The following statement was adopted by the Board of Directors
of Compassion & Choices of Minnesota in October 2006.
Other chapters of C&C (and other organizations)
are welcome to adapt this statement
by changing the name of the chapter, organization, state, etc.
COMPASSION AND CHOICES OF MINNESOTA
POSITION STATEMENT ON
END-OF-LIFE NUTRITION AND HYDRATION DECISIONS
 
    Especially when nutrition and hydration are being provided through tubes,
these means of life-support should be regarded as medical care.
And all health-care decisions should be made in the best interests of the patient.
Whether to begin, continue, or discontinue tube-feeding are decisions
that should be made first by the patient himself or herself.
And when the patient can no longer make medical decisions,
health-care choices should be made by proxies for the patient.
Health-care proxies should be selected by the patient.
And when that is no longer possible, the doctor should consult the family,
as has been done ever since the dawn of medical practice.

     The laws of the United States or of any state
should not interfere with medical decisions at the bedside.
The law should not attempt to establish a default medical choice,
which would be followed unless there were approved means of making a different decision.

     At present, we have a wide range of moral choices.
Legislators should resist the temptation to put their own moral choices into law.
All legislators should apply their own moral choices to themselves and their loved ones.
And allow all other Minnesotans to do the same.

     Providing nutrition and hydration (food and water) is a highly-charged issue
because such means of life-support are more closely associated with love and care
than providing air, for example, even tho air is more immediately necessary to survival.

     Compassion & Choices of Minnesota encourages all Minnesotans
to write their own advance directives for medical care.
And these should include specific instructions
about providing food and water by means of tubes.
Under what conditions would you want to be maintained
by artificial nutrition and hydration?
Under what conditions would you want such means of life-support disconnected?

     Your advance directive should also appoint a proxy or set of proxies
to make medical decisions for you
if and when you are no longer able to make wise medical decisions
or to communicate your wishes.

     And neither the US Congress nor the Minnesota State Legislature
should attempt to influence medical decisions made by patients and/or their proxies.


Return to the Nutrition and Hydration section
of the Compassion & Choices of Minnesota website.



The views and opinions expressed in this page are strictly those of the page author.
The contents of this page have not been reviewed or approved by the University of Minnesota.