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To: sweetliberty
Beyond Abuse: Treatment Approaches for People With Disabilities

by Virginia Focht-New, MSN, RN

Reprinted from Issues in Mental Health Nursing, 1996, Vol. 17(5), pp. 427-438
(Taylor & Francis, 1996. Used with permission)

* * *

Abuse

Abuse is defined by Baladerian (1991, p. 323) as "non-accidental injury of a person by another or the committing of acts that could result in injury, through acts of commission or omission." Many forms of abuse exist: physical, emotional, psychological, sexual, and financial; acts of negligence; and violation of individual's rights. There have been few data collected and scant literature about the abuse of children and adults with developmental disabilities. In cases of general child abuse, 29% to 70% of children abused have a disability before the abuse occurs (Baladerian, 1991). People with disabilities are perceived to be defenseless and passive, which may lower inhibitions of offenders and thus increase risk of victimization (Sobsey & Doe, 1991). Victims are chosen because they are unlikely to report or resist the event. To compound the risk, institutionalization limits people's ability to make decisions for themselves and exposes people to a large number of caretakers....

http://greg.quuxuum.org/journal/focht_new.html
11 posted on 11/05/2003 4:15:39 AM PST by nicmarlo
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To: nicmarlo
Withholding Food and Fluids FAQ

What is the most common method of mercy killing today?
Withholding food and fluids.

How are food and fluids withheld?
A "prime candidate" for euthanasia is someone who is unable to communicate. (Such as someone in a coma or a persistent vegetative state.) Such people usually need assistance in feeding. This typically takes one of two forms.
One, the person may be hand-fed by a hospital worker or family member. In this case, to terminate nutrition they simply stop the hand-feeding.

Two, the person may be on a feeding tube. This is a narrow tube that is either passed through the nose or surgically implanted through the skin into the stomach. In this case, nutrition is stopped by removing the feeding tube.


How long does it take to die?
The average person can survive for about 40 days without food. An obese person can survive longer, as fat cells will gradually break down and provide sustenance.
Removal of fluids will cause a person to die much more quickly, in three to ten days depending on their health and strength.


What happens to someone when food and fluids are withheld?
The following symptoms typically precede death:

Mucuous membrances dry out in the mouth, nose, throat, and genitals. (If you ever been severely thirsty, such as after a period of hard work on a hot day, you have experienced the first stages of this.)
Constipation
Abdominal cramps, nausea and vomiting
Emotional disorders, including depression and confusion
Delusions
Urinary and bowel infections
Bronchitas and pneumonia
Eventually, of course, bodily organs begin to fail and the person dies.


Are these symptoms visible?
Sometimes physicians will take steps to protect family and friends of the patient from seeing unpleasant symptoms. For example, the patient may be given drugs to prevent his body from going into convulsions, as this could be disturbing to those who authorized the euthanasia.

http://www.pregnantpause.org/euth/foodfaq.htm
12 posted on 11/05/2003 4:26:29 AM PST by nicmarlo
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