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Books > Medicine > Clinical & internal medicine > Geriatric medicine
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Voluntarily Stopping Eating and Drinking - A Compassionate, Widely-Available Option for Hastening Death (Hardcover)
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Voluntarily Stopping Eating and Drinking - A Compassionate, Widely-Available Option for Hastening Death (Hardcover)
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In the 21st century, people in the developed world are living
longer. They hope they will have a healthy longer life and then die
relatively quickly and peacefully. But frequently that does not
happen. While people are living healthy a little longer, they tend
to live sick for a lot longer. And at the end of being sick before
dying, they and their families are frequently faced with daunting
decisions about whether to continue life prolonging medical
treatments or whether to find meaningful and forthright ways to die
more easily and quickly. In this context, some people are searching
for more and better options to hasten death. They may be
experiencing unacceptable suffering in the present or may fear it
in the near future. But they do not know the full range of options
legally available to them. Voluntary stopping eating and drinking
(VSED), though relatively unknown and poorly understood, is a
widely available option for hastening death. VSED is legally
permitted in places where medical assistance in dying (MAID) is
not. And unlike U.S. jurisdictions where MAID is legally permitted,
VSED is not limited to terminal illness or to those with current
decision-making capacity. VSED is a compassionate option that
respects patient choice. Despite its strongly misleading image of
starvation, death by VSED is typically peaceful and meaningful when
accompanied by adequate clinician and/or caregiver support.
Moreover, the practice is not limited to avoiding unbearable
suffering, but may also be used by those who are determined to
avoid living with unacceptable deterioration such as severe
dementia. But VSED is "not for everyone." This volume provides a
realistic, appropriately critical, yet supportive assessment of the
practice. Eight illustrative, previously unpublished real cases are
included, receiving pragmatic analysis in each chapter. The
volume's integrated, multi-professional, multi-disciplinary
character makes it useful for a wide range of readers: patients
considering present or future end-of-life options and their
families, clinicians of all kinds, ethicists, lawyers, and
institutional administrators. Appendices include recommended
elements of an advance directive for stopping eating and drinking
in one's future if and when decision making capacity is lost, and
what to record as cause of death on the death certificates of those
who hasten death by VSED.
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