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https://www.readbyqxmd.com/read/29776669/-the-role-of-end-of-life-palliative-sedation-medical-and-ethical-aspects-review
#1
REVIEW
Miriam S Menezes, Maria das Graças Mota da Cruz de Assis Figueiredo
BACKGROUND AND OBJECTIVE: Palliative sedation is a medical procedure that has been used for more than 25 years to relieve refractory symptoms not responsive to any previous treatment in patients with no possibility of cure and near the end of life. Many uncertainties persist on the issue regarding definition, indications, decision making, most appropriate place to perform the procedure, most used drugs, need for monitoring, fluids and nutritional support, and possible ethical dilemmas...
May 15, 2018: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/29767212/commentary-on-at-the-vatican-physicians-debate-euthanasia-and-assisted-suicide
#2
G Richard Holt
No abstract text is available yet for this article.
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29767211/at-the-vatican-physicians-debate-euthanasia-and-assisted-suicide
#3
Ramin Walter Parsa-Parsi
No abstract text is available yet for this article.
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29766728/-euthanasia-legal-comparison-in-selected-european-countries
#4
Adam Doležal
This article deals with the subject of euthanasia (all its forms) and other end-of-life decisions, such as assisted suicide, withdrawing and whithholding life-sustaining treatments. Among other things, the article will also deal with the issue of the offense of Homicide by the Victims Request. Based on an empirical historical method, the article compares the various selected legal orders. From this analysis, it draws some conclusions that have an impact on ethical discourse. First of all, the terminology is defined in the article, which is very important in this area...
2018: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/29766726/-euthanasia-and-the-good-life-why-euthanasia-is-sometimes-ethical
#5
David Černý
In this paper I present the strongest argument, in my opinion, in favour of moral admissibility of euthanasia. In the introduction I briefly mention two important arguments in support of euthanasia - out of respect for autonomy and as a last act of grace, however I refuse them as insufficient. I propose a definition of both forms of assisted death: euthanasia and assisted suicide. I present the basic ideas underlying the theory of the good life and deal with hedonism in greater depth. I define a deprivation concept of the badness of death and, employing hedonism, I specifically describe when death is bad and when it is good...
2018: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/29754123/psychiatry-trainees-attitudes-towards-euthanasia-and-physician-assisted-suicide
#6
M-I Kontaxaki, K Paplos, M Dasopoulou, V Kontaxakis
We investigated the attitudes towards Euthanasia (EUT) and Physician-Assisted Suicide (PAS) in a sample of Greek Psychiatry trainees (PT), (n=120, mean age 32.01±0.21, male 60.0%) and compared these to those of medical trainees of other specialties (OMT), i.e. internal medicine, surgery, intensive care (n=154, mean age 32.97±1.17, male 57.1%). Most of the responders were for the acceptance of EUT and PAS under some circumstances. More often PT answer "never" in the question regarding the permission to withdraw life-sustaining medical treatment to hasten death, if that requested by a terminally ill patient (p<0...
January 2018: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29743764/definition-of-terms-used-in-limitation-of-treatment-and-providing-palliative-care-at-the-end-of-life-the-indian-council-of-medical-research-commission-report
#7
Naveen Salins, Roop Gursahani, Roli Mathur, Shivakumar Iyer, Stanley Macaden, Nagesh Simha, Raj Kumar Mani, M R Rajagopal
Background: Indian hospitals, in general, lack policies on the limitation of inappropriate life-sustaining interventions at the end of life. To facilitate discussion, preparation of guidelines and framing of laws, terminologies relating to the treatment limitation, and providing palliative care at the end-of-life care (EOLC) need to be defined and brought up to date. Methodology: This consensus document on terminologies and definitions of terminologies was prepared under the aegis of the Indian Council of Medical Research...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29722005/physician-assisted-suicide-why-neutrality-by-organized-medicine-is-neither-neutral-nor-appropriate
#8
Daniel P Sulmasy, Ilora Finlay, Faith Fitzgerald, Kathleen Foley, Richard Payne, Mark Siegler
It has been proposed that medical organizations adopt neutrality with respect to physician-assisted suicide (PAS), given that the practice is legal in some jurisdictions and that membership is divided. We review developments in end-of-life care and the role of medical organizations with respect to the legalization of PAS since the 1990s. We argue that moving from opposition to neutrality is not ethically neutral, but a substantive shift from prohibited to optional. We argue that medical organizations already oppose many practices that are legal in many jurisdictions, and that unanimity among membership has not been required for any other clinical or ethical policy positions...
May 2, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29719381/suicide-in-older-adults-current-perspectives
#9
REVIEW
Ismael Conejero, Emilie Olié, Philippe Courtet, Raffaella Calati
Suicidal behavior in older adults (65 years old and over) is a major public health issue in many countries. Suicide rates increase during the life course and are as high as 48.7/100,000 among older white men in the USA. Specific health conditions and stress factors increase the complexity of the explanatory model for suicide in older adults. A PubMed literature search was performed to identify most recent and representative studies on suicide risk factors in older adults. The aim of our narrative review was to provide a critical evaluation of recent findings concerning specific risk factors for suicidal thoughts and behaviors among older people: psychiatric and neurocognitive disorders, social exclusion, bereavement, cognitive impairment, decision making and cognitive inhibition, physical illnesses, and physical and psychological pain...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29717957/subduing-attitude-polarization
#10
Eulàlia P Abril
Researchers have sought to understand the effects of like-minded versus contrary news exposure on attitude polarization, which can be a threat to democracy. The online news environment offers opportunities for exposure to both types of news, albeit unequally. This study tests the effects of exposure to heterogeneous partisan news bundles (both like-minded and contrary news) on attitude polarization. Because media exposure can lead to bias, attitude polarization is tested as a direct and indirect effect via hostile media perceptions...
2018: Politics and the Life Sciences: the Journal of the Association for Politics and the Life Sciences
https://www.readbyqxmd.com/read/29713302/alleviation-of-psychological-distress-and-the-improvement-of-quality-of-life-in-patients-with-amyotrophic-lateral-sclerosis-adaptation-of-a-short-term-psychotherapeutic-intervention
#11
Moritz Caspar Franz Oberstadt, Peter Esser, Joseph Classen, Anja Mehnert
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that is inevitably fatal. To be diagnosed with a terminal illness such as ALS deeply affects one's personal existence and goes along with significant changes regarding the physical, emotional, and social domains of the patients' life. ALS patients have to face a rapidly debilitating physical decline which restrains mobility and impairs all activities of daily living. This progressive loss of autonomy may lead to a sense of hopelessness and loss of quality of life, which in turn may even result in thoughts about physician-assisted suicide...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29710260/the-slippery-slope-of-legalization-of-physician-assisted-suicide
#12
William G Kussmaul
No abstract text is available yet for this article.
May 1, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29710259/the-slippery-slope-of-legalization-of-physician-assisted-suicide
#13
Gary Schiller
No abstract text is available yet for this article.
May 1, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29710258/the-slippery-slope-of-legalization-of-physician-assisted-suicide
#14
John K Weiser
No abstract text is available yet for this article.
May 1, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29698279/assisted-suicide-aid-in-dying-what-is-the-nurse-s-role
#15
Ann B Hamric, Judith K Schwarz, Lewis Cohen, Margaret Mahon
: This article presents the discussion that occurred during a policy dialogue on aid in dying (AID) presented at the American Academy of Nursing's annual conference in October 2016. Panelists explored the arguments for and against the growing state expansion of AID legislation, and the role for nurses in assisting patients who request AID. Recommendations are offered and four expert commentaries respond to the points raised.
May 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29673342/medical-end-of-life-practices-in-swiss-cultural-regions-a-death-certificate-study
#16
Samia A Hurst, Ueli Zellweger, Georg Bosshard, Matthias Bopp
BACKGROUND: End-of-life decisions remain controversial. Switzerland, with three main languages shared with surrounding countries and legal suicide assistance, allows exploration of the effects of cultural differences on end-of-life practices within the same legal framework. METHODS: We conducted a death certificate study on a nationwide continuous random sample of Swiss residents. Using an internationally standardized tool, we sent 4998, 2965, and 1000 anonymous questionnaires to certifying physicians in the German-, French-, and Italian-speaking regions...
April 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29666138/increase-in-assisted-suicide-in-switzerland-did-the-socioeconomic-predictors-change-results-from-the-swiss-national-cohort
#17
Nicole Steck, Christoph Junker, Marcel Zwahlen
OBJECTIVE: To determine whether the strong increase in assisted suicides in Switzerland since 2008 is linked to a shift in the socioeconomic factors associated with assisted suicide and its related diagnoses. METHODS: In a population-based longitudinal study, we investigated assisted suicides in Switzerland over the period 2003-2014. Two groups of younger (25-64 years) and older (65-94 years) persons were analysed separately and compared. We calculated crude rates and used Cox proportional hazard and logistic regression models to examine associations of assisted dying with gender, marital status, education, religion, neighbourhood socioeconomic status and other variables, and investigated trends over time...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29593337/end-of-life-decision-making-across-cancer-types-results-from-a-nationwide-retrospective-survey-among-treating-physicians
#18
Mariëtte N Verkissen, Dirk Houttekier, Joachim Cohen, Rik Schots, Kenneth Chambaere, Luc Deliens
BACKGROUND: The treatment of advanced cancer often involves potentially life-shortening end-of-life decisions (ELDs). This study aimed to examine the prevalence and characteristics of ELDs in different cancer types. METHODS: A nationwide death certificate study was conducted based on a large random sample of all deaths in Flanders, Belgium, between 1 January and 30 June 2013. All cancer deaths were selected (n = 2392). Attending physicians were sent a questionnaire about ELDs and the preceding decision-making process...
March 29, 2018: British Journal of Cancer
https://www.readbyqxmd.com/read/29558003/physician-assisted-dying-thoughts-drawn-from-albert-camus-writing
#19
Claudia Bozzaro
Physician-assisted dying (assisted suicide and euthanasia) is currently an intensely discussed topic in several countries. Despite differences in legislation and application, countries with end-of-life laws have similar eligibility criteria for assistance in dying: individuals must be in a hopeless situation and experience unbearable suffering. Hopelessness, as a basic aspect of the human condition, is a central topic in Albert Camus' philosophical work The Myth of Sisyphus, which addresses the question of suicide...
March 20, 2018: Theoretical Medicine and Bioethics
https://www.readbyqxmd.com/read/29534475/copycats-in-pilot-aircraft-assisted-suicides-after-the-germanwings-incident
#20
Tanja Laukkala, Alpo Vuorio, Robert Bor, Bruce Budowle, Pooshan Navathe, Eero Pukkala, Antti Sajantila
Aircraft-assisted pilot suicide is a rare but serious phenomenon. The aim of this study was to evaluate changes in pilot aircraft-assisted suicide risks, i.e., a copycat effect, in the U.S. and Germany after the Germanwings 2015 incident in the French Alps. Aircraft-assisted pilot suicides were searched in the U.S. National Transportation Safety Board (NTSB) accident investigation database and in the German Bundestelle für Flugunfalluntersuchung (BFU) Reports of Investigation database five years before and two years after the deliberate crash of the Germanwings flight into the French Alps in 2015...
March 11, 2018: International Journal of Environmental Research and Public Health
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