--- Steve Sloan II <[EMAIL PROTECTED]> wrote:
> Deborah Harrell wrote:
> 
> > True.  Frex, would I advocate killing (lethal
> injection,
> > say) a comatose stroke victim who best medical
> judgement
> > and experience calls "essentially terminal?" No.
> Would I
> > advise withholding nutrition and drugs, except
> what seemed
> > needful for comfort? Yes. If on a ventilator, is
> stopping
> > mechanical breathing ethical from a medical POV? 
> Yes.
> 
> Is starving that patient any more ethical than
> administering
> a comparatively quick and painless lethal injection?
> I
> honestly don't know, but the idea of slowly starving
> that
> patient -- even with drugs to prevent him from
> feeling the
> pain of starvation -- makes me feel pretty
> squeamish.

One of the aspects of many (if not most) truly
terminal conditions is the near-total lack of
appetite, in what I think is one way that a person's
body 'accepts the inevitable' (sort of like what
happens to many prey animals, from what I've heard: as
the lion clamps on its windpipe, a rush of endorphins
floods the herbivore's brain, and it ceases to
struggle, making the end a little faster).

I would never withhold food or water from someone who
seems (even if they are unable to communicate
directly) hungry or thirsty; that is why even
presumedly comatose terminal patients are given care
to improve comfort, such as swabbing the mouth with a
glycerin mixture (to alleviate dryness), putting a
soothing lubricant in eyes which cannot close, or
using a warming-blanket if they shiver.

Debbi
~375 Posts To Go Maru

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