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How should a Catholic hospice respond to patients who choose to voluntarily stop eating and drinking in order to hasten death?天主教临终关怀机构应如何应对那些为加速死亡而选择自愿停止进食和饮水的患者?
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Clinical Guidelines for Voluntarily Stopping Eating and Drinking (VSED).自愿停止进食和饮水(VSED)临床指南。
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Development of a Questionnaire to Determine Incidence and Attitudes to "Voluntary Stopping of Eating and Drinking".一份用于确定“自愿停止进食和饮水”发生率及态度的调查问卷的编制
SAGE Open Nurs. 2019 Jan 8;5:2377960818812356. doi: 10.1177/2377960818812356. eCollection 2019 Jan-Dec.

本文引用的文献

1
Voluntary stopping of eating and drinking at the end of life - a 'systematic search and review' giving insight into an option of hastening death in capacitated adults at the end of life.在生命末期自愿停止进食和饮水 - 一种“系统搜索和综述”,深入了解有能力的成年人在生命末期加速死亡的一种选择。
BMC Palliat Care. 2014 Jan 8;13(1):1. doi: 10.1186/1472-684X-13-1.
2
Distress from voluntary refusal of food and fluids to hasten death: what is the role of continuous deep sedation?自愿拒绝食物和液体以加速死亡带来的痛苦:持续深度镇静的作用是什么?
J Med Ethics. 2012 Aug;38(8):510-2. doi: 10.1136/medethics-2011-100278. Epub 2011 Oct 29.
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Strange deathbedfellows.奇怪的临终伙伴。
Hastings Cent Rep. 2010 Sep-Oct;40(5):3. doi: 10.1353/hcr.2010.0003.
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Stopping eating and drinking.停止进食和饮水。
Am J Nurs. 2009 Sep;109(9):52-61; quiz 62. doi: 10.1097/01.NAJ.0000360314.69620.43.
5
On hastening death without violating legal and moral prohibitions.论在不违反法律和道德禁令的情况下加速死亡。
Spec Law Dig Health Care Law. 2007 Jun(338):9-31.
6
No safe harbor: the principle of complicity and the practice of voluntary stopping of eating and drinking.没有避风港:共谋原则与自愿停止进食和饮水的做法。
J Med Philos. 2004 Feb;29(1):61-74. doi: 10.1076/jmep.29.1.61.30413.
7
Sedation, alimentation, hydration, and equivocation: careful conversation about care at the end of life.镇静、营养、补液与含糊其辞:关于临终关怀的审慎对话
Ann Intern Med. 2002 Jun 4;136(11):845-9. doi: 10.7326/0003-4819-136-11-200206040-00014.
8
Responding to intractable terminal suffering: the role of terminal sedation and voluntary refusal of food and fluids. ACP-ASIM End-of-Life Care Consensus Panel. American College of Physicians-American Society of Internal Medicine.应对顽固性终末期痛苦:临终镇静及自愿拒绝食物和液体的作用。美国内科医师学会-美国内科医学学会临终关怀共识小组。美国内科医师学会-美国内科医学学会
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天主教临终关怀机构应如何应对那些为加速死亡而选择自愿停止进食和饮水的患者?

How should a Catholic hospice respond to patients who choose to voluntarily stop eating and drinking in order to hasten death?

作者信息

Cavanagh Maureen

机构信息

St. Peter's Health Partners, Albany, NY, USA.

出版信息

Linacre Q. 2014 Aug;81(3):279-85. doi: 10.1179/2050854914Y.0000000025.

DOI:10.1179/2050854914Y.0000000025
PMID:25249707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4135455/
Abstract

The practice of voluntarily stopping eating and drinking (VSED) in order to hasten death poses a unique problem for the Catholic hospice. Hospice staff may be confronted with patients already on their service who decide to pursue this option for ending their lives. Patients not on hospice service who are contemplating VSED are often advised to contact hospice for symptom palliation associated with the process of VSED. Intentionally hastening death not only violates the sanctity of human life and the Ethical and Religious Directives the Catholic hospice is bound to uphold, but it also runs counter to the general philosophy that hospice neither hastens nor postpones death. At the same time, hospice programs have a strong philosophy of nonabandonment of patients. This article will analyze the ethical issues from the perspective of the Catholic tradition and suggest strategies for the Catholic hospice to respond to this group of patients.

摘要

为加速死亡而自愿停止进食和饮水(VSED)的行为给天主教临终关怀机构带来了一个独特的问题。临终关怀机构的工作人员可能会面对已在其服务范围内、决定选择这种方式结束生命的患者。考虑进行VSED的非临终关怀机构服务对象的患者,通常会被建议联系临终关怀机构,以缓解与VSED过程相关的症状。故意加速死亡不仅违反了人类生命的神圣性以及天主教临终关怀机构必须秉持的伦理和宗教教义,也与临终关怀机构既不加速也不推迟死亡的总体理念背道而驰。与此同时,临终关怀项目有着强烈的不抛弃患者的理念。本文将从天主教传统的角度分析伦理问题,并为天主教临终关怀机构应对这类患者提出策略。