Journal article
Hunger strike among detainees: guidance for good medical practice.
- Gétaz L Division of Primary Care Medicine, Department of Community Medicaion, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland. laurent.getaz@hcuge.ch
- Rieder JP
- Nyffenegger L
- Eytan A
- Gaspoz JM
- Wolff H
- 2012-09-19
Published in:
- Swiss medical weekly. - 2012
Advance Directives
Comorbidity
Dissent and Disputes
Ethical Theory
Fasting
Health Status
Human Rights
Humans
Informed Consent
Medical Staff
Physician-Patient Relations
Prisoners
Refeeding Syndrome
Starvation
Treatment Refusal
English
Hunger strike is a regularly reported problem in prison. Although clinical situations are rarely severe, hospitalisation is often considered. In consequence, it is not only physicians working in prisons, but also hospital medical teams who face challenges related to hunger strike, involving somatic, psychological, legal and human rights aspects. Furthermore, deontological rules must be strictly respected when delivering care, particularly in prison setting. Starvation involves metabolic changes and can cause severe, and sometimes even irreversible or fatal complications. Moreover, the phase of re-alimentation should not be trivialised, as re-feeding syndrome is a potentially fatal phenomenon. This article provides guidance for monitoring and management of patients on hunger strike.
- Language
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- English
- Open access status
- gold
- Identifiers
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- DOI 10.4414/smw.2012.13675
- PMID 22987064
- Persistent URL
- https://sonar.ch/global/documents/214593
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