This paper explores the issue of the serving of food in hospital from both a moral and a philosophical point of view. The concepts of 'having a meal' and of 'feeling nourished by food' are examined; it is suggested that the former is a necessary condition for the latter. The implications of this for nursing care are considered and it is argued that there is a moral imperative for us to try and serve 'meals', rather than simply 'food' to patients. The importance of this is highlighted by current concerns about malnutrition in hospital.
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References
1.
Airedale NhsTrust v Bland (HL (E)) [1993] 1 All ER821-96.
2.
Lo B., Dornbrand L.Guiding the hand that feeds: caring for the demented elderly. N Engl J Med1984; 311: 402-404.
3.
Akerlund BM, Norberg A.An ethical analysis of double bind conflicts as experienced by care workers feeding severely demented patients. Int J Nurs Stud1985; 22 (3): 207-16.
4.
Phillips DZCan you be a professional friend? Philosophical bearings on a social problem . The Gadfly1982; 5 (1): 29-43.
5.
The CollinsEnglish dictionary, second edition. London: Collins; 1986 .
6.
Wallace E.The effects of malnutrition in hospital. Br J Nurs1993; 2: 66-71.
7.
Larsson J., Unossen M., Ek C., Nilsson L., Thorslund S., Bjurulf P.Effect of dietary supplement on nutritional status and clinical outcome in 501 geriatric patients: a randomised study. Clin Nutr1990; 9: 179-84.
8.
Hill GL, Pickford I., Young GA et al. Malnutrition in surgical patients: an unrecognised problem. Lancet1977; i: 689-92.
9.
Closs SJ, Malnutrition: the key to pressure sores? Nurs Stand1993; 8 (4): 32-36.
10.
Nutritional Service Standards Working Party.The food chain. Bexhill-on-Sea: South East Thames Regional Health Authority, 1993: 13-15.
11.
Carson R.The symbolic significance of giving to eat and drink. In: Lynn J Editor. By no extraordinary means: the choice to forgo life-sustaining food and water. Bloomington : Indiana University Press, 1986 : 84-88.
12.
Nutritional Service Standards Working Party.Menu planning. Bexhill-on-Sea: South East Thames Regional Health Authority, 1993: 1 (para 1.6).