Flaws in advance directives that request withdrawing assisted feeding in late-stage dementia may cause premature or prolonged dying

HIGHLIGHTS

SUMMARY

(A companion article presents the problems with asking surrogates for their substituted judgment to fulfill patients` end-of-life goals.2) This article first explains why directives can be the last resort to avoid a prolonged dying in advanced dementia. If advanced dementia cannot be prevented, postponed, or adequately treated; if advanced dementia patients cannot qualify for Medical Aid in Dying; and if consistent testimony of loved ones, proxies/agents, and others can be judged not clear and convincing or is wrong by not being concordant with patients` requests-then attaining a peaceful and . . .

 



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