Voluntary stopping of eating and drinking in the age of medical assistance in dying: ethical considerations for physicians

Author:

Allatt Peter1,Kim Daniel D.M.2ORCID,Hébert Philip3ORCID

Affiliation:

1. University of Toronto Joint Centre for Bioethics, Toronto, ON, CanadaOntario MAiD Community of Practice, 76 Plateau Cres, Toronto, ON M3C 1M8, Canada

2. Joint Centre for Bioethics, Dalla Lana School of Public Health, The University of Toronto, Toronto, ON, Canada

3. Department of Family and Community Medicine, The University of Toronto, Toronto, ON, Canada

Abstract

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.

Publisher

SAGE Publications

Subject

Advanced and Specialized Nursing

Reference41 articles.

1. Patient Refusal of Hydration and Nutrition

2. Legal Briefing: Voluntarily Stopping Eating and Drinking

3. Responding to Intractable Terminal Suffering: The Role of Terminal Sedation and Voluntary Refusal of Food and Fluids

4. Bill C-7 amends sections of the Criminal Code of Canada. Statutes of Canada 2021, C-7, An Act to amend the Criminal Code (medical assistance in dying) March 17, 2021. https://parl.ca/DocumentViewer/en/43-2/bill/C-7/royal-assent

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