title: [Dehydration. Ethical standards finding in the social controversy].
abstract: Three case histories are presented, in which terminal hydration was omitted. Two patients were in the terminal phase of a menigiosis carcinomatosa and Creutzfeldt-Jacob disease, the third was completely aphasic and hemiplegic after ischemic stroke. All three died peacefully without signs of suffering or thirst. The psychological aspects of therapeutic-palliative change and the archetypical horror of death are considered. The moral justification is discussed in relation to the "Principles for Physicians Accompanying the Dying" of the German chamber of physicians. The respect of the patient's will is the guiding principle. These ethical controversies should be discussed sincerely and frankly so that the society is enabled to follow.
authors.affiliation: NPE Neurologisch psychiatrische Einheit, Sozialmedizinischer Dienst, Bundesknappschaft Castrop-Rauxel. Johann.F.Spittler@ruhr-uni-bochum.de
authors.forename: J F
authors.initials: JF
authors.lastname: Spittler
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000150:complications / Q000473:pathology; D003128:Coma / Q000150:complications / Q000209:etiology; D007562:Creutzfeldt-Jakob Syndrome / Q000150:complications; D003681:Dehydration / Q000209:etiology / Q000628:therapy*; D017809:Fatal Outcome; D005260:Female; D005858:Germany; D006801:Humans; D007238:Infarction / Q000150:complications; D008577:Meningeal Neoplasms / Q000150:complications / Q000473:pathology; D008875:Middle Aged; D013727:Terminal Care / Q000941:ethics* / Q000523:psychology; D028761:Withholding Treatment / Q000941:ethics* / Q000331:legislation & jurisprudence