I am delighted that this long-gestation 86-page baby has finally been born in the University of Indiana International & Comparative Law Review - "Deep and Continuous Palliative Sedation Without Artificial Nutrition and Hydration: An International Review."
ABSTRACT
Deep and continuous palliative sedation combined with withholding or withdrawal of artificial nutrition and hydration (“PSs̄ANH”) is a medical process regularly used in end-of-life care to alleviate suffering. But in contrast to other end-of-life options like VSED and MAID which have been the subject of significant commentary and policy attention, PSs̄ANH remains largely unexamined. This Article fills this gap by clarifying the legal status and medical practice of PSs̄ANH in twelve jurisdictions around the world.
TABLE OF CONTENTS
I. INTRODUCTION
II. CLINICAL OVERVIEW OF PALLIATIVE SEDATION
A. Deep and Continuous Palliative Sedation
B. Artificial Nutrition and Hydration
C. Three Categories of PSs̄ANH
III. METHODOLOGY OF INTERNATIONAL REVIEW
IV. INTERNATIONAL REVIEW OF LEGAL STATUS AND MEDICAL PRACTICE
A. Restrictive Jurisdictions
1. France
2. Germany
3. India
4. Ireland
B. Moderate Jurisdictions
1. Belgium
2. Canada
3. England & Wales
C. Permissive Jurisdictions
1. Australia
2. Colombia
3. Netherlands
4. Switzerland
5. United States of America
D. The European Supranational Dimension
E. Summary Table
V. THEMES FROM THE INTERNATIONAL REVIEW
VI. CONCLUSION: FRAMEWORK FOR FUTURE WORK
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