Would we rather lose our life than lose our self? Lessons from the dutch debate on euthanasia for patients with dementia
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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American Journal of Bioethics 7 (4):48 – 56 (2007)
This article reviews the Dutch societal debate on euthanasia/assisted suicide in dementia cases, specifically Alzheimer's disease. It discusses the ethical and practical dilemmas created by euthanasia requests in advance directives and the related inconsistencies in the Dutch legal regulations regarding euthanasia/assisted suicide. After an initial focus on euthanasia in advanced dementia, the actual debate concentrates on making euthanasia/assisted suicide possible in the very early stages of dementia. A review of the few known cases of assisted suicide of people with so-called early dementia raises the question why requests for euthanasia/assisted suicide from patients in the early stage of (late onset) Alzheimer's disease are virtually non-existent. In response to this question two explanations are offered. It is concluded that, in addition to a moral discussion on the limits of anticipatory choices, there is an urgent need to develop research into the patient's perspective with regard to medical treatment and care-giving in dementia, including end-of-life care.
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References found in this work BETA
David Degrazia (1999). Advance Directives, Dementia, and 'The Someone Else Problem'. Bioethics 13 (5):373-391.
Jeffrey Spike (2000). Narrative Unity and the Unraveling of Personal Identity: Dialysis, Dementia, Stroke, and Advance Directives. Journal of Clinical Ethics 11 (4):367.
J. J. M. van Delden (2004). The Unfeasibility of Requests for Euthanasia in Advance Directives. Journal of Medical Ethics 30 (5):447-451.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
Citations of this work BETA
Sandra Woien (2007). Conflicting Preferences and Advance Directives. American Journal of Bioethics 7 (4):64-65.
Sara Goering (2007). What Makes Suffering "Unbearable and Hopeless"? Advance Directives, Dementia and Disability. American Journal of Bioethics 7 (4):62-63.
Kiarash Aramesh & Heydar Shadi (2007). An Islamic Perspective on Euthanasia. American Journal of Bioethics 7 (4):65-66.
Chris Gastmans & Yvonne Denier (2010). What If Patients with Dementia Use Decision Aids to Make an Advance Euthanasia Request? American Journal of Bioethics 10 (4):25 – 26.
S. J. Booij, D. P. Engberts, V. Rodig, A. Tibben & R. A. C. Roos (2013). A Plea for End-of-Life Discussions with Patients Suffering From Huntington's Disease: The Role of the Physician. Journal of Medical Ethics 39 (10):621-624.
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