Abstract
The patient’s wife supported this view, as he had told her his life was complete and it was time for it to be over. She felt his way of dealing with this situation, as well as his behavior, was not different from before he stopped eating. She would admit to ambivalent thoughts about this course of action and had said to her husband earlier that she felt that this was suicide. However, she bowed to his wishes, as she did not wish to force him and cause him any further suffering. Palliative care was consulted to see if there were any additional elements of care that could be added. We ordered nebulized morphine for dyspnea, which he tried once and then refused. He refused all other medications and suggestions for mouth care. The staff found it very hard to care for him as he refused all their approaches. He continued to refuse all care and died 5 days later.
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