Allatt Peter, Kim Daniel D M, Hébert Philip
University of Toronto Joint Centre for Bioethics, Toronto, ON, CanadaOntario MAiD Community of Practice, 76 Plateau Cres, Toronto, ON M3C 1M8, Canada.
Joint Centre for Bioethics, Dalla Lana School of Public Health, The University of Toronto, Toronto, ON, Canada.
Palliat Care Soc Pract. 2022 Jul 25;16:26323524221112170. doi: 10.1177/26323524221112170. eCollection 2022.
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.
自2016年加拿大医疗协助死亡（MAiD）合法化以来，医疗保健专业人员（HCPs）已熟悉探讨患者加速死亡意愿（WTHD）并据此采取行动。与医疗协助死亡不同，关于自愿停止进食和饮水（VSED）的文献非常有限，且没有实践标准或法律指南来支持医疗保健专业人员。本文对有关自愿停止进食和饮水的法律和伦理文献进行了批判性审查，并提出了新的实践标准。
