Produktbild: Voluntarily Stopping Eating and Drinking

Voluntarily Stopping Eating and Drinking A Compassionate, Widely-Available Option for Hastening Death

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Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

10.08.2021

Herausgeber

Quill Timothy E. + weitere

Verlag

Oxford Academic

Seitenzahl

308

Maße (L/B/H)

24,3/16,7/2,5 cm

Gewicht

594 g

Sprache

Englisch

ISBN

978-0-19-008073-0

Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

10.08.2021

Herausgeber

Verlag

Oxford Academic

Seitenzahl

308

Maße (L/B/H)

24,3/16,7/2,5 cm

Gewicht

594 g

Sprache

Englisch

ISBN

978-0-19-008073-0

Herstelleradresse

Libri GmbH
Europaallee 1
36244 Bad Hersfeld
DE

Email: gpsr@libri.de

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  • Produktbild: Voluntarily Stopping Eating and Drinking
    • Foreword

    • Preface

    • Acknowledgments

    • Contributors

    • Introduction

    • Part I. Voluntarily Stopping Eating and Drinking (VSED) by People with Decision-Making Capacity

    • 1. Illustrative Cases

    • 1.1 Al (Amyotrophic Lateral Sclerosis): Looking for Options to Hasten Death

    • 1.2 Bill (Breast Cancer): Preference for Medical Aid in Dying

    • 1.3 Mrs. H. (Early Alzheimer's Disease): How Best to Time VSED

    • 1.4 G.W. (Lung Cancer): Family and Staff Conflict

    • 2. Clinical Issues

    • 2.1 Background Issues-Palliative Care and Hospice

    • 2.2. Background Issues-Unacceptable Suffering and Deterioration

    • 2.3 Evaluation of Requests for VSED

    • 2.4 VSED-Key Practical Matters to Consider in Advance

    • 2.5 Requirements to Initiate VSED for Patients with Decision-Making Capacity

    • 2.6 Formal Advance Care Planning

    • 2.7 Managing Symptoms and Complications Once VSED Is Initiated

    • 2.8 Impact of Culture on VSED

    • 2.9 Advantages of VSED as an Option to Achieve a Desired Death

    • 2.10 Disadvantages and Challenges of VSED as an Option to Achieve a Desired Death

    • 2.11 Revisiting the Initial Cases

    • 3. Ethical Issues

    • 3.1 Introduction

    • 3.2 Refusing Lifesaving Treatment

    • 3.3 Suicide

    • 3.4 A Different Comparison: Medical Aid in Dying

    • 3.5 Information, Encouragement, Persuasion

    • 3.6 Conclusions

    • 3.7 Ethical Issues Review of Initial Cases

    • 4. Legal Issues

    • 4.1 Introduction

    • 4.2 VSED Is Widely Perceived to Be Legal

    • 4.3 A Patient's Right to VSED Is Settled Law

    • 4.4 Right to Refuse Includes the Right to VSED

    • 4.5 Assisted Suicide Laws Generally Do Not Apply

    • 4.6 Abuse and Neglect Laws Generally Do Not Apply

    • 4.7 Other Issues for Patients and Families-Life Insurance

    • 4.8 Other Issues for Clinicians-Informed Consent

    • 4.9 Other Issues for Clinicians-Conscience- Based Objections

    • 4.1 Revisiting the Initial Cases

    • 5. Institutional Issues

    • 5.1 Introduction

    • 5.2 Published Data on Patient Experience of VSED in Institutional Settings

    • 5.3 Institutional Barriers to VSED

    • 5.4 Variations in State Laws around Resident Rights

    • 5.5 Role of Hospice in Buffering Conflicts Between Interests of Resident and LTC Facility

    • 5.6 Approach to Care of Persons Requesting VSED in Institutional Settings

    • 5.7 Specific Care Issues for Residents Who VSED in Institutional Settings

    • 5.8 Moral Distress and Conscience-Based Objections

    • 5.9 Conclusion-Institutional Care Issues

    • 5.10 Case Comments from an Institutional Perspective

    • 6. Best Practices, Enduring Challenges, and Opportunities for VSED

    • 6.1 Best Practices

    • 6.2 Enduring Challenges

    • 6.3 Opportunities

    • Part II. Stopping Eating and Drinking by Advance Directive (SED by AD) for Persons Without Decision-Making Capacity

    • 7. Illustrative Cases

    • 7.1 Mrs. H. (Early Alzheimer's): Speculation about the Challenge of Waiting

    • 7.2 Steve (Early Dementia): Patient and Family Challenges

    • 7.3 Patricia (Moderate Dementia): Hastening Death by SED versus Preemptive Suicide

    • 7.4 Charles (Severe Dementia): No Assistance with Oral Feeding

    • 8. Clinical Issues

    • 8.1. General Approach When Capacity Is Lost

    • 8.2. Background Issues

    • 8.3. Advance Care Planning

    • 8.4. Practical Aspects of Stopping Eating and Drinking by Advance Directive (SED by AD) and Comfort Feeding Only (CFO)

    • 8.5. Limits of Palliation with Comfort Feeding Only (CFO)

    • 8.6. Advantages of SED by AD

    • 8.7. Disadvantages of SED by AD

    • 8.8. Return to the Cases

    • 9. Ethical Issues

    • 9.1 Introduction

    • 9.2 Change of Mind

    • 9.3 Is Feeding Fundamentally Different?

    • 9.4 Burdens of Survival on Family and Family Caregivers

    • 9.5 Caregiver and Proxy Distress

    • 9.6 The Odds of Implementation and the Attraction of Preemptive Measures

    • 9.7 Comparison with Comfort Feeding Only

    • 9.8 Conclusions

    • 9.9 Ethical Issues Review of Initial Cases

    • 10. Legal Issues

    • 10.1 Introduction

    • 10.2 There Is Little On-Point Precedent

    • 10.3 Draft the Advance Directive Carefully

    • 10.4 Non-Statutory Advance Directives Potentially Allow SED by AD

    • 10.5 Some Advance Directive Statutes Permit SED by AD

    • 10.6 Many Advance Directive Statutes Require Triggering Conditions

    • 10.7 Circumventing Home State Law with Reciprocity Rules

    • 10.8 Inadvertent Revocations and Vetoes

    • 10.9 Ulysses Clauses May Solve the Incapacitated Revocation Problem

    • 10.10 Appointed Health Care Agents

    • 10.11 Default Surrogates and Guardians

    • 10.12 Conscience Based Objection

    • 10.13 Conclusion

    • 10.14 Return to the Cases

    • 11. Institutional Issues

    • 11.1. Introduction

    • 11.2. "Dementia Worry" Is Common in Older Adults

    • 11.3. Challenges of SED by AD in Advanced Dementia Are Most Apt to Manifest in Institutional LTC Settings

    • 11.4. Resistance to Implementation of Dementia Directives Limiting Oral Nutrition and Hydration in LTC Settings

    • 11.5. Ethical Rationale for Dementia Directives Limiting Oral Nutrition and Hydration in LTC Settings

    • 11.6. Conclusion-ADs for SED in Institutional LTC Settings

    • 11.7. Case Comments from an Institutional Perspective

    • 12. Best Practices, Enduring Challenges, and Opportunities for SED by AD

    • 12.1 Best Practices

    • 12.2 Enduring Challenges

    • 12.3 Opportunities

    • Appendices

    • A. Recommended Elements of an Advance Directive for Stopping Eating and Drinking (AD for SED)

    • B. Sample Advance Directives for SED

    • C. Cause of Death on Death Certificates with VSED or SED by AD

    • D. Position Statements and Clinical Guidance

    • E. Personal Narratives

    • F. Glossary

    • Index