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Keywords Voluntary Stopping of Eating a...

Voluntary Stopping of Eating and Drinking

https://read.qxmd.com/read/38494509/handling-the-desire-to-die-evaluation-of-an-elective-course-for-medical-students
#1
JOURNAL ARTICLE
M Schallenburger, J Schwartz, Yann-Nicolas Batzler, St Meier, R Küppers, Th Tenge, A Doll, K Kremeike, D Wetzchewald, M Neukirchen
BACKGROUND: The desire to die can occur in palliative care patients with a prevalence of up to 22%. Not every desire to die is accompanied by a pressure to act, but usually by a burden that can arise from various factors. To address this burden appropriately, health care workers should be trained. Based on an evaluated course on handling the desire to die, an elective course for medical students was developed and evaluated. In order to identify the impact of the elective course's content, a comparison of attitudes towards assisted dying with two other participant groups was conducted...
March 18, 2024: BMC Medical Education
https://read.qxmd.com/read/38382034/when-people-facing-dementia-choose-to-hasten-death-the-landscape-of-current-ethical-legal-medical-and-social-considerations-in-the-united-states
#2
JOURNAL ARTICLE
Emily A Largent, Jane Lowers, Thaddeus Mason Pope, Timothy E Quill, Matthew K Wynia
Some individuals facing dementia contemplate hastening their own death: weighing the possibility of living longer with dementia against the alternative of dying sooner but avoiding the later stages of cognitive and functional impairment. This weighing resonates with an ethical and legal consensus in the United States that individuals can voluntarily choose to forgo life-sustaining interventions and also that medical professionals can support these choices even when they will result in an earlier death. For these reasons, whether and how a terminally ill individual can choose to control the timing of their death is a topic that cannot be avoided when considering the dementia trajectory...
January 2024: Hastings Center Report
https://read.qxmd.com/read/38130160/-voluntary-abstinence-from-food-and-fluid-the-relatives-perspective-an-integrative-review
#3
JOURNAL ARTICLE
Fabienne Walder, Andrea Kobleder
Voluntary abstinence from food and fluid. The relatives' perspective: An integrative review Abstract. Background: Unbearable states of suffering can cause a premature wish to die. Voluntary stopping of eating and drinking (VSED) offers a way to autonomously realize this wish. Relatives play a significant role in the process of realizing VESD. So far, it is unclear how relatives experience the supporting process. Aim: This review intends to systematically record experiences of accompanying relatives. Method: Within the framework of an integrative review, we conducted research in MEDLINE® , CINAHL® and PsychINFO® , as well as supplementary research...
December 22, 2023: Pflege
https://read.qxmd.com/read/38012037/patients-who-seek-to-hasten-death-by-voluntarily-stopping-eating-and-drinking-a-qualitative-study
#4
JOURNAL ARTICLE
Eva Elizabeth Bolt, H Roeline Pasman, Bregje D Onwuteaka-Philipsen
PURPOSE: Voluntary stopping of eating and drinking (VSED) is a controversial method to hasten death. Little is known about why and how people come to VSED. This study assessed patients' motives, how patients decide on VSED, and the ways in which they prepare for VSED and involve others. METHODS: We conducted a qualitative study in the Netherlands of 29 patients; 24 started VSED and 19 died. Thirteen patients were included before or during VSED and 16 afterward. We interviewed 17 patients, 18 relatives, and 10 professional caregivers...
2023: Annals of Family Medicine
https://read.qxmd.com/read/37517807/challenges-and-issues-associated-with-death-certificates-after-voluntary-stopping-of-eating-and-drinking
#5
JOURNAL ARTICLE
Takeshi Uemura, Benjamin J Krohmal, Masaya Higuchi
In recent years, health care providers and the general public in the United States have gained a greater awareness of Voluntary Stopping of Eating and Drinking (VSED) as a last resort option to escape from unbearable suffering, thanks to a growing number of publications, books, and documentaries. However, the challenges and issues that can arise in completing a death certificate after VSED are not well described in literature. In this article, we first present an example case of VSED in which the death certificate was issued listing suicide as the manner of death by the medical examiner...
July 27, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/35911568/voluntary-stopping-of-eating-and-drinking-in-the-age-of-medical-assistance-in-dying-ethical-considerations-for-physicians
#6
REVIEW
Peter Allatt, Daniel D M Kim, Philip Hébert
Since 2016, when medical assistance in dying (MAiD) became legal in Canada, healthcare professionals (HCPs) have become familiar with exploring and acting upon patients' wishes to hasten death (WTHD). In contrast to MAiD, the literature on the voluntary stopping of eating and drinking (VSED) is very limited and there are no standards of practice or legal guidance to support HCPs. In this article, the legal and ethical literature as regards VSED is critically reviewed and new standards of practice are proposed...
2022: Palliative care and social practice
https://read.qxmd.com/read/35610598/-discussion-or-silent-accompaniment-a-grounded-theory-study-about-voluntary-stopping-of-eating-and-drinking-in-switzerland
#7
JOURNAL ARTICLE
Sabrina Stängle, André Fringer
BACKGROUND: Voluntary stopping of eating and drinking as an option to end life prematurely is gaining international attention, and health care professionals are increasingly confronted with the wish to die through voluntary stopping of eating and drinking by individuals. While to date, there are no guidelines in Switzerland to orient professional support, it is of interest how professionals and other people involved react to the situation. The aim of this qualitative study was to explore how health care professionals in Switzerland accompany individuals during voluntary stopping of eating and drinking and to analyze this decision-making process...
May 24, 2022: BMC Palliative Care
https://read.qxmd.com/read/35108683/-the-right-to-die-in-the-united-states
#8
REVIEW
Takeshi Uemura
This review article is intended to introduce clinicians in Japan to the four types of medical procedures associated with the right to die in the United States and their ethical background. The four types of procedures are as follows: forgoing life-sustaining medical treatment, palliative sedation and intensive symptom management, physician-assisted suicide, and euthanasia. This article discusses the difference between negative and positive rights and how they apply to these four procedures. In addition, it discusses the reason why withdrawing ventilation is considered ethically equal to its withholding...
February 2022: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://read.qxmd.com/read/34751005/family-caregivers-advocacy-in-voluntary-stopping-of-eating-and-drinking-a-holistic-multiple-case-study
#9
JOURNAL ARTICLE
Jasmin Eppel-Meichlinger, Sabrina Stängle, Hanna Mayer, André Fringer
AIM: To gain insight into the experiences of family caregivers who accompanied a loved one during voluntary stopping of eating and drinking and to identify similarities and differences between cases of voluntary stopping of eating and drinking to develop a conceptual model. DESIGN: A qualitative holistic multiple case study. METHODS: We conducted narrative interviews with family caregivers (N = 17). We first analysed them inductively within the cases, followed by a cross-case analysis to merge the experiences into a conceptual model...
November 9, 2021: Nursing Open
https://read.qxmd.com/read/33440976/perspectives-of-people-accompanying-a-person-during-voluntary-stopping-eating-and-drinking-a-convergent-mixed-methods-study
#10
JOURNAL ARTICLE
Sabrina Stängle, André Fringer
BACKGROUND: Voluntary stopping eating and drinking (VSED) is an option for people wishing to bring about premature death. In Switzerland, VSED is considered a controversial action at the end of life in the guidelines for "Management of dying and death," which states that the decision to support or oppose VSED must be made individually by health care professionals; so far there are no instructions for action. The aim of this research was to explore the experiences of people who play an important role in VSED accompaniment, and to explain how the people involved in the process deal with VSED...
January 11, 2021: Annals of Palliative Medicine
https://read.qxmd.com/read/32787706/family-physicians-perspective-on-voluntary-stopping-of-eating-and-drinking-a-cross-sectional-study
#11
JOURNAL ARTICLE
Sabrina Stängle, Wilfried Schnepp, Daniel Büche, Christian Häuptle, André Fringer
OBJECTIVE: We aimed to determine how often patients who choose voluntary stopping of eating and drinking (VSED) are accompanied by Swiss family physicians, how physicians classify this process, and physicians' attitudes and professional stance toward VSED. METHODS: We conducted a cross-sectional study between August 2017 and July 2018 among 751 practicing family physicians in Switzerland (response rate 74%; 70.7% men; average age 58 (±9) years). We used a standardized evidence-based questionnaire for the survey...
August 2020: Journal of International Medical Research
https://read.qxmd.com/read/32768556/experiences-personal-attitudes-and-professional-stances-of-swiss-health-care-professionals-towards-voluntary-stopping-of-eating-and-drinking-to-hasten-death-a-cross-sectional-study
#12
JOURNAL ARTICLE
Sabrina Stängle, Daniel Büche, Christian Häuptle, André Fringer
CONTEXT: Voluntary stopping of eating and drinking (VSED) is the self-determined decision of an individual with the decision-making capacity to cause premature death. During the course of VSED, the person is dependent on the support of relatives and health professionals. To date, little is known of the attitudes of Swiss health professionals on this topic. OBJECTIVES: The objective of this study was to assess the experiences, personal attitudes, and professional stances of Swiss health care professionals toward VSED...
August 5, 2020: Journal of Pain and Symptom Management
https://read.qxmd.com/read/32644873/experience-of-caregivers-supporting-a-patient-through-voluntarily-stopping-eating-and-drinking
#13
JOURNAL ARTICLE
Jane Lowers, Sean Hughes, Nancy Preston
Background: Voluntarily stopping eating and drinking (VSED) is an ongoing voluntary choice to forego food and hydration in an effort to hasten death. Ongoing caregiving is necessary as patients become weak and lose focus as a result of dehydration, but little is known about the process of supporting a patient through VSED. Objective: To explore the experiences of caregivers who supported a patient through VSED. Methods: Qualitative study with t hematic analysis of transcripts of semistructured interviews with 24 U...
July 9, 2020: Journal of Palliative Medicine
https://read.qxmd.com/read/32312414/options-of-last-resort-palliative-sedation-physician-aid-in-dying-and-voluntary-cessation-of-eating-and-drinking
#14
REVIEW
David A Gruenewald, Gregg Vandekieft
Some patients with terminal and degenerative illnesses request assistance to hasten death when suffering is refractory to palliative care, or they strongly desire to maximize their autonomy and dignity and minimize suffering. Palliative sedation (PS), voluntarily stopping eating and drinking (VSED), and physician-assisted death (PAD) are possible options of last resort. A decision to choose PS can be made by an informed surrogate decision maker, whereas intact decision-making capacity is required to choose VSED or PAD...
May 2020: Medical Clinics of North America
https://read.qxmd.com/read/31742862/voluntary-stopping-of-eating-and-drinking-in-advance-directives-for-adults-with-late-stage-dementia
#15
JOURNAL ARTICLE
Philippa Trowse
OBJECTIVE: The objective of this paper is to explore the ethical and legal validity of advance directives that request the voluntary stopping of eating and drinking against a backdrop of late-stage dementia. METHOD: Doctrinal research and analysis of primary and secondary materials including Australian legislation, Australian case law and journal articles was undertaken. RESULTS: There is legal uncertainty in Australia around whether an advance directive to voluntarily stop eating and drinking will be followed should the adult become incompetent...
November 19, 2019: Australasian Journal on Ageing
https://read.qxmd.com/read/31659779/long-term-care-nurses%C3%A2-attitudes-and-the-incidence-of-voluntary-stopping-of-eating-and-drinking-a-cross-sectional-study
#16
JOURNAL ARTICLE
Sabrina Stängle, Wilfried Schnepp, Daniel Büche, André Fringer
AIMS: To assess the incidence of voluntary stopping of eating and drinking in long-term care and to gain insights into the attitudes of long-term care nurses about the voluntary stopping of eating and drinking. DESIGN: A cross-sectional study. METHODS: Heads of Swiss nursing homes (535; 34%) answered the Online-Survey between June and October 2017, which was evaluated using descriptive data analysis. RESULTS: The incidence of patients who died in Swiss nursing homes by voluntarily stopping eating and drinking is 1...
October 29, 2019: Journal of Advanced Nursing
https://read.qxmd.com/read/31584334/voluntary-stopping-of-eating-and-drinking-in-the-terminally-ill-379
#17
JOURNAL ARTICLE
Jane Chargot, Drew A Rosielle, Adam Marks
No abstract text is available yet for this article.
October 2019: Journal of Palliative Medicine
https://read.qxmd.com/read/30578180/voluntary-stopping-of-eating-and-drinking-in-switzerland-from-different-points-of-view-protocol-for-a-mixed-methods-study
#18
JOURNAL ARTICLE
Sabrina Stängle, Wilfried Schnepp, Mirjam Mezger, Daniel Büche, André Fringer
BACKGROUND: "To die with dignity" has reached the significance of a core value in democratic societies. Based on this unconditional value, people require autonomy and care. "Voluntary stopping of eating and drinking" (VSED) represents an alternative to assisted suicide because no one else is involved in the action of death fastening, even though from outside, it might be considered as an extreme form of passive euthanasia. However, there are no data available about the prevalence and frequency of either explicit VSED or the implicit reduction of food and liquid in Switzerland...
December 21, 2018: JMIR Research Protocols
https://read.qxmd.com/read/30380900/-hastening-death-by-voluntary-stopping-of-eating-and-drinking-a-new-mode-of-assisted-suicide
#19
JOURNAL ARTICLE
Pablo Requena, Antonio de Pádua Andrade Dos Santos
In the last few years, the new catch phrase ″voluntary stopping of eating and drinking″ has made its appearance in the medical and bioethical literature. The practice, whose ″primary intention″ is to hasten the death of a person who does not want to continue living, has been proposed as an alternative to euthanasia and assisted suicide. Some authors present it as a valid option from both the ethical and legal point of view arguing that it is basically a ″natural death″ in the same line as a limitation of treatment and does not involve suicide...
September 2018: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://read.qxmd.com/read/30186039/voluntary-stopping-of-eating-and-drinking-vsed-as-an-unknown-challenge-in-a-long-term-care-institution-an-embedded-single-case-study
#20
JOURNAL ARTICLE
Nadine Saladin, Wilfried Schnepp, André Fringer
Background: Chronically ill persons experience conditions of life that can become unbearable, resulting in the wish to end their life prematurely. Relatives confronted with this wish experience ambivalence between loyalty to the person's desire to die and the fear of losing this person. Caring for a person during the premature dying process can be morally challenging for nurses. One way to end one's life prematurely is Voluntary Stopping of Eating and Drinking (VSED). Methods: This embedded single case study explored the experiences of registered nurses (embedded units of analysis: ward manager, nursing manager, nursing expert) and relatives who accompanied a 49-year-old woman suffering from multiple sclerosis during VSED in a Swiss long-term care institution (main unit of analysis)...
2018: BMC Nursing
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