safety and
quality-of-life issues to ensure the best care for our most
vulnerable elderly and unwell patients.
Acknowledgements
Emma Tyler-Boltrek (senior speech pathologist), Alistair
Bonnin (palliative care consultant) and Kevin Webb (clinical
services co-ordinator, Neurology) from The Queen Elizabeth
Hospital greatly assisted Helen Smith in considering issues
about feeding tube placement from a whole hospital
perspective.
References
Anonymous. (2010). Use of feeding tubes in patients with
advanced dementia: Are we doing harm? Journal of
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DiBartolo, M. C. (2006). Careful hand feeding: An
alternative to PEG tube placement in individuals with
dementia. Journal of Gerontological Nursing, 32(5), 25–33.
Enck, R. E. (2010). Antibiotic use in end-of-life care:
A soft line? American Journal of Hospice and Palliative
Medicine, 27(4) 237–238.
Kellehear, A. (2009). On dying and human suffering.
Palliative Medicine, 23, 388–397.
Mahtani-Chugani, V., Ganzalez-Castro, I., Saenz
de Ormijana-Hernandez, A., Martin-Fernandez, R., &
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patients suffering from terminal non-oncological diseases:
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24(8), 787–795.
Mino, J. C. & Frattini, M.O. (2009). Chronic palliative care:
Specific practices for Alzheimer’s disease sufferers. Journal
of Palliative Care, 25(4), 257–264.
Payne, S., Burton, C., Addington-Hall, J., & Jones, A.
(2009). End–of–life issues in acute stroke care: A qualitative
study of the experiences and preferences of patients and
families. Palliative Medicine, 24(2), 146–153.
Shah, S.H. (2006). A patient with dementia and cancer:
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Speech Pathology Australia. (2010). Code of ethics.
Melbourne: The Australian Speech Pathology Limited.
Retrieved from http://www.speechpathologyaustralia.org.
au/library/Ethics/CodeofEthics.pdf
Helen Smith is elected by members to the Speech Pathology
Australia Ethics Board. Helen has over 23 years of clinical, education,
and management experience in speech pathology. She has practised
professionally in the UK, Canada, Zimbabwe, and in metropolitan,
rural, and remote Australia. She has a research interest in ethical
practice and student education, and a clinical interest in palliative
care. She is currently employed as the manager of speech pathology
at The Queen Elizabeth Hospital in Adelaide and regularly presents to
undergraduate and postgraduate students.
Noel Muller is a consumer representative on the Speech
Pathology Australia Ethics Board. Noel has been an active executive
member of a consumer advisory group for a number of years and has
represented consumer rights/issues in numerous areas including
housing, disability, respite, aged care, suicide prevention, and forensic
mental health. Noel is the president of Queensland Voice for Mental
Health – the state-wide peak body for consumers and carers that
provides the Queensland government with policy advice regarding
mental health initiatives from a consumer and carer perspective.
Trish Bradd is a senior council appointed member of the Ethics
Board and a fellow of Speech Pathology Australia. She has extensive
experience in the health sector, including many years as a speech
pathologist working with an adult client population. Trish is currently
the director of allied health for the Southern Clinical Support Transition
Office, NSW Health.
Correspondence to:
Helen Smith
Manager, Speech Pathology Department
The Queen Elizabeth Hospital, South Australia
email:
or
Christina Wilson
Senior Advisor – Professional Issues
Speech Pathology Australia
email:
This article was originally published as: Smith, H., Muller,
N., & Bradd, T. (2011). Dysphagia assessment and
management at the end of life: Some ethical
considerations. ACQuiring Knowledge in Speech,
Language, and Hearing , 13(2), 88–91.