title: [Demand for the stopping of chronic hemodialysis. Apropos of 1 case].
abstract: We reported a case of a 69 years old woman who requested stopping long-term dialysis. She did not suffer a serious medical deterioration, except a worsening quality of life. After a global evaluation (medical, psychologic and social), several propositions to increase her state of life done. Nine months later, she persisted in her request. She was admitted in a palliative care unit, and death occurred 4 days later. A medical, juridic, ethic discussion and a literature review are proposed about this difficult medical problem.
authors.affiliation: Centre de soins palliatifs, Hôtel-Dieu, Paris.
authors.forename: J M
authors.initials: JM
authors.lastname: Lassaunière
authors.forename: M
authors.initials: M
authors.lastname: Bertolino
authors.forename: C
authors.initials: C
authors.lastname: Dahan
authors.forename: Y
authors.initials: Y
authors.lastname: Camberlein
mesh_terms: D000368:Aged; D004989:Ethics; D005260:Female; D006801:Humans; D008297:Male; D010166:Palliative Care; D011788:Quality of Life; D006435:Renal Dialysis; D016312:Treatment Refusal
vernacular_title: Demande d'arrêt d'hémodialyse chronique. A propos d'une observation.