Hastening Death by Voluntarily Stopping Eating and Drinking: Clinical, Legal, Ethical, Religious, and Family Perspectives

2.75 Law and Legal and 6.25 Other CLE Credits | WSBA Activity ID #1026358

Voluntarily stopping eating and drinking (VSED) is one way to assuredly hasten death. Although generally regarded as legal, VSED has not gained nearly as much public or scholarly attention as aid-in-dying, though the latter is legal in only five states. This interdisciplinary conference addressed ethical, legal, clinical, religious, personal, family, and institutional issues that arise with VSED, including contexts of hospice and dementia care. Many presentations will be published in the Seattle Journal of Social Justice, a publication of Seattle University School of Law.

The original conference was recorded on October 14-15, 2016. Due to a weather-related power outage, certain portions of the original program recording were not recoverable; additionally, the recordings for certain speakers are not available due to copyright agreements. Please see the Agenda page for recordings that are posted and available for viewing.

Overview

Recorded:  10/14/2016
Credits:  2.75 Law and Legal and 6.25 Other CLE | WSBA Activity ID #1026358
Length: 9 hours of credit-available video; additional non-credit video also posted

Featured Speakers:
Timothy Quill; Thaddeus Pope; Robert Truog

Through keynote addresses and panel discussions by clinicians, lawyers, ethicists, religious leaders, institutional administrators, and experienced family members, participants will engage a wide range of challenging medical, legal, ethical, and caregiving issues about VSED:

  • Clinical findings: comfort and distress, duration, palliative supplements
  • Who uses VSED, for what reasons, in what circumstances
  • Narrative cases and family experiences
  • Legal questions: common law standing, statutory and regulatory inhibitions, permissible involvement of caregivers
  • Ethical questions: status of VSED re ‘suicide'; comparison with physician aid-in-dying and refusal of medically delivered nutrition & hydration; assistance from proxy decision makers
  • Religious and cultural perspectives
  • Dementia care: decision capacity, role of proxies, VSED by advance directive
  • Hospice and palliative care: normative-cultural compatibility, use in non-terminal situations
  • Institutional contexts: nursing home practice, abuse regulations, pre-admission understandings

Originally accredited for 12.5 CLE Credits, pending; 12.5 AMA PRA Category 1 CreditsTM; 12.5 Social Work CEU credits approved; nursing credits applied for

Agenda

This agenda has been updated to reflect the actual participants in the program as it occurred on October 14-15, 2016.

Please check each individual agenda item for specific information on CLE credit availability.

Friday, October 14

8:45 a.m.

Welcome & Introductions

Lisa Brodoff, JD, Director, Ronald A. Peterson Law Clinic, Seattle University School of Law

9 a.m.

Keynote Addresses:

Recording Posted

.5 Law & Legal CLE credit; .75 Other CLE credit

Chair: Lisa Brodoff, JD, Director, Ronald A. Peterson Law Clinic, Seattle University School of Law

Clinical: Timothy Quill, MD, University of Rochester School of Medicine
Legal: Thaddeus Pope , JD, PhD, Mitchell Hamline School of Law
Ethical: Robert Truog, MD, Medical Ethics & Anaesthesiology, Harvard Medical School

10:30 a.m.

Break

10:45 a.m.

Clinical Findings panel (comfort/distress, duration, who uses, etc.)

Recording Posted, but no CLE credit available due to sound quality issues

Chair: Linda Ganzini, MD MPH, Geriatric Psychiatry, Oregon Health Sciences University

Judith Schwarz, RN, PhD, Clinical Coordinator, End of Life Choices NY
Eva E. Bolt, MD, Center for Palliative Care, VU Medical Center, Amsterdam
Peter Reagan, MD, Family Practice (Portland)
Joan Teno, MD, MS, Gerontology & Geriatrics, School of Medicine, University of Washington

12:10 p.m.

Overview: "A Journalist's Take: what people don't know about VSED, what the media haven't reported, and how the public might respond"

Recording NOT Posted

Chair: Erin Crisman Glass

Paula Span, NY Times, New Old Age blog, author

12:50 p.m.

Lunch (included)

2:00 p.m.

Family Perspectives

Recording of Diane Rehm NOT Posted

1.25 Other CLE credits

Chair: Paul Menzel, PhD, Professor Emeritus, Philosophy, Pacific Lutheran University

2:00 Diane Rehm (via live video feed), Diane Rehm Show (NPR, APR), author
2:20 Phyllis Shacter, Bellingham WA, TEDx talk "Not Here By Choice"
2:40 Katherine Hammond, daughter of Margot Bentley (BC Court of Appeals case)
3:00 Audience Q&A

3:30 p.m.

Break

3:45 p.m.

Religious and Ethical Perspectives

Recording Posted

1.25 Other CLE credits

Chair: Sergia Hay, PhD, Philosophy, Pacific Lutheran University

Michael Jaycox, PhD, Department of Theology & Religious Studies, Seattle University
Trudy James, MRE, multi-faith chaplain, Seattle, "Speaking of Dying" (film)
Paulette Kidder, PhD, Philosophy and Acting Dean, Matteo Ricci College, Seattle University
Anson Laytner, Rabbi (retired, Seattle) and author

5:15 p.m.

Evaluations and Adjourn

5:30 p.m.

Reception - the Reception will take place in Sullivan Hall on the 2nd Floor Gallery.

Saturday, October 15, 2016

8:00 a.m.

Coffee and gathering

8:30 a.m.

Legal and Ethical Issues

Recording Posted

1.5 Law and Legal CLE credits

Chair: Thaddeus Pope , JD, PhD, Mitchell Hamline School of Law

Norman L. Cantor, JD, Professor of Law & Justice (emeritus), Rutgers University
Margaret Battin, PhD, Professor of Philosophy, University of Utah
Carla Calogero, JD, Reed Longyear Malnati & Ahrens, PLLC, Seattle

10:00 a.m.

Break

10:15 a.m.

Dementia, Depression and Capacity Determination

Recording Posted

.5 Other CLE credits

Chair: Timothy Quill, MD, University of Rochester School of Medicine

Linda Ganzini, MD, MPH, Geriatric Psychiatry, Oregon Health Sciences University

11:00 a.m.

VSED by Advance Directive (dementia, etc.)

Recording Posted

1.0 Law and Legal CLE credits

Chair: Lisa Brodoff, JD, Director, Ronald A. Peterson Law Clinic, Seattle University School of Law

Norman L. Cantor, JD, Professor of Law & Justice (emeritus), Rutgers University School of Law
Stanley Terman, MD, PhD, Medical Director, Caring Advocates, Carlsbad CA
Paul Menzel, PhD, Professor of Philosophy (emeritus), Pacific Lutheran University

12:15 p.m.

Lunch (on your own)

1:30 p.m.

Institutional Considerations (hospice, palliative care, nursing homes)

Recording Posted

1.25 Other CLE credits

Chair: David Gruenewald, MD, Medical Dir., Palliative Care & Hospice, VA Puget Sound

Gerri Haynes, RN, BSN, hospice and palliative care leader, Seattle
Hope Wechkin, MD, Evergreen Health Hospice, Kirkland
Patricia Hunter, Washington State Long Term Care Ombudman
Amy Freeman, JD, Attorney, Washington State Long Term Care Ombudsman Program
Tresa Mariotto, CDMHT, Social Services Supervisor, Skilled Nursing Homes, State of WA; former Exec. Director, Woodway Senior Living, Bellingham

3:00 p.m.

Capstone Panel: brief observations, in light of the conference, toward a comprehensive comparative assessment of VSED

Recording Posted

.75 Other CLE credits

Chair: Sara Goering, PhD, Associate Professor of Philosophy, University of Washington

Thaddeus Pope, JD, PhD, Mitchell Hamline School of Law
Timothy Quill, MD, University of Rochester School of Medicine
Sarah Shannon, RN, PhD, Biobehavioral Nursing & Health Systems, Oregon Health Sciences University
Paula Span, NY Times, New Old Age blog, author

Audience Comments & Questions

4:00 p.m.

Adjourn

Presenters

Featured Speakers

  • Margaret Battin, PhD, University of Utah
  • Lisa Brodoff, JD, Seattle University School of Law
  • Carla Calogero, JD, Reed Longyear Malnati & Ahrens, PLLC, Seattle
  • Norman Cantor, JD, Rutgers University School of Law
  • Amy Freeman, JD, WA State Long Term Care Ombudsman Program Attorney
  • Linda Ganzini, MD, MPH, Oregon Health Sciences University
  • Gerri Haynes, RN, BSN, palliative care leader, Seattle
  • Patricia Hunter, WA State Long Term Care Ombudsman
  • Trudy James, MRE, Multi-Faith Chaplain, Seattle
  • Anson Laytner, rabbi and author, Seattle
  • Michael Jaycox, PhD, Theology & Religious Studies, Seattle University
  • Paul T. Menzel, PhD, Pacific Lutheran University
  • Thaddeus M. Pope, JD, PhD, Mitchell Hamline Law School
  • Timothy E. Quill, MD, University of Rochester School of Medicine
  • Peter L. Reagan, MD, Family Practice, Portland OR
  • Diane Rehm, Diane Rehm Show (NPR, APR), author
  • Judith Schwarz, RN, PhD, Clinical Coordinator, EOLCNY
  • Phyllis Shacter, TEDx talk "Not Here By Choice"
  • Sarah Shannon, RN, PhD, Oregon Health Sciences University
  • Paula Span, NY Times reporter, NewOldAge blog
  • Joan M. Teno, MD, MS, Palliative Care, University of Washington
  • Stanley Terman, MD, PhD, Caring Advocates (Carlsbad, CA)
  • Robert Truog, MD, Center for Bioethics, Harvard University
  • Hope Wechkin, MD, Evergreen Health Hospice (Kirkland, WA)

Pricing

General Registration - $50.00

Attorneys seeking CLE Credit - $75.00

Sponsors

Co-sponsored by
  • Seattle University School of Law
  • Seattle Journal for Social Justice
  • University of Washington Philosophy Department
  • University of Washington Bioethics & Humanities Department
  • Pacific Lutheran University, Department of Philosophy and the Heather Koller Lecture Fund
  • Harvard University Center for Bioethics
  • Mitchell-Hamline School of Law
  • End of Life Washington
  • End of Life Choices New York
  • A Sacred Moment