How Should a Catholic Hospice Respond to Patients who Choose to Voluntarily Stop Eating and Drinking in Order to Hasten Death?

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.

Keywords

Suicide VSED Hospice Ethics Catholic Nutrition and hydration

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References

Cantor

2006. On hastening death without violating legal and moral prohibitions. Loyola University Chicago Law Journal 37: 101–25.

Centers for Disease Control. 2013. Definitions of self directed violence. http://www.cdc.gov/violenceprevention/suicide/definitions.html (06/16/14).

Compassion and Choices. 2011. Peace at life's end anywhere. https://www.compassionandchoices.org/2011/08/17/peace-at-lifes-end-anywhere/ (10/2011).

Congregation for the Doctrine of the Faith. 1980. Declaration on euthanasia. http://www.vatican.va/roman_curia/congregations/cfaith/doc_dottrinali_index.htm (06/17/14).

Crowley

2011. Life interrupts an attempt to die at home. Albany Times Union September 25.

Ganzini

2010. Strange Deathbedfellows. Hastings Center Report 40(5): 3.

Gross

2012. When prolonging death seems worse than death. http://www.npr.org/templates/transcript/transcript.php?storyId=162570013 (02/12/14).

Ivanovic

, Busche

, and Fringer

2014. 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. BMC Palliative Care 13(1): 13.

Jansen

2004. No safe harbor: The principle of complicity and the practice of voluntary stopping eating and drinking. Journal of Medicine and Philosophy 29(1): 61–74.

10.

Jansen

, and Sulmasy

2002. Sedimentation, alimentation, hydration and equivocation: Careful conversations about care at the end of life. Annals of Internal Medicine 845–9.

11.

Merriam Webster. n.d. Suicide. http://www.merriam-webster.com/dictionary/suicide (06/16/2014).

12.

National Hospice and Palliative Care Organization. 2010. National Hospice and Palliative Care Organization preamble and philosophy. http://www.nhpco.org/ethical-and-position-statements/preamble-and-philosophy#2 (06/17/2014).

13.

New York State Penal Code. 2014. Sec. 120.30, 125.15. Promoting a suicide attempt and manslaughter in the second degree.

14.

Pitre

2009. Palliative sedation at the end of life: Uses and abuses. Linacre Quarterly 76: 390–407.

15.

Quill

, and Byock

2000. Responding to intractable terminal suffering: The role of terminal sedation and voluntary refusal of food and fluids. Annals of Internal Medicine 132: 408–14.

16.

Rady

, and Verheijde

2012. Distress from voluntary refusal of food and fluids to hasten death: What is the role of continuous deep sedation. Journal of Medical Ethics 38: 510–2.

17.

Schwarz

2007. Voluntarily stopping eating and drinking—a peaceful way to die. Connections: The Newsletter of Compassion and Choices of New York 4.

18.

Schwarz

2009. Stopping eating and drinking. American Journal of Nursing 109(9): 52–61.

19.

Schwarz

2010. A discussion about voluntarily stopping eating and drinking. Connections: The Newsletter of Compassion and Choices of New York 3.

20.

United States Conference of Catholic Bishops. 2009. Ethical and religious directives for Catholic healthcare facilities. Washington, DC: United States Conference of Catholic Bishops.