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    Flaws in advance directives that request withdrawing assisted feeding in late-stage dementia may cause premature or prolonged dying
    with Nathaniel Hinerman and Karl E. Steinberg
    BMC Medical Ethics 23 (1): 1-26. 2022.
    BackgroundThe terminal illness of late-stage Alzheimer’s and related dementias is progressively cruel, burdensome, and can last years if caregivers assist oral feeding and hydrating. Options to avoid prolonged dying are limited since advanced dementia patients cannot qualify for Medical Aid in Dying. Physicians and judges can insist on clear and convincing evidence that the patient wants to die—which many advance directives cannot provide. Proxies/agents’ substituted judgment may not be concorda…Read more