Advance directives, dementia, and withholding food and water by mouth

Hastings Cent Rep. May-Jun 2014;44(3):23-37. doi: 10.1002/hast.313.

Abstract

People with dementia who are no longer competent have limited control over how their lives end. But an advance directive to withhold food and water by mouth could be used to ensure that one does not live for years in severe dementia. Such directives are arguably already legal.

MeSH terms

  • Advance Directive Adherence / ethics*
  • Advance Directive Adherence / legislation & jurisprudence*
  • Advance Directives* / ethics
  • Advance Directives* / legislation & jurisprudence
  • Advance Directives* / trends
  • Alzheimer Disease / diagnosis
  • Chronic Disease
  • Dementia / diagnosis*
  • Dementia / psychology
  • Disease Progression
  • Drinking
  • Eating*
  • Euthanasia, Passive / ethics
  • Euthanasia, Passive / legislation & jurisprudence*
  • Homes for the Aged / ethics
  • Homes for the Aged / legislation & jurisprudence
  • Humans
  • Medicaid
  • Medicare
  • Mental Competency*
  • Nursing Homes / ethics
  • Nursing Homes / legislation & jurisprudence
  • Personal Autonomy*
  • Right to Die* / ethics
  • Right to Die* / legislation & jurisprudence
  • Severity of Illness Index
  • United States
  • Withholding Treatment / ethics*
  • Withholding Treatment / legislation & jurisprudence