In my last post, I discussed some general propositions about Voluntarily Stopping Eating and Drinking (VSED). In this post, I look at some VSED issues in greater detail.
I learned that VSED doesn’t have to be a horrible way to hasten one’s death. With proper care, it can be done without pain or distress. The first two or three days are sometimes the most difficult because of hunger pangs and thirst. The hunger is easy to control if one has access to pain medication. The thirst can be ameliorated with proper oral care, such as judicious use of ice chips, rinses, and lubricating gels.
[NOTE: Because of a problem with a component of the website, I am re-publishing this post today. A new post will appear in the in-boxes of subscribers Monday. I had hoped we would get some comments or feedback about this post.]
In Part 1, I discussed the state of death with dignity (DWD) laws in the United States and suggested eliminating the “six months to live” criterion. Here in Part 2, I discuss the Canadian example, other suggestions that may ease some restrictions of death with dignity acts (DWDAs), and add an important precaution that should help protect vulnerable people and provide better medical services.
The American Psychological Association (APA) has prepared and published an “End-of-Life Care Fact Sheet,” making it available as an open source document. It tries to answer the question – What are older adults’ mental health needs near the end of life?
The document, prepared by Sharon Valente, RN, PhD, FAAN, in collaboration with the other members of the APA Ad Hoc Committee on End-of-Life Issues, addresses many issues of concern to FEN members and provides references for the information and opinions it offers.
While the APA does not take a position on assisted dying, such as the laws that allow a physician to provide a lethal prescription to a terminally ill patient, as can be done in Oregon, Washington, Vermont, California, Colorado, and the District of Columbia (and is permitted in Montana by court decision), it does recognize the many perspectives on the issue of hastened death or rational suicide that exist in the US population.
Two years ago, a book of thirty essays supporting the right to assisted death edited by Colin Brewer and Michael Irwin, was published by Skyscraper Publications, Ltd. Most of the essays make arguments familiar to Americans involved in the right-to-die movement, but often with a European (and British) take that makes them fresh. Others tell first-person stories that are as riveting as any heard in the US.