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Friday, March 23 • 3:30pm - 5:00pm
FR26 | Stopping Eating and Drinking by Advance Directives: Choose Your Injustice

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This session will discuss the ethical dilemmas involved in an advance directive that asks the provider to withhold food and fluid in patients with dementia. The presentation will focus on the dilemma of autonomy and the injustice inherent in a decision to implement or to refuse to implement the advance directive. A panel discussion by members of the Society Ethics Committee will follow.

Learning Objectives:
(1) Discuss the concepts of Voluntarily Stopping Eating and Drinking (VSED) and Stopping Eating and Drinking by Advance Directives (SED by AD).
(2) Describe the various ethical issues involved in implementing SED on a patient with advanced dementia.
(3) Explain the difference between critical and experiential interests and how they contribute towards ethical decision making.
(4) Appreciate the practical difficulties in implementing SED in the nursing home or assisted living setting.

avatar for M. Rosina Finley, MD, BSN, CMD

M. Rosina Finley, MD, BSN, CMD

Margaret Finley, MD, CMD, is a Clinical Professor of Medicine with UTHSCSA in the Dept. of F&CM. She is the PA/LTC, Community Hospice & Palliative Care, and Home Health Care Medical Director. She serves on the AMDA: PA/LTC Ethics Committee, the UTHSCSA/UHS Bioethics Committee, and... Read More →
avatar for Timothy Holahan, DO, CMD

Timothy Holahan, DO, CMD

Timothy Holahan, DO, CMD, is a board certified geriatrician/palliative care physician and Certified Medical Director with the University of Rochester Medical Center. Dr. Holahan has diverse patient care duties including inpatient and SNF patient care responsibilities. He serves as... Read More →
avatar for Peter Jaggard, MD, CMD

Peter Jaggard, MD, CMD

Peter Jaggard MD, CMD, is Medical Director at Presbyterian Homes in Evanston, Illinois. He is Board-certified in Internal Medicine and Geriatrics. Dr. Jaggard has worked in Post-Acute and Long Term Care for 34 years. He currently chairs the AMDA-PA/LTC Ethics Subcommittee.
avatar for Fatima Naqvi, MD, CMD

Fatima Naqvi, MD, CMD

Fatima Naqvi, MD, CMD, is a Geriatrician and Certified Medical Director with a passion for Palliative Care and quality improvement projects. Dr. Naqvi is a Maryland MOLST (Life Sustaining Treatment Form) Master Trainer, teaches GW CRNP students, and works in CCRC, LTC, ALF, Independent... Read More →
avatar for James Wright, MD, PhD, CMD

James Wright, MD, PhD, CMD

James Wright, MD, PhD, CMD, is a member of AMDA Ethics committee. He holds a Masters of Arts in Theological Studies from Union Presbyterian Seminary and a Certificate in Bioethics from Loyola University, Chicago. Dr. Wright is currently writing a book addressing the theological... Read More →

Friday March 23, 2018 3:30pm - 5:00pm EDT
San Antonio 4-6
  Medical Direction