Rechazo de la alimentación y nutrición orales o una forma de acelerar la muerte sin pedir permiso: interrupción voluntaria de la alimentación y la hidratación al final de la vida
DOI:
https://doi.org/10.14422/rib.i27.y2025.009Palabras clave:
interrupción voluntaria de la alimentación y la hidratación, cuestiones éticas, final de la vida, cuidados paliativosResumen
Los pacientes en fase terminal experimentan condiciones de vida que pueden volverse insoportables, lo que puede llevar al deseo de poner fin a su vida de manera anticipada. Una forma de hacerlo es mediante la interrupción voluntaria de la alimentación y la hidratación; sin embargo, esto también puede considerarse una forma de rechazo a la comida y el agua, similar a la negativa a recibir nutrición e hidratación artificiales.
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Andrade, J. S. de, Almeida, M. M., & Pinho-Reis, C. (2017). Bioethical Principles and Nutrition in Palliative Care. Acta Portuguesa de Nutrição, (9), 12-16. https://doi.org/10.21011/apn.2017.0903
Bolt, E. E., Hagens, M., Willems, D., & Onwuteaka-Philipsen, B. (2015). Primary Care Patients Hastening Death by Voluntarily Stopping Eating and Drinking. Annals of Family Medicine, 13(5), 421-428. https://doi.org/10.1370/afm.1814
Cavanagh, M. (2014). How should a Catholic hospice respond to patients who choose to voluntarily stop eating and drinking in order to hasten death? The Linacre Quaterly, 81(3), 279-285. https://doi.org/10.1 179/2050854914Y.0000000025
Dees, M. K., Vernooij-Dassen, M. J., Dekkers, W. J., Vissers, K. C. y van Weel, C. (2011). “Unbearable suffering”: a qualitative study on the perspectives of patients who request assistance in dying. Journal of Medical Ethics, (37), 727-734. https://doi.org/10.1136/jme.2011.045492
Downie, J. (2018). An Alternative to Medical Assistance in Dying? The Legal Status of Voluntary Stopping Eating and Drinking (VSED). Canadian Journal of Bioethics, 1(2), 48-58. https://doi.org/10.7202/1058267ar
Fewing, R., Timothy, W. K., & Meisel, A. (2014). A Fading Decision. Hastings Center Report, 44(3), 14-16. https://doi.org/10.1002/hast.309
Friesen, P. (2020). Medically Assisted Dying and Suicide: How Are They Different, and Fringer, A., & Stängle, S. (2020). The Voluntary Stopping of Eating and Drinking: Dying with Dignity? Scientia, 1-5. https://doi.org/10.33548/SCIENTIA575
Ivanovic, N., Buche, D., & Fringer, A. (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), 3-8. https://doi.org/10.1186/1472-684X-13-1
Jansen, L. A., Wall, S., & Miller, F.G. (2019). Drawing the line on physician-assisted death. Journal of Medical Ethics, 45(3), 190-197. https://doi.org/10.1136/medethics-2018-105003
Jox, R. J., Black, I., Borasio, G. D., & Anneser, J. (2017). Voluntary stopping of eating and drinking: is medical support ethically justified? BMC Medicine, 15(186). https://doi.org/10.1186/s12916-017-0950-1
Kremeike, K., Bostrom, K., Preiser, C., Dojan, T., & Voltz, R. (2022). Desire to Die: How Does the Patients Chorus Sound? OMEGA - Journal of Death and Dying, 1-18. https://doi.org/10.1177/00302228221103393
Lachman, V. D. (2015). Voluntary Stopping of Eating and Drinking: An Ethical Alternative to Physician-Assisted Suicide. MEDSURG Nursing, 24(1),56-59.
Lowers, J., Hughes, S., & Preston, N. P. (2020). Overview of voluntarily stopping eating and drinking to hasten death. Annals of Palliative Medicine, 10(3). https://doi.org/10.21037/apm-19-525
McGee, A., & Miller, F. G. (2017). Advice and care for patients who die by voluntarily stopping eating and drinking is not assisted suicide. BMC Medicine, 15(1), 222. https://doi.org/10.1186/s12916-017-0994-2
Menzel, P. T. (2017). Voluntarily Stopping Eating and Drinking: A Normative Comparison with Refusing Lifesaving Treatment and Advance Directives. Journal of Law, Medicine and Ethics, 45, 634-646. https://doi.org/10.1177/1073110517750602
Menzel, P. T., & Quill, T.E. (2023). Clinical guidelines for voluntarily stopping eating and drinking (VSED). Journal of Pain and Symptom Management, 66(5), e625-e631. https://doi.org/10.1016/j.jpainsymman.2023.06.016
Ohnsorge, K., Rehmann-Sutter, C., Streeck, N., & Gudat, H. (2019). Wishes to die at the end of life and subjective experience of four different typical dying trajectories. A qualitative interview study. PLoS ONE, 14(1), e0210784. https://doi.org/10.1371/journal.pone.0210784
Oliveira, M. L. de, & Pinho-Reis, C. (2021). Morrer Sem Comer e Beber: Um Olhar sobre a Cessação Voluntária de Alimentação e Hidratação no Fim de Vida. Acta Portuguesa de Nutrição, (25), 48-53. https://doi.org/10.21011/apn.2020.2509
Pestinger, M., Stiel, S., Elsner F., Widdershoven, G., Voltz, R., Friedmann, N., & Radbruch, L. (2015). The desire to hasten death: Using Grounded Theory for a better understanding “When perception of time tends to be slippery slope”. Palliative Medicine, 29(8), 711-719. https://doi.org/10.1177/0269216315577748
Pinho-Reis, C. (2012). Suporte Nutricional em Cuidados Paliativos. Revista Nutrícias, 15, 27-30.
Pinho-Reis, C., & Coelho, P. (2014). Significado da Alimentação em Cuidados Paliativos. Revista Cuidados Paliativos, 1(2), 14-22.
Pinho-Reis, C., Pinho, F., Reis, A.M. (2022). Food and Nutrition as part of the Total Pain Concept in Palliative Care. Acta Portuguesa de Nutrição, (28), 52-58. https://doi.org/10.21011/apn.2022.2810
Pinho-Reis, C., Sarmento, A., & Capelas, M. L. (2018). Nutrition and Hydration in the End-of-life Care: Ethical Issues. Acta Portuguesa de Nutrição, (15), 36-40. https://doi.org/10.21011/apn.2017.1507
Pope, T. M. (2011). Voluntarily Stopping of Eating and Drinking: A Legal Treatment Option at the End of Life. Widener Law Review, 17(363), 363-427.
Pope, T. M., & West, A. (2014). Legal briefing: Voluntarily stopping eating and drinking. The Journal of Clinical Ethics, 25(1), 68-80. https://doi.org/10.1086/JCE201425110
Quill, T. E., Ganzini, L., Truog, R. D., & Pope, T. M. (2018). Voluntarily Stopping Eating and Drinking Among Patients with Serious Advanced Illness - Clinical, Ethical, and Legal Aspects. JAMA Internal Medicine, 178(1), 123-127. https://doi.org/10.1001/jamainternmed.2017.6307
Quill, T. E., Lo, B., & Brock, D. W. (1997). Palliative Options of Last Resort: A Comparison of Voluntarily Stopping Eating and Drinking, Terminal Sedation, Physician-Assisted Suicide, and Voluntary Active Euthanasia. Journal of the American Medical Association, 278(23), 2099-2104. https://doi.org/10.1001/jama.1997.03550230075041
Saladin, N., Schnepp, W., & Fringer, A. (2018). Voluntary stopping of eating and drinking (VSED) as an unknown challenge in a long-term care institution: an embedded single case study. BMC Nursing, 17, 39. https://doi.org/10.1186/s12912-018-0309-8
Schwartz, J. (2007). Exploring the Option of Voluntarily Stopping Eating and Drinking within the Context of a Suffering Patient’s Request for a Hastened Death. Journal of Palliative Medicine, 10(6), 1288-1297. https://doi.org/10.1089/jpm.2007.0027
Stängle, S., & Fringer, A. (2022). Discussion or silent accompaniment: a grounded theory study about voluntary stopping of eating and drinking in Switzerland. BMC Palliative Care, 21, 85. https://doi.org/10.1186/s12904-022-00941-4
Stängle, S., Schnepp, W., & Fringer, A. (2019). The need to distinguish between different forms of oral nutrition refusal and different forms of voluntary stopping of eating and drinking. Palliative Care and Social Practice, 13, 1-7. https://doi.org/10.1177/1178224219875738
Stängle, S., Schnepp, W., Buche, D., & Fringer, A. (2020). Voluntary Stopping of Eating and Drinking in Swiss Outpatient Care. GeroPsych, 34(2), 1-9. https://doi.org/10.1024/1662-9647/a000249
Stängle, S., Schnepp, W., Mezger, M., Buche, D., & Fringer, A. (2018). Voluntary Stopping of Eating and Drinking in Switzerland From Different Points of View: Protocol for a Mixed-Methods Study. JMIR Research Protocols, 7(12), e10358. https://doi.org/10.2196/10358
Stinson, C. K., Godkin, J., & Robinson, R. (2014). Ethical Dilemma Voluntarily Stopping Eating and Drinking. Dimensions of Critical Care Nursing, 23(1), 38-43. https://doi.org/10.1097/00003465-200401000-00010
Wax, J. W., Amy, W., Kosier, N., & Quill, T. E. (2018). Voluntary Stopping Eating and Drinking. Journal of the American Geriatric Society, 66(3), 441-445. https://doi.org/10.1111/jgs.15200

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Derechos de autor 2025 Cíntia Pinho-Reis , Manuel Luís Capelas

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