The Role of the Physician in Caring for Patients Pursuing <scp>VSED</scp> : Challenging the Conventional Approach

The conventional approach to caring for patients pursuing voluntarily stopping of eating and drinking (VSED) allows physicians to disagree with the patient's decisions to pursue VSED, but it assumes clinicians should accept the patient's choice and provide all aspects of supportive care after the patient has autonomously elected to pursue VSED. We argue this conventional approach problematically ignores the problem of complicity with what some physicians take to be an unethical action. We propose an alternative approach that makes space for clinicians opposed to VSED to advise against this course of action, and to provide palliative medicine while resisting interventions that facilitate VSED.

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Publication Details

Journal
Journal of the American Geriatrics Society
Published
2025-11-05
DOI
https://doi.org/10.1111/jgs.70195
Primary Topic
Palliative Care and End-of-Life Issues
Type
article
Field-Weighted Citation Impact
0.00

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article

The Role of the Physician in Caring for Patients Pursuing VSED : Challenging the Conventional Approach

Farr A. Curlin, Daniel P. Sulmasy, Benjamin Wade Frush
Journal of the American Geriatrics Society
Palliative Care and End-of-Life Issues
article

The Role of the Physician in Caring for Patients Pursuing VSED : Challenging the Conventional Approach

Farr A. Curlin, Daniel P. Sulmasy, Benjamin Wade Frush
article en

Abstract

The conventional approach to caring for patients pursuing voluntarily stopping of eating and drinking (VSED) allows physicians to disagree with the patient's decisions to pursue VSED, but it assumes clinicians should accept the patient's choice and provide all aspects of supportive care after the patient has autonomously elected to pursue VSED. We argue this conventional approach problematically ignores the problem of complicity with what some physicians take to be an unethical action. We propose an alternative approach that makes space for clinicians opposed to VSED to advise against this course of action, and to provide palliative medicine while resisting interventions that facilitate VSED.

Journal of the American Geriatrics SocietyVol. 73(12)
Duke University (US), Georgetown University (US), Georgetown University Medical Center (US)
Georgetown University, McDonald Agape Foundation
Openalex Percentile: Top 57%
Palliative Care and End-of-Life Issues
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The Role of the Physician in Caring for Patients Pursuing <scp>VSED</scp> : Challenging the Conventional Approach — Farr A. Curlin, Daniel P. Sulmasy, et al. · Journal of the American Geriatrics Society (2025) | TGRS Research Map | TGRS