Full Circle of Living and Dying
  • Home
    • Donate Here
  • About us/Contact
    • Board of Directors >
      • Akhila Murphy, Founding Director, End-of-Life Doula, Death Care Midwife
      • Carolyn Seyler, Co-Chair President
      • Mary Good, End-of-Life Doula, Secretary of the Board
      • Nancy Jacobsen, Treasurer
      • Rosie Mariani, Board Treasurer
      • Amanda Kenney, Death-Care Midwife, Board Director
      • Mary Jo Curtin, Board Director
    • FCLD Core Circle Volunteer Team >
      • Vivian Hodges, End-of-life doula, Reiki Practitioner
      • Sushila Mertens, End-of-Life Doula >
        • Spotlight Sushila Mertens
      • Bonnie McKeegan, LCSW, Past Vice President Board Director
      • Nancy Parraz, Death Care Midwife
      • Martha Turner, Midwifery, Past President
      • Linda More, End-of-Life Doula, Past Board Director
      • Donna Peizer, Past Treasurer
      • Nandi Szabo, Co-Founder
      • Rebecca Sengolu
    • Advocates for end-of-life choices and death-care rights
    • FAQ
    • What is an End-of-Life Doula or Death Midwife?
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    • Pregnancy and Infant Loss >
      • Cuddle Cot 2021
      • Support group: Pregnancy and Infant Loss
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    • Our Education >
      • Our Final Passages Death Midwifery Training
      • Home Funeral Article by Jerrigrace Lyons
  • In-Home Funeral Guidance
    • Know your rights. Home death care is legal.
    • In-Home Death Care >
      • Sacred Death Care
    • Home Death Care in California Consumer Guide
    • What is "Lying in Honor?"
    • CALIFORNIA DEATH CERTIFICATE Instructions
    • Tattoo Preservation after Death
    • Symbolism of our LOGO
    • Donate Here
    • Pet Funeral >
      • Pet Euthanasia in the Home
    • Death Certificate Worksheet >
      • Nevada County-File Your Own Paperwork for Death Certificate - Vital Records Office
    • Video: A Conversation about After Death Care
  • End-of-Life Care Options
    • End-of-Life Care Options
    • Pregnancy and Infant Loss >
      • Support group: Pregnancy and Infant Loss
      • Cuddle Cot 2021
    • Advance Directives, Dementia, Covid-19, Five Wishes
    • End-of-Life Doula
    • California End of Life Option Act (MAID)
    • VSED, Voluntarily Stopping Eating and Drinking >
      • VSED: Resources/Links
    • Sacred Bridges, Local End-of-Life Caregivers
    • Remembrances
    • Contributions
    • Testimonials
    • Physician Support: Medical Aid in Dying
  • Green Burial
    • History of Natural Green Burial, Cherokee Cemetery, Nevada County >
      • Green Burial Video from GBC
    • Natural Organic Reduction -Composting Human Remains
    • Natural Organic Reduction Amigo Bob's story
    • Rules for Scattering Ashes
    • Find A Grave (website)
    • Aquamation: Water Cremation >
      • Desmond Tutu: Aquamation
    • Cremation- Not so Environmentally Friendly!
  • Events & News
    • Upcoming October 19, 2023 Death Conversations- Breaking the silence
    • Past Event -September 24, 2023 Event: End-of-LIfe and After-death Care
    • PAST EVENT Sept. 12, 2023 : Natural Organic Reduction - Register
    • PAST EVENT Aug. 27, 2023 MAID & VSED Explained
    • 2023 News >
      • California EOL Doula Lawsuit/Institute for Justice >
        • Death Doulas C&C Article Nov. 2021
        • California Death Doulas Fight
        • LA TIMES Article about Lawsuit Aug. 2022
        • PODCAST and links -Lawsuit EOL Doulas vs CA State Funeral Bureau
        • Article: Death Doula Lawsuit Dec. 2021
    • Past presentations June 6, 2023 Educational Series: AS YOU WISH: Creating a Beautiful End-of-Life
    • Past Presentation, Dementia Directives
    • Past Workshop: In-Home After-death Care April 30, 2023
    • Past event May 18, 2023 Death Conversations Event
    • Past Educational Series March, 2023: AS YOU WISH: Creating a Beautiful End-of-Life
    • Past event Aquamation Presentation Jan. 18, 2023 link to recording
    • 2022 Past Events >
      • Article: Pregnancy Loss Conversations Feb, 2022
      • Past Film Event: Jack Has a Plan Aug. 2022
      • Past Event June 24, 2022 Presentation Organ and Tissue donation
      • Past Event Apr. 28, 2022 After-death Care presentation
      • PAST March 26, 2022 Cemetery Field Trip
      • Past Event March 17, 2022 Death Conversations- Breaking the silence
      • Past Event Jan 20, 2022 Death Conversations- Breaking the silence
    • PAST EVENTS 2021 >
      • Review: 2021 City of Hope, End:0f-Life Symposium December
      • Presentation Dec. 9th : "There's No Place Like Home." Home funeral Basics
      • Past Event: Nov. 2021- Medical Aid-in-Dying Update
      • Past Event: Natural Organic Reduction - Register
      • Past Events 2021 : June 18 -Field trip to Cherokee Cemetery
    • Newsletters
    • KVMR Podcasts: Featuring End-of-LIfe Doulas
    • PUBLISHED ARTICLES >
      • Article from The Order of the Good Death
      • Article: California's End-of-LIfe Option Act
      • Article Amigo Bob -Natural Organic Reduction Human Composting
      • April 2020 Ventilators in times of COVID-19
      • Union Article Caring Cradle Sept 2019
      • Giving Back After Tragedy, September 2019 The Union
      • Article The Union May 2019 New nonprofit
      • Article The Union August 2019 HBO Documentary
      • Choosing When to Die
      • Home Funeral Visitation
    • PAST EVENTS 2019/20 >
      • Past Event Oct 7 & 8, 2020 Holding Space for Pregnancy Loss
      • Death & Grieving around Corona Virus March 26, 2020
      • Past Event: Jan 26, 2020 Your Life, Your Choice, Your Plan
      • End-of-Life Doula Training with Inspired Endings - Oct 2019
      • June 9, 2019 Short Film & Death Conversation
      • Mar, Apr, May 2019
      • SEPT 2019 EVENT: Advance Directives + Dementia Directive
    • 2018 Past Events >
      • A Matter of Life & Death: Workshop Series Sept. 22, 2018
      • Nandi's Cancer Support Group September-October 2018
      • Past Events: 2018
      • Event May 20, 2018- Creating a Death Care Plan: Exploring Unconventional Options
      • Event: July 22, 2018 Death Cafe
    • 2017 PAST Events: August 27th -Understanding California's End-of-LIfe Option Act >
      • Deathwalker Training with Zenith Virago Sept 2017
      • Past Event: Film screening: Zen & the Art of Dying August 13, 2017
      • PAST Event: Film screening: Zen and the Art of Dying June 11, 2017
      • Past Event: Death Salon, A Gathering of Community to Discuss Death -MAR 26
      • Past Event - Exploring After Death Options: What Happens to our Bodily Remains? Feb 19, 2017 2-4pm
      • Going Out Green: Learn about Eco-friendly Home Funerals and Green Burial Cemetery JAN. 8, 2017
      • International Death Doula Training 2017
    • 2016 Events Planning Your Own Send-off May 1, 2016 >
      • Stephen Jenkinson Comes to NC March 14, 2016
      • Education, Presentations, Death Cafe
      • Event: Sunday Aug 28 2-4pm Home Funerals & Green Burial
    • EARLY YEARS 2013-2015 EVENTS
  • Resources
    • Write a Good-bye Letter
    • MAiD/California End of Life Option Act + Update SB 380 >
      • Links for California's End-of-Life Option Act
    • Bereavement Support in Nevada County >
      • Bereavement support Hospice of the Foothills, Nevada County
    • Advance Directives California + Dementia
    • Hospice of the Foothills, Nevada County
    • Senior Outreach Services, Nevada County
    • One Source Empowering Caregivers
    • Pregnancy and Infant Loss >
      • Cuddle Cot 2021
      • Union Article Caring Cradle 2019
    • Support group: Pregnancy and Infant Loss
    • End-of-Life Plan of Care
    • American Clinicians Academy on Medical Aid in Dying >
      • ACAMAID: Mixing medications
    • Physicians & Local Pharmacy >
      • Dr. Stephen Banister, Nevada County
    • Body / Organ Donation
    • Threshold Choir
    • Resources and Links
    • People in the Death Trade & Training
    • Holding Space
  • FAQ
  • Companions for Pregnancy Loss
    • Cuddle Cot 2021
  • Death Related YouTube
  • Beauty of EOL Study
  • JOIN OUR TEAM
  • Bardo, Buddhism and the Art of Dying
  • Accomplishments
  • Remembrance donation
  • Kids Sit Vigil with their Granny
  • Sharon's End-of-life days
  • Nearing Death Awareness
  • After-Death Care of my Mom by Akhiila Murphy
  • Archive Video FCLD Collective
  • A Remembrance Gathering for Mom?
  • Marina Bokelman Legacy
  • Register for Aguamation
  • EOL Doulas fight for Rights
  • VSED, Voluntarily Stopping Eating and Drinking
  • Creating a Caring Circle Community

Understanding Voluntarily Stopping Eating and Drinking (VSED)
in the Journey of Living and Dying

In the realm of end-of-life care, a growing number of individuals are seeking alternative options to control the timing and process of their own passing. Voluntarily Stopping Eating and Drinking (VSED) has emerged as one such option, providing people with a dignified and self-directed approach to the end of life. 

Voluntarily Stopping Eating and Drinking, or VSED, is a deliberate and informed decision by a competent individual to forgo food and fluids with the intention of hastening the natural dying process. It is essential to emphasize that VSED is not assisted suicide or euthanasia, as it relies solely on the patient's decision to withhold sustenance, rather than an external party administering any life-ending measures. These wishes should be documented or recorded so that caregivers, family and others understand the intent and process. 

Main points of VSED
  • Autonomy: VSED upholds the principle of individual autonomy, granting people the right to make decisions about their own lives and deaths, in consultation with healthcare professionals, family, and spiritual advisors, as needed.
  • Compassion: VSED provides a compassionate option for those facing terminal illnesses or debilitating conditions, allowing them to retain a measure of control and dignity in their final journey.
  • Natural Process: VSED allows the dying process to occur naturally, honoring the body's intrinsic rhythms and eliminating artificial medical interventions that may prolong suffering.

Benefits of VSED
  • Control and Agency: VSED empowers individuals to exercise control over their end-of-life experience, reducing feelings of helplessness and dependence. Once VSED is started, the patient being of sound mind, may choose to discontinue at any time. 
  • Symptom Management: For patients facing severe pain or distressing symptoms, VSED can offer relief, as the body enters a natural state of sedation and comfort.
  • Emotional Closure: VSED may provide an opportunity for patients and their loved ones to say their goodbyes, express their feelings, and find closure before the final moments.

Challenges and Considerations
  • Decision-making Capacity: Ensuring that individuals opting for VSED have the mental capacity to make informed decisions is critical. The decision should be documented by the individual. Healthcare professionals must assess the patient's understanding of the consequences and the irreversible nature of their choice.
  • Palliative Care Support: Adequate palliative care and emotional support are crucial during the VSED process. Compassionate and skilled healthcare professionals can help manage symptoms and provide comfort to patients.
  • Ethical and Legal Complexities: VSED can raise ethical dilemmas for healthcare providers, families, and society at large. There is a need for open dialogue and an established legal framework to navigate these complexities.
  • Potential for Protracted Dying: While most individuals who choose VSED experience a peaceful and relatively swift decline, there is a possibility of the dying process taking longer than anticipated. This can pose challenges for both patients and their caregivers. Clearly stated, documented wishes are essential. 

Conclusion
Voluntarily Stopping Eating and Drinking (VSED) offers a unique and deeply personal choice for those facing the end of life. VSED represents a compassionate and dignified approach that emphasizes autonomy, agency, and natural dying. While VSED comes with its challenges and ethical considerations, it is essential to recognize and respect each person's right to make informed decisions about their own life and death. As we continue to explore various end-of-life options, it is crucial to foster open conversations, supportive care, and a collective understanding of the complexities surrounding VSED.

Research: Edited Personal communication; openAI July 2023. 

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  • Home
    • Donate Here
  • About us/Contact
    • Board of Directors >
      • Akhila Murphy, Founding Director, End-of-Life Doula, Death Care Midwife
      • Carolyn Seyler, Co-Chair President
      • Mary Good, End-of-Life Doula, Secretary of the Board
      • Nancy Jacobsen, Treasurer
      • Rosie Mariani, Board Treasurer
      • Amanda Kenney, Death-Care Midwife, Board Director
      • Mary Jo Curtin, Board Director
    • FCLD Core Circle Volunteer Team >
      • Vivian Hodges, End-of-life doula, Reiki Practitioner
      • Sushila Mertens, End-of-Life Doula >
        • Spotlight Sushila Mertens
      • Bonnie McKeegan, LCSW, Past Vice President Board Director
      • Nancy Parraz, Death Care Midwife
      • Martha Turner, Midwifery, Past President
      • Linda More, End-of-Life Doula, Past Board Director
      • Donna Peizer, Past Treasurer
      • Nandi Szabo, Co-Founder
      • Rebecca Sengolu
    • Advocates for end-of-life choices and death-care rights
    • FAQ
    • What is an End-of-Life Doula or Death Midwife?
    • Sign up for Newsletter/send email
    • Contact Us
    • Pregnancy and Infant Loss >
      • Cuddle Cot 2021
      • Support group: Pregnancy and Infant Loss
    • Gallery
    • Donate Here
    • JOIN OUR TEAM
    • Our Education >
      • Our Final Passages Death Midwifery Training
      • Home Funeral Article by Jerrigrace Lyons
  • In-Home Funeral Guidance
    • Know your rights. Home death care is legal.
    • In-Home Death Care >
      • Sacred Death Care
    • Home Death Care in California Consumer Guide
    • What is "Lying in Honor?"
    • CALIFORNIA DEATH CERTIFICATE Instructions
    • Tattoo Preservation after Death
    • Symbolism of our LOGO
    • Donate Here
    • Pet Funeral >
      • Pet Euthanasia in the Home
    • Death Certificate Worksheet >
      • Nevada County-File Your Own Paperwork for Death Certificate - Vital Records Office
    • Video: A Conversation about After Death Care
  • End-of-Life Care Options
    • End-of-Life Care Options
    • Pregnancy and Infant Loss >
      • Support group: Pregnancy and Infant Loss
      • Cuddle Cot 2021
    • Advance Directives, Dementia, Covid-19, Five Wishes
    • End-of-Life Doula
    • California End of Life Option Act (MAID)
    • VSED, Voluntarily Stopping Eating and Drinking >
      • VSED: Resources/Links
    • Sacred Bridges, Local End-of-Life Caregivers
    • Remembrances
    • Contributions
    • Testimonials
    • Physician Support: Medical Aid in Dying
  • Green Burial
    • History of Natural Green Burial, Cherokee Cemetery, Nevada County >
      • Green Burial Video from GBC
    • Natural Organic Reduction -Composting Human Remains
    • Natural Organic Reduction Amigo Bob's story
    • Rules for Scattering Ashes
    • Find A Grave (website)
    • Aquamation: Water Cremation >
      • Desmond Tutu: Aquamation
    • Cremation- Not so Environmentally Friendly!
  • Events & News
    • Upcoming October 19, 2023 Death Conversations- Breaking the silence
    • Past Event -September 24, 2023 Event: End-of-LIfe and After-death Care
    • PAST EVENT Sept. 12, 2023 : Natural Organic Reduction - Register
    • PAST EVENT Aug. 27, 2023 MAID & VSED Explained
    • 2023 News >
      • California EOL Doula Lawsuit/Institute for Justice >
        • Death Doulas C&C Article Nov. 2021
        • California Death Doulas Fight
        • LA TIMES Article about Lawsuit Aug. 2022
        • PODCAST and links -Lawsuit EOL Doulas vs CA State Funeral Bureau
        • Article: Death Doula Lawsuit Dec. 2021
    • Past presentations June 6, 2023 Educational Series: AS YOU WISH: Creating a Beautiful End-of-Life
    • Past Presentation, Dementia Directives
    • Past Workshop: In-Home After-death Care April 30, 2023
    • Past event May 18, 2023 Death Conversations Event
    • Past Educational Series March, 2023: AS YOU WISH: Creating a Beautiful End-of-Life
    • Past event Aquamation Presentation Jan. 18, 2023 link to recording
    • 2022 Past Events >
      • Article: Pregnancy Loss Conversations Feb, 2022
      • Past Film Event: Jack Has a Plan Aug. 2022
      • Past Event June 24, 2022 Presentation Organ and Tissue donation
      • Past Event Apr. 28, 2022 After-death Care presentation
      • PAST March 26, 2022 Cemetery Field Trip
      • Past Event March 17, 2022 Death Conversations- Breaking the silence
      • Past Event Jan 20, 2022 Death Conversations- Breaking the silence
    • PAST EVENTS 2021 >
      • Review: 2021 City of Hope, End:0f-Life Symposium December
      • Presentation Dec. 9th : "There's No Place Like Home." Home funeral Basics
      • Past Event: Nov. 2021- Medical Aid-in-Dying Update
      • Past Event: Natural Organic Reduction - Register
      • Past Events 2021 : June 18 -Field trip to Cherokee Cemetery
    • Newsletters
    • KVMR Podcasts: Featuring End-of-LIfe Doulas
    • PUBLISHED ARTICLES >
      • Article from The Order of the Good Death
      • Article: California's End-of-LIfe Option Act
      • Article Amigo Bob -Natural Organic Reduction Human Composting
      • April 2020 Ventilators in times of COVID-19
      • Union Article Caring Cradle Sept 2019
      • Giving Back After Tragedy, September 2019 The Union
      • Article The Union May 2019 New nonprofit
      • Article The Union August 2019 HBO Documentary
      • Choosing When to Die
      • Home Funeral Visitation
    • PAST EVENTS 2019/20 >
      • Past Event Oct 7 & 8, 2020 Holding Space for Pregnancy Loss
      • Death & Grieving around Corona Virus March 26, 2020
      • Past Event: Jan 26, 2020 Your Life, Your Choice, Your Plan
      • End-of-Life Doula Training with Inspired Endings - Oct 2019
      • June 9, 2019 Short Film & Death Conversation
      • Mar, Apr, May 2019
      • SEPT 2019 EVENT: Advance Directives + Dementia Directive
    • 2018 Past Events >
      • A Matter of Life & Death: Workshop Series Sept. 22, 2018
      • Nandi's Cancer Support Group September-October 2018
      • Past Events: 2018
      • Event May 20, 2018- Creating a Death Care Plan: Exploring Unconventional Options
      • Event: July 22, 2018 Death Cafe
    • 2017 PAST Events: August 27th -Understanding California's End-of-LIfe Option Act >
      • Deathwalker Training with Zenith Virago Sept 2017
      • Past Event: Film screening: Zen & the Art of Dying August 13, 2017
      • PAST Event: Film screening: Zen and the Art of Dying June 11, 2017
      • Past Event: Death Salon, A Gathering of Community to Discuss Death -MAR 26
      • Past Event - Exploring After Death Options: What Happens to our Bodily Remains? Feb 19, 2017 2-4pm
      • Going Out Green: Learn about Eco-friendly Home Funerals and Green Burial Cemetery JAN. 8, 2017
      • International Death Doula Training 2017
    • 2016 Events Planning Your Own Send-off May 1, 2016 >
      • Stephen Jenkinson Comes to NC March 14, 2016
      • Education, Presentations, Death Cafe
      • Event: Sunday Aug 28 2-4pm Home Funerals & Green Burial
    • EARLY YEARS 2013-2015 EVENTS
  • Resources
    • Write a Good-bye Letter
    • MAiD/California End of Life Option Act + Update SB 380 >
      • Links for California's End-of-Life Option Act
    • Bereavement Support in Nevada County >
      • Bereavement support Hospice of the Foothills, Nevada County
    • Advance Directives California + Dementia
    • Hospice of the Foothills, Nevada County
    • Senior Outreach Services, Nevada County
    • One Source Empowering Caregivers
    • Pregnancy and Infant Loss >
      • Cuddle Cot 2021
      • Union Article Caring Cradle 2019
    • Support group: Pregnancy and Infant Loss
    • End-of-Life Plan of Care
    • American Clinicians Academy on Medical Aid in Dying >
      • ACAMAID: Mixing medications
    • Physicians & Local Pharmacy >
      • Dr. Stephen Banister, Nevada County
    • Body / Organ Donation
    • Threshold Choir
    • Resources and Links
    • People in the Death Trade & Training
    • Holding Space
  • FAQ
  • Companions for Pregnancy Loss
    • Cuddle Cot 2021
  • Death Related YouTube
  • Beauty of EOL Study
  • JOIN OUR TEAM
  • Bardo, Buddhism and the Art of Dying
  • Accomplishments
  • Remembrance donation
  • Kids Sit Vigil with their Granny
  • Sharon's End-of-life days
  • Nearing Death Awareness
  • After-Death Care of my Mom by Akhiila Murphy
  • Archive Video FCLD Collective
  • A Remembrance Gathering for Mom?
  • Marina Bokelman Legacy
  • Register for Aguamation
  • EOL Doulas fight for Rights
  • VSED, Voluntarily Stopping Eating and Drinking
  • Creating a Caring Circle Community