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Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
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Voluntary Stopping Eating and Drinking.

John W Wax1, Amy W An1, Nicole Kosier1

  • 1Palliative Care Division, Department of Medicine, University of Rochester Medical Center, Rochester, New York.

Journal of the American Geriatrics Society
|March 14, 2018
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Summary
This summary is machine-generated.

Voluntary stopping of eating and drinking (VSED) is a deliberate choice to hasten death when suffering is intolerable. Experienced clinical guidance is crucial for managing VSED

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Area of Science:

  • Medical Ethics
  • Palliative Care
  • End-of-Life Studies

Background:

  • Voluntary stopping of eating and drinking (VSED) is a self-initiated method to hasten death.
  • Individuals considering VSED often have significant illness burden and value independence.
  • VSED presents unique ethical and legal considerations compared to other end-of-life options.

Purpose of the Study:

  • To propose a structured system for VSED evaluation and management.
  • To provide guidance on assessing patient appropriateness for VSED.
  • To outline symptom management strategies during VSED.

Main Methods:

  • Literature review on VSED.
  • Analysis of ethical and legal aspects of VSED.
  • Development of a proposed clinical management framework.

Main Results:

  • VSED is an intense process with potential somatic and emotional suffering.
  • Common symptoms include thirst, hunger, dysuria, disability, delirium, and somnolence.
  • Clinical supervision is recommended for assessment, guidance, and symptom management.

Conclusions:

  • VSED requires careful screening for psychiatric conditions, symptoms, and coercion.
  • An organized approach to VSED evaluation and symptom management is proposed.
  • Experienced clinical support is vital for individuals undergoing VSED and their caregivers.