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Euthanasia and physician-assisted suicide

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https://www.readbyqxmd.com/read/27905305/regional-variation-in-the-practice-of-euthanasia-and-physician-assisted-suicide-in-the-netherlands
#1
J J E Koopman, H Putter
BACKGROUND: The practice of euthanasia and physicianassisted suicide has been compared between countries, but it has not been compared between regions within the Netherlands. This study assesses differences in the frequencies, characteristics, and trends of euthanasia and physician-assisted suicide between five regions in the Netherlands and tries to explain the differences by demographic, socioeconomic, and health-related differences between these regions. METHODS: Data on the frequencies, characteristics, and trends of euthanasia and physician-assisted suicide for each region and each year from 2002 through 2014 were derived from the annual reports of the Regional Review Committees...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27898287/international-association-for-hospice-and-palliative-care-position-statement-euthanasia-and-physician-assisted-suicide
#2
Liliana De Lima, Roger Woodruff, Katherine Pettus, Julia Downing, Rosa Buitrago, Esther Munyoro, Chitra Venkateswaran, Sushma Bhatnagar, Lukas Radbruch
BACKGROUND: Reports about regulations and laws on Euthanasia and Physician Assisted Suicide (PAS) are becoming increasingly common in the media. Many groups have expressed opposition to euthanasia and PAS while those in favor argue that severely chronically ill and debilitated patients have a right to control the timing and manner of their death. Others argue that both PAS and euthanasia are ethically legitimate in rare and exceptional cases. Given that these discussions as well as the new and proposed laws and regulations may have a powerful impact on patients, caregivers, and health care providers, the International Association for Hospice and Palliative Care (IAHPC) has prepared this statement...
November 29, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27845485/physician-assisted-suicide-and-clinical-vulnerability-a-slippery-slope
#3
F Monacelli, M Martini, P Odetti, R Ciliberti
AIMS: The Belgian case of a 24 years' woman affected by resistant depression, who obtained the legal right to assisted suicide rehearsed ethical issues. From the famous Chabot case of the Dutch court in 1994, accumulating legal evidence indicates that the unbearable psychiatric suffering may be equate to the physical struggle of end of life patients. The Belgian law has addressed assisted suicide as an option in case of unbearable psychic suffering with no future prospective. DESIGN: It is unlikely that the practice of euthanasia may be mechanistically reduced to the provision of a suicide as alleviating the burden of suffering in depression is a long life commitment; moreover, the principle of patient's self determination and autonomy is highly debatable: the closure to the future, the hopelessness and the suicidal ideation represent per se core features of depression...
September 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/27833206/non-faith-based-arguments-against-physician-assisted-suicide-and-euthanasia
#4
Daniel P Sulmasy, John M Travaline, Louise A Mitchell, E Wesley Ely
This article is a complement to "A Template for Non-Religious-Based Discussions Against Euthanasia" by Melissa Harintho, Nathaniel Bloodworth, and E. Wesley Ely which appeared in the February 2015 Linacre Quarterly. Herein we build upon Daniel Sulmasy's opening and closing arguments from the 2014 Intelligence Squared debate on legalizing assisted suicide, supplemented by other non-faith-based arguments and thoughts, providing four nontheistic arguments against physician-assisted suicide and euthanasia: (1) "it offends me"; (2) slippery slope; (3) "pain can be alleviated"; (4) physician integrity and patient trust...
August 2016: Linacre Quarterly
https://www.readbyqxmd.com/read/27776894/end-of-life-euthanasia-and-assisted-suicide-an-update-on-the-situation-in-france
#5
R Aubry
On February 2, 2016, the French parliament adopted legislation creating new rights for the terminally ill. The text modifies and reinforces the rights of patients to end-of-life care and strengthens the status of surrogate decision makers. Under the new regulations, advance directives become legally binding though not unenforceable. Two types of advance directives are distinguished depending on whether the person is suffering or not from a serious illness when drafting them. The attending physician must abide by the patient's advance directives except in three situations: there is a life-threatening emergency; the directives are manifestly inappropriate; the directives are not compatible with the patient's medical condition...
October 21, 2016: Revue Neurologique
https://www.readbyqxmd.com/read/27755631/euthanasia-and-physician-assisted-suicide-in-reply
#6
LETTER
Ezekiel J Emanuel, Bregje D Onwuteaka-Philipsen, Joachim Cohen
No abstract text is available yet for this article.
October 18, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27755628/euthanasia-and-physician-assisted-suicide
#7
LETTER
Daniel P Sulmasy, E Wesley Ely, Charles L Sprung
No abstract text is available yet for this article.
October 18, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27755627/euthanasia-and-physician-assisted-suicide
#8
LETTER
Kenneth R Stevens, William L Toffler
No abstract text is available yet for this article.
October 18, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27628037/active-and-passive-physician-assisted-dying-and-the-terminal-disease-requirement
#9
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/27590345/capacity-evaluations-of-psychiatric-patients-requesting-assisted-death-in-the-netherlands
#10
Samuel N Doernberg, John R Peteet, Scott Y H Kim
BACKGROUND: Euthanasia or physician-assisted suicide (EAS) of psychiatric patients is legal in some countries but remains controversial. OBJECTIVE: This study examined a frequently raised concern about the practice: how physicians address the issue of decision-making capacity of persons requesting psychiatric EAS. METHODS: A review of psychiatric EAS case summaries published by the Dutch Regional Euthanasia Review Committees. Directed content analysis using a capacity-specific 4 abilities model (understanding of facts, applying those facts to self, weighing/reasoning, and evidencing choice) was used to code texts discussing capacity...
November 2016: Psychosomatics
https://www.readbyqxmd.com/read/27587443/vulnerable-subjects-why-does-informed-consent-matter
#11
Michele Goodwin
This special issue of the Journal Law, Medicine & Ethics takes up the concern of informed consent, particularly in times of controversy. The dominant moral dilemmas that frame traditional bioethical concerns address medical experimentation on vulnerable subjects; physicians assisting their patients in suicide or euthanasia; scarce resource allocation and medical futility; human trials to develop drugs; organ and tissue donation; cloning; xenotransplantation; abortion; human enhancement; mandatory vaccination; and much more...
September 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/27495234/developments-in-the-practice-of-physician-assisted-dying-perceptions-of-physicians-who-had-experience-with-complex-cases
#12
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/27380345/attitudes-and-practices-of-euthanasia-and-physician-assisted-suicide-in-the-united-states-canada-and-europe
#13
REVIEW
Ezekiel J Emanuel, Bregje D Onwuteaka-Philipsen, John W Urwin, Joachim Cohen
IMPORTANCE: The increasing legalization of euthanasia and physician-assisted suicide worldwide makes it important to understand related attitudes and practices. OBJECTIVE: To review the legal status of euthanasia and physician-assisted suicide and the available data on attitudes and practices. EVIDENCE REVIEW: Polling data and published surveys of the public and physicians, official state and country databases, interview studies with physicians, and death certificate studies (the Netherlands and Belgium) were reviewed for the period 1947 to 2016...
July 5, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27357452/-erratum-to-suicide-and-euthanasia-discourse-on-physician-assisted-suicide
#14
U Lewitzka, R Bauer
No abstract text is available yet for this article.
June 29, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27211055/distancing-sedation-in-end-of-life-care-from-physician-assisted-suicide-and-euthanasia
#15
Tze Ling Gwendoline Beatrice Soh, Lalit Kumar Radha Krishna, Shin Wei Sim, Alethea Chung Peng Yee
Lipuma equates continuous sedation until death (CSD) to physician-assisted suicide/euthanasia (PAS/E) based on the premise that iatrogenic unconsciousness negates social function and, thus, personhood, leaving a patient effectively 'dead'. Others have extrapolated upon this position further, to suggest that any use of sedation and/or opioids at the end of life would be analogous to CSD and thus tantamount to PAS/E. These posits sit diametrically opposite to standard end-of-life care practices. This paper will refute Lipuma's position and the posits borne from it...
May 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27178533/physician-assisted-dying-and-two-senses-of-an-incurable-condition
#16
Jukka Varelius
It is commonly accepted that voluntary active euthanasia and physician-assisted suicide can be allowed, if at all, only in the cases of patients whose conditions are incurable. Yet, there are different understandings of when a patient's condition is incurable. In this article, I consider two understandings of the notion of an incurable condition that can be found in the recent debate on physician-assisted dying. According to one of them, a condition is incurable when it is known that there is no cure for it...
September 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27119531/-suicide-and-euthanasia-discourse-on-physician-assisted-suicide
#17
Dr U Lewitzka, R Bauer
Suicidal thoughts and behavior have been a part of human nature since the beginning of mankind. In his autobiographical work From my Life: Poetry and Truth Goethe summarized two important aspects: "Suicide is an event of human nature which, whatever may be said and done with respect to it, demands the sympathy of every man, and in every epoch must be discussed anew". The authors of this article aim to motivate the readership to question and analyze this complex topic and the accompanying multifaceted positions with a summarized presentation of historical aspects and the more recent political developments...
May 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27099364/converting-the-right-to-life-to-the-right-to-physician-assisted-suicide-and-euthanasia-an-analysis-of-carter-v-canada-attorney-general-supreme-court-of-canada
#18
Benny Chan, Margaret Somerville
In its landmark decision Carter v Canada (Attorney General), the Supreme Court of Canada ruled that the criminal prohibition on physician-assisted suicide and euthanasia for certain persons in certain circumstances violated their rights to life, liberty, and security of the person in sec. 7 of the Canadian Charter of Rights and Freedoms and thus was unconstitutional. The Supreme Court in effect overruled its earlier decision, Rodriguez v British Columbia (Attorney General), which upheld the prohibition as constitutionally valid, on the basis of changes in Charter jurisprudence and in the social facts since Rodriguez was decided...
2016: Medical Law Review
https://www.readbyqxmd.com/read/27067656/in-hospital-end-of-life-decisions-after-new-traumatic-spinal-cord-injury-in-the-netherlands
#19
R Osterthun, F W A van Asbeck, J H B Nijendijk, M W M Post
STUDY DESIGN: Explorative retrospective files study. OBJECTIVES: To document end-of-life decisions (ELDs) in in-hospital deaths after new traumatic spinal cord injury (TSCI). SETTING: The Netherlands. METHODS: Discharge letters concerning patients with TSCI discharged from Dutch acute hospitals in 2010 were analysed. Data were extracted on survival, personal and lesion characteristics, comorbidities, other injuries, preexisting spinal stenosis, stabilising surgery, length of hospital stay and the presence and types of ELDs...
April 12, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27030222/-forgoing-treatments-a-kind-of-euthanasia-a-scientific-approach-to-the-debate-about-end-of-life-decisions
#20
Luigi Riccioni, Maria Teresa Busca, Lucia Busatta, Luciano Orsi, Giuseppe R Gristina
In the last decade an extensive debate on the topic of end of life decisions has developed in western countries, obtaining a worldwide media relevance. Philosophers, theologians, legal experts and doctors, focus their attention on the three thorny issues of the topic: forgoing treatments, euthanasia and assisted suicide. A thorough and respectful discussion on these issues should include all stakeholders - above all palliative care physicians - and should be encouraged in order to understand the views in favor or against the three practices, checking the different moral positions, and analyzing the cultural, social and legal aspects in the background on one hand, and, on the other, their impact on the health care systems...
March 2016: Recenti Progressi in Medicina
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