David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Law, Medicine & Ethics 40 (1):57-65 (2012)
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)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Eric J. Cassell (2004). The Nature of Suffering and the Goals of Medicine. Oxford University Press.
Susan W. Tolle, Virginia P. Tilden, Linda L. Drach, Erik K. Fromme, Nancy A. Perrin & Katrina Hedberg (2004). Characteristics and Proportion of Dying Oregonians Who Personally Consider Physician-Assisted Suicide. Journal of Clinical Ethics 15:111-118.
Timothy Quill (1994). [Book Review] Death and Dignity, Making Choices and Taking Charge. [REVIEW] Hastings Center Report 24 (3):45-46.
Citations of this work BETA
Lalit Kumar Radha Krishna (2015). Addressing the Concerns Surrounding Continuous Deep Sedation in Singapore and Southeast Asia: A Palliative Care Approach. Journal of Bioethical Inquiry 12 (3):461-475.
Robert M. Sade (2012). INTRODUCTION: The Graying of America: Challenges and Controversies. Journal of Law, Medicine & Ethics 40 (1):6-9.
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 downloads65 ( #75,002 of 1,924,762 )
Recent downloads (6 months)5 ( #187,091 of 1,924,762 )
How can I increase my downloads?