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Physician assisted dying

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https://www.readbyqxmd.com/read/27903754/trajectories-to-seeking-demedicalised-assistance-in-suicide-a-qualitative-in-depth-interview-study
#1
Martijn Hagens, Bregje D Onwuteaka-Philipsen, H Roeline W Pasman
BACKGROUND: In the Netherlands, people can receive (limited) demedicalised assistance in suicide (DAS)-an option less well known than physician-assisted dying (PAD). AIM: This study explores which trajectories people take to seek DAS, through open-coding and inductive analysis of in-depth interviews with 17 people who receive(d) DAS from counsellors facilitated by foundation De Einder. RESULTS: People sought DAS as a result of current suffering or as a result of anticipating possible prospective suffering...
November 30, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27896390/-assisted-suicide-in-the-movies-what-is-not-shown
#2
Kurt W Schmidt
Whereas changes to the existing legal situation regarding assisted suicide have been a topic of controversial debate in Germany for the last few years, this issue has long been of interest for international film-makers. Since the mid-1980s, the theme of assisted suicide has repeatedly been taken up by cinema, predominantly as central to a relationship drama. A sick person asks somebody close to them for help. Often this somebody is a physician or a nurse, ultimately an obvious way of solving the practical problem of how the assistant is to gain access to a lethal substance...
November 28, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27875642/international-perspectives-on-physician-assistance-in-dying
#3
David Orentlicher
When the Supreme Court of Canada recognized a constitutional right to "medical assistance in dying" last year-and the nation's Parliament enacted legislation to implement the right earlier this year-Canadian lawmakers could look to two different models for guidance. The Netherlands and Belgium recognize a broad right to assistance in dying, while Oregon and elsewhere in the United States have a narrow right. In some ways, assistance in dying in Canada follows the Dutch-Belgian approach, while, in other ways, it seems more American...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27821302/suffering-and-medicalization-at-the-end-of-life-the-case-of-physician-assisted-dying
#4
Hadi Karsoho, Jennifer R Fishman, David Kenneth Wright, Mary Ellen Macdonald
'Suffering' is a central discursive trope for the right-to-die movement. In this article, we ask how proponents of physician-assisted dying (PAD) articulate suffering with the role of medicine at the end of life within the context of a decriminalization and legalization debate. We draw upon empirical data from our study of Carter v. Canada, the landmark court case that decriminalized PAD in Canada in 2015. We conducted in-depth interviews with 42 key participants of the case and collected over 4000 pages of legal documents generated by the case...
October 12, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27821141/knowledge-attitude-and-practice-of-healthcare-ethics-among-resident-doctors-and-ward-nurses-from-a-resource-poor-setting-nepal
#5
Samaj Adhikari, Kumar Paudel, Arja R Aro, Tara Ballav Adhikari, Bipin Adhikari, Shiva Raj Mishra
BACKGROUND: Healthcare ethics is neglected in clinical practice in LMICs (Low and Middle Income Countries) such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal. METHODS: This was a cross sectional study conducted among resident doctors (n = 118) and ward nurses (n = 86) in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire...
November 8, 2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27798486/medical-assistance-in-dying-special-issues-for-patients-with-mental-illness
#6
Kathleen Sheehan, K Sonu Gaind, James Downar
PURPOSE OF REVIEW: Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who have intolerable suffering and/or have a terminal illness with a short prognosis. Mental illness can be a source of suffering for these individuals, but it can also affect their capacity to make medical decisions. Clinicians, and psychiatrists in particular, need to understand how to assess patients with mental illness who are requesting MAID, to determine the impact of their mental illness on the MAID request...
January 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/27763399/vsed-death-with-dignity-or-without
#7
Mark Corbett
Conceivably, in an ideal world, all patients with a life-limiting illness would receive optimal hospice and palliative care so that no one would ever wish to hasten their own death. The reality, however, is that despite provision of optimal hospice and palliative care, individuals with terminal illness experience suffering, loss of meaning, or deterioration in quality of life to the extent where they express the desire to expedite the dying process. While there has been extensive discussion surrounding physician-assisted death (PAD), there has been less attention paid to the practice of voluntary stopping eating and drinking (VSED) near the end of life...
2016: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/27727473/physician-assisted-dying-for-children-is-conceivable-for-most-dutch-paediatricians-irrespective-of-the-patient-s-age-or-competence-to-decide
#8
Eva Elizabeth Bolt, Eva Quirien Flens, H Roeline Willemijn Pasman, Dick Willems, Bregje Dorien Onwuteaka-Philipsen
AIM: Paediatricians caring for severely ill children may receive requests for physician-assisted dying (PAD). Dutch euthanasia law only applies to patients over 12 who make well-considered requests. These limitations have been widely debated, but little is known about paediatricians' positions on PAD. We explored the situations in which paediatricians found PAD conceivable and described the roles of the patient and parents, the patient's age and their life expectancy. METHODS: We sent a questionnaire to a national sample of 276 Dutch paediatricians and carried out semi-structured interviews with eight paediatricians...
October 11, 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/27676818/evaluation-of-post-intensive-care-rehabilitation-unit-in-the-toulouse-university-hospital-from-a-cohort-of-241-patients-in-the-mpr-service-of-the-toulouse-university-hospital-between-august-2008-and-august-2015
#9
Catherine Montaut, Xavier de Boissezon, Philippe Marque, Evelyne Castel-Lacanal
OBJECTIVE: Post intensive care rehabilitation is a relatively new concept that aims to admit in rehabilitation unit patients just after intensive care to deliver appropriate rehabilitation treatment while ensuring monitoring of heavy medical conditions. AIMS: Assess activity of post intensive care rehabilitation service in Toulouse University Hospital from 2008+ (year of creation) to 2015 and compare it to the work of other French post intensive care rehabilitation...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27670416/-it-s-not-all-just-about-the-dying-kaum%C3%A4-tua-m%C3%A4-ori-attitudes-towards-physician-aid-in-dying-a-narrative-enquiry
#10
Phillipa J Malpas, Anneka Anderson, Pio Jacobs, Takawai Jacobs, Danielle Luinstra, Dolly Paul, Jim Rauwhero, Julie Wade, David Wharemate
AIM: To explore kaumātua attitudes towards physician aid-in dying, to gain a clear understanding of how such attitudes may influence and shape their expectations of medical care at the end of life and to assist health professionals in Aotearoa/New Zealand to address the healthcare needs of older Māori near the end of life. DESIGN: A kaupapa Māori consistent approach was undertaken. A systematic narrative technique was employed for the qualitative data analysis...
September 26, 2016: Palliative Medicine
https://www.readbyqxmd.com/read/27628037/active-and-passive-physician-assisted-dying-and-the-terminal-disease-requirement
#11
Jukka Varelius
The view that voluntary active euthanasia and physician-assisted suicide should be made available for terminal patients only is typically warranted by reference to the risks that the procedures are seen to involve. Though they would appear to involve similar risks, the commonly endorsed end-of-life practices referred to as passive euthanasia are available also for non-terminal patients. In this article, I assess whether there is good reason to believe that the risks in question would be bigger in the case of voluntary active euthanasia and physician-assisted suicide than in that of passive euthanasia...
November 2016: Bioethics
https://www.readbyqxmd.com/read/27626235/improving-prediction-of-suicide-and-accidental-death-after-discharge-from-general-hospitals-with-natural-language-processing
#12
Thomas H McCoy, Victor M Castro, Ashlee M Roberson, Leslie A Snapper, Roy H Perlis
Importance: Suicide represents the 10th leading cause of death across age groups in the United States (12.6 cases per 100 000) and remains challenging to predict. While many individuals who die by suicide are seen by physicians before their attempt, they may not seek psychiatric care. Objective: To determine the extent to which incorporating natural language processing of narrative discharge notes improves stratification of risk for death by suicide after medical or surgical hospital discharge...
October 1, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/27577433/co-design-of-a-computer-assisted-medical-decision-support-system-to-manage-antibiotic-prescription-in-an-icu-ward
#13
Miguel Gil, Pedro Pinto, Alexandra S Simões, Pedro Póvoa, Miguel Mira Da Silva, Luís Velez Lapão
About 37 thousand people die per year in Europe due to infections by resistant bacteria. Fighting antimicrobial resistances (AR) is a top priority to save lives and reduce costs. AR is triggered mostly by uncritical antibiotic prescription. This paper presents HAITool, a decision-making information system to support antibiotic prescription. The system was co-developed together with health professionals using Design Science Research Methodology, empowered with innovative data visualization techniques to improve AR management...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27511772/unresolved-issues-in-canada-s-law-on-physician-assisted-dying
#14
Ross Upshur
No abstract text is available yet for this article.
August 6, 2016: Lancet
https://www.readbyqxmd.com/read/27510612/pediatrics-in-21-st-century-and-beyond
#15
Meharban Singh
Pediatrics is a dynamic discipline and there is awareness and hope for actualizing outstanding achievements in the field of child health in 21(st) century and beyond. Improved lifestyle and quality of children's health is likely to reduce the burden of adult diseases and enhance longevity because seeds of most adult diseases are sown in childhood. Identification and decoding of human genome is expected to revolutionize the practice of pediatrics. The day is not far off when a patient will walk into doctor's chamber with an electronic or digital health history on a CD or palmtop and a decoded genomic constitution...
November 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/27503510/palliative-care-for-patients-with-heart-failure-facilitators-and-barriers-a-cross-sectional-survey-of-german-health-care-professionals
#16
Jeanette Ziehm, Erik Farin, Jonas Schäfer, Kathrin Woitha, Gerhild Becker, Stefan Köberich
BACKGROUND: Compared to patients with cancer, heart failure patients are seldom candidates for palliative care. Numerous studies have investigated reasons why heart failure patients do not receive palliative care; however, none of these studies have ever evaluated the situation in the German health care setting. This study aims to identify German healthcare providers' (HCP) perception of barriers and facilitators to palliative care of patients with chronic heart failure. METHODS: We conducted an online-survey with 315 nurses and physicians of different medical disciplines...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27496520/cognitive-impairment-behavioral-impairment-depression-and-wish-to-die-in-an-als-cohort
#17
Judith Rabkin, Raymond Goetz, Jennifer Mary Murphy, Pam Factor-Litvak, Hiroshi Mitsumoto
OBJECTIVE: To evaluate relationships among cognitive, behavioral, and psychiatric/psychosocial measures assessed in a multicenter cohort of patients with amyotrophic lateral sclerosis (ALS). METHODS: Recently diagnosed patients with definite or probable ALS diagnosis were administered 7 standardized psychiatric/psychosocial measures, including the Patient Health Questionnaire for diagnosis of depression and elicitation of wish to die. The Cognitive Behavioral Screen was used to classify both cognitive and behavioral impairment (emotional-interpersonal function)...
September 27, 2016: Neurology
https://www.readbyqxmd.com/read/27495234/developments-in-the-practice-of-physician-assisted-dying-perceptions-of-physicians-who-had-experience-with-complex-cases
#18
Marianne C Snijdewind, Donald G van Tol, Bregje D Onwuteaka-Philipsen, Dick L Willems
BACKGROUND: Since the enactment of the euthanasia law in the Netherlands, there has been a lively public debate on assisted dying that may influence the way patients talk about euthanasia and physician-assisted suicide (EAS) with their physicians and the way physicians experience the practice of EAS. AIM: To show what developments physicians see in practice and how they perceive the influence of the public debate on the practice of EAS. METHODS: We conducted a secondary analysis of in-depth interviews with 28 Dutch physicians who had experience with a complex case of EAS...
August 5, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27401380/-recent-case-law-about-the-right-to-die
#19
Antonio Bascuñán R
This paper reviews the sentences dictated between 1993 and 2002 by the Supreme Courts of Canada and the Unites States, the House of Lords and Supreme Court of the United Kingdom and the European Human Rights Court, about the validity of the legal prohibition of assistance for suicide. These sentences constituted a judicial consensus about the right to die. This consensus recognized the legal right of patients to reject medical treatments but did not recognize the right to be assisted by a physician to commit suicide...
April 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27389016/effect-of-simulated-patient-death-on-emergency-worker-s-anxiety-a-cluster-randomized-trial
#20
A L Philippon, J Bokobza, B Bloom, A Hurbault, A Duguet, B Riou, Y Freund
OBJECTIVE: Simulation-based teaching offers promising and diverse teaching possibilities. We aim to assess whether the death of the manikin increased anxiety amongst learner compared to similar simulation-based course where the manikin stays alive. METHODS: We conducted a cluster randomized study amongst multidisciplinary teams of emergency workers. Teams of physicians, nurses, and healthcare assistants were randomly assigned to participate in a simulation-based course where the simulated patient died (death group) or not (life group)...
December 2016: Annals of Intensive Care
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