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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/27821302/suffering-and-medicalization-at-the-end-of-life-the-case-of-physician-assisted-dying
#2
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
#3
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/27800720/what-if-resources
#4
(no author information available yet)
A series of 'What if…?' essays, exploring hypothetical scenarios about the future of health and care, are available on the King's Fund website. Topics range from 'what if assisted dying were legal?' and 'what if people controlled their own health data?' to 'what if people had to pay £10 to see their GP?'.
November 1, 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27777259/assisted-dying-demand-concentrated-in-four-provinces
#5
Roger Collier
No abstract text is available yet for this article.
October 24, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
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
#6
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/27716989/doctors-have-no-right-to-refuse-medical-assistance-in-dying-abortion-or-contraception
#7
Julian Savulescu, Udo Schuklenk
In an article in this journal, Christopher Cowley argues that we have 'misunderstood the special nature of medicine, and have misunderstood the motivations of the conscientious objectors'. We have not. It is Cowley who has misunderstood the role of personal values in the profession of medicine. We argue that there should be better protections for patients from doctors' personal values and there should be more severe restrictions on the right to conscientious objection, particularly in relation to assisted dying...
September 22, 2016: Bioethics
https://www.readbyqxmd.com/read/27701697/-end-of-life-decisions
#8
F J Erbguth, L Erbguth
End-of-life decisions in neurology have repeatedly given occasion for controversies. Often these are based on lack of knowledge of the juridical and ethical framework conditions. This review describes the juridical-ethical basis for the implementation and continuation, and for withholding and withdrawal of life-sustaining measures, in particular, the significance of medical indication and patient's will. The different forms of assisted dying ("Sterbehilfe"), namely homicide by request, assisted suicide, palliative symptom relief and treatment withdrawal are characterized...
September 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27698197/doctors-seek-legal-advice-over-assisted-dying
#9
Steve Mertl
No abstract text is available yet for this article.
November 1, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/27669333/a-call-for-a-patient-centered-response-to-legalized-assisted-dying
#10
John Frye, Stuart J Youngner
No abstract text is available yet for this article.
November 15, 2016: Annals of Internal 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/27587473/conscientious-refusal-in-healthcare-the-swedish-solution
#12
Christian Munthe
The Swedish solution to the legal handling of professional conscientious refusal in healthcare is described. No legal right to conscientious refusal for any profession or class of professional tasks exists in Sweden, regardless of the religious or moral background of the objection. The background of this can be found in strong convictions about the importance of public service provision and related civic duties, and ideals about rule of law, equality and non-discrimination. Employee's requests to change work tasks are handled on a case-by-case basis within the frames of labour law, ensuring full voluntariness, and also employer's privilege regarding the organisation and direction of work, and duties of public institutions to provide services...
September 1, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27514221/support-for-assisted-dying
#13
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Nursing New Zealand, Kai Tiaki
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/27503510/palliative-care-for-patients-with-heart-failure-facilitators-and-barriers-a-cross-sectional-survey-of-german-health-care-professionals
#15
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/27496072/is-assisted-dying-the-baby-boomers-last-frontier
#16
EDITORIAL
Udo Schuklenk
No abstract text is available yet for this article.
September 2016: Bioethics
https://www.readbyqxmd.com/read/27495234/developments-in-the-practice-of-physician-assisted-dying-perceptions-of-physicians-who-had-experience-with-complex-cases
#17
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/27461172/assisted-dying
#18
EDITORIAL
Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell, Julian C Sheather
No abstract text is available yet for this article.
August 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27371321/canada-s-new-assisted-dying-law-faces-legal-challenge
#19
Owen Dyer
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27357285/controversies-surrounding-continuous-deep-sedation-at-the-end-of-life-the-parliamentary-and-societal-debates-in-france
#20
Kasper Raus, Kenneth Chambaere, Sigrid Sterckx
BACKGROUND: Continuous deep sedation at the end of life is a practice that has been the topic of considerable ethical debate, for example surrounding its perceived similarity or dissimilarity with physician-assisted dying. The practice is generally considered to be legal as a form of symptom control, although this is mostly only assumed. France has passed an amendment to the Public Health Act that would grant certain terminally ill patients an explicit right to continuous deep sedation until they pass away...
2016: BMC Medical Ethics
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