Graduate studies at Western
Journal of Law, Medicine and Ethics 40 (1):57-65 (2012)
|Abstract||Palliative care and hospice should be the standards of care for all terminally ill patients. The first place for clinicians to go when responding to a request for assisted death is to ensure the adequacy of palliative interventions. Although such interventions are generally effective, a small percentage of patients will suffer intolerably despite receiving state-of-the-art palliative care, and a few of these patients will request a physician-assisted death. Five potential “last resort” interventions are available under these circumstances: (1) accelerating opioids for pain or dyspnea; (2) stopping potentially life-prolonging therapies; (3) voluntarily stopping eating and drinking; (4) palliative sedation (potentially to unconsciousness); and (5) physician-assisted death. Patient, family, and clinicians should search for the least harmful way to respond to intolerable end-of-life suffering in ways that are effective and also respect the values of the major participants. A system that allows an open response to such cases ultimately protects patients by ensuring a full clinical evaluation and search for alternative responses, while reinforcing the need to be responsive and to not abandon|
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
Y. Tony Yang & Margaret M. Mahon (2012). Palliative Care for the Terminally Ill in America: The Consideration of QALYs, Costs, and Ethical Issues. [REVIEW] Medicine, Health Care and Philosophy 15 (4):411-416.
Victor Cellarius (2011). 'Early Terminal Sedation' is a Distinct Entity. Bioethics 25 (1):46-54.
C. Wayne Mayhall (2007). Review of Timothy E. Quill and Margaret P. Battin (Eds.), Physician-Assisted Dying: The Case for Palliative Care & Patient Care and Kathleen Foley and Herbert Hendin (Eds.), The Case Against Assisted Suicide: For the Right to End-of-Life Care. [REVIEW] American Journal of Bioethics 7 (11):48-50.
S. H. Lipuma (2013). Continuous Sedation Until Death as Physician-Assisted Suicide/Euthanasia: A Conceptual Analysis. Journal of Medicine and Philosophy 38 (2):190-204.
Marli Huijer & Guy Widdershoven (2001). Desires in Palliative Medicine. Five Models of the Physician‐Patient Interaction on Palliative Treatment Related to Hellenistic Therapies of Desire. Ethical Theory and Moral Practice 4 (2):143-159.
Tomasz R. Okon (2006). "Nobody Understands": On a Cardinal Phenomenon of Palliative Care. Journal of Medicine and Philosophy 31 (1):13 – 46.
Fiona Randall (1996). Palliative Care Ethics: A Good Companion. Oxford University Press.
Stephan W. Sahm (2000). Palliative Care Versus Euthanasia. The German Position: The German General Medical Council's Principles for Medical Care of the Terminally Ill. Journal of Medicine and Philosophy 25 (2):195 – 219.
Kevin WM Wildes (1993). Conscience, Referral, and Physician Assisted Suicide. Journal of Medicine and Philosophy 18 (3):323-328.
Lynn A. Jansen (2004). No Safe Harbor: The Principle of Complicity and the Practice of Voluntary Stopping of Eating and Drinking. Journal of Medicine and Philosophy 29 (1):61 – 74.
Antoine Baumann, Frederique Claudot, Gerard Audibert, Paul-Michel Mertes & Louis Puybasset (2011). The Ethical and Legal Aspects of Palliative Sedation in Severely Brain Injured Patients: A French Perspective. Philosophy, Ethics, and Humanities in Medicine 6 (1):4-.
Tal Bergman Levy, Shlomi Azar, Ronen Huberfeld, Andrew M. Siegel & Rael D. Strous (2013). Attitudes Towards Euthanasia and Assisted Suicide: A Comparison Between Psychiatrists and Other Physicians. Bioethics 27 (7):402-408.
L. W. Sumner (2011). Assisted Death: A Study in Ethics and Law. Oxford University Press.
Erich H. Loewy (1988). Oh Death, Where is Thy Sting? Reflections on Dealing with Dying Patients. Journal of Medical Humanities and Bioethics 9 (2):135-142.
Added to index2012-03-28
Total downloads21 ( #65,392 of 739,318 )
Recent downloads (6 months)6 ( #14,902 of 739,318 )
How can I increase my downloads?