SELF-WILLED WITHDRAWAL FROM CHRONIC DIALY SIS - ABOUT ONE CASE

We report a case of a 69 years old woman who requested stopping long-t erm dialysis. She did not suffer a serious medical deterioration, exce pt a worsening quality of life. After a global evaluation (medical, ps ychologic and social), several propositions to increase her state of l ife done. Nine months later, she persisted in her request. She was adm itted in a palliative care unit, and death occured 4 days later. A med ical, juridic, ethic discussion and a literature review are proposed a bout this difficult medical problem.