PDF(Pubmed)
Abstract：
Nil per os (NPO), also referred to as Nil by Mouth (NBM), is a health-related intervention of withholding food and fluids. When implemented in the context of a person with dysphagia, NPO aims to mitigate risks of aspiration. However, evidence demonstrating that NPO is beneficial as an intervention for people with dysphagia is lacking. This paper explores the theoretical and empirical evidence relating to the potential benefits and adverse effects of NPO and asserts that NPO is not a benign intervention. This paper argues for applying an ethics framework when making decisions relating to the use of NPO as an intervention for dysphagia, in particular addressing informed consent and a person\'s right to self-determination.
摘要：
人均无(NPO)，也被称为NilbyMouth（NBM），是一种与健康相关的干预措施，包括扣留食物和液体。当在吞咽困难的人的情况下实施时，非营利组织旨在减轻愿望风险。然而,缺乏证据表明NPO作为吞咽困难患者的干预措施是有益的。本文探讨了与NPO的潜在益处和不利影响有关的理论和经验证据，并断言NPO不是良性干预措施。本文主张在做出有关使用NPO作为吞咽困难干预措施的决策时应用道德框架，特别是涉及知情同意和一个人的自决权。
