A week or two ago, I commented on a Modern Healthcare blog:
But with dementia, there's all the difference in the world! Because most people with dementia are not going to have enough clear moments to call a lawyer. And with that thing down their throats, and with those restraints, they can't call anybody.
Did the patient's surrogate sign informed consent for this? I say, make the surrogate stay in the room to see what it's like.
Right now the whole thing seems to be in the hands of the doctor - with sub-specialists being likely to order this. There are guidelines and the guidelines are ignored.
What's the answer? Very slow feeding of very small bites has been suggested for the many patients with limited ability to swallow.
Will we ignore this? Who we gonna call? Before it's our turn?