In the nine states/jurisdictions in which medical assistance in dying (MAID) is allowed through legislation or referendum, the insistence on extensive safeguards has served less to protect vulnerable individuals than to limit access to MAID.
Most dementia directives call for voluntarily stopping eating and drinking (VSED) at a prescribed point late in the progression of dementia. In most cases, this requires eliminating hand feeding based on the proposition that hand feeding is a medical treatment or medical care.
This post, Part 3 of a series on dementias directives, discusses the supplemental advance directive for dementia offered by Final Exit Network (FEN) for those people who do NOT want to live into the later stages of dementia. The FEN dementia directive was drafted by FEN's legal counsel, Robert Rivas.
Part 1 of this multi-part analysis identifies eight Dementia Directives by authorship and discusses overall characteristics of each. This second part analyses the approaches to drafting such directives to help readers think about the elements of each.
This post begins a multi-part series about dementia directives, analyzing their provisions and their purposes.
Whether intentionally or inadvertently, a recent article in the Washington Post, written by a reporter with Kaiser Health News, provides confusing, incomplete, misleading, and perhaps inaccurate information about the choices a person with dementia may have. It dismisses legal issues by citing opinions from non-legal professionals.
On this blog, we have dealt often with aspects of advance directives. To prepare for using a dementia directive, readers may benefit from a discussion of the development of advance directives and problems with their language. References to several dementia directives or supplements are provided.
A FEN Coordinator discusses how FEN works and explains who FEN can and cannot help.
Prof. Thaddeus Mason Pope explains the newly-effective Nevada advance directive that allows dementia patients to voluntarily stop eating and drinking (VSED) after loss of cognitive capacity, and suggests how it may be used in some other states.
In its new "Dementia Values & Priorities Tool," Compassion and Choices (C&C) helps people clarify their wishes if they acquire dementia. They offer a satisfactory, though limited, list of dementia-related symptoms (discussed in Part 1). In Part 2, I have identified a few other (or slightly different) symptoms that are important to me in the event that I lose the ability to hasten my own death because of dementia or some unexpected reason, such as a stroke or other event that renders me incapable of carrying out a hastened death. Part 2 concludes an analysis of C&C's approach to dementia.
