Euthanasia and Physician-Assisted Suicide

Broeckaert, Bert

doi:10.1016/b978-0-323-05674-8.50025-6

Cited by 18 publications

(23 citation statements)

References 15 publications

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“…[31][32][33][34] These results suggest, in contrast with what some authors claim, 22,37 that in practice too palliative sedation sedatives are indeed administered in a proportional way. The use of sedatives and the use of palliative sedation within palliative care is thus clearly based on the intensity and nature of the suffering.…”

Section: Discussioncontrasting

confidence: 76%

Level of Consciousness in Dying Patients. The Role of Palliative Sedation: A Longitudinal Prospective Study

Claessens¹,

Menten

Schotsmans

et al. 2011

Am J Hosp Palliat Care

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Section: Discussioncontrasting

confidence: 76%

Level of Consciousness in Dying Patients. The Role of Palliative Sedation: A Longitudinal Prospective Study

Claessens¹,

Menten

Schotsmans

et al. 2011

Am J Hosp Palliat Care

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“…The patient is sedated only as much as necessary to adequately relieve the refractory symptoms. 3,9,19,32 This aspect is also clearly expressed in the definition of palliative sedation that was mentioned in the introduction to this article. As per the principle of proportionality, it is, however, not required to try intermittent or light sedation first, before administering deep or continuous sedation.…”

Section: Discussionmentioning

confidence: 94%

Flemish palliative-care nurses’ attitudes to palliative sedation

et al. 2012

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Palliative sedation is an option of last resort to control refractory suffering. In order to better understand palliative-care nurses' attitudes to palliative sedation, an anonymous questionnaire was sent to all nurses (589) employed in palliative care in Flanders (Belgium). In all, 70.5% of the nurses (n = 415) responded. A large majority did not agree that euthanasia is preferable to palliative sedation, were against non-voluntary euthanasia in the case of a deeply and continuously sedated patient and considered it generally better not to administer artificial floods or fluids to such a patient. Two clusters were found: 58.5% belonged to the cluster of advocates of deep and continuous sedation and 41.5% belonged to the cluster of nurses restricting the application of deep and continuous sedation. These differences notwithstanding, overall the attitudes of the nurses are in accordance with the practice and policy of palliative sedation in Flemish palliative-care units.

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“…1 In order to elicit the interviewees' attitudes toward active termination of life, they were asked to react to hypothetical cases. These cases were generated on the basis of Broeckaert's typology of treatment decisions at the end of life (Broeckaert 2008;2009a;2009b;Broeckaert and Flemish Palliative Care Federation 2006), which was developed in order to provide conceptual clarity regarding ethical dilemmas in health care, such as euthanasia. In his typology, Broeckaert distinguishes between three kinds of active termination of life: (1) voluntary euthanasia, which he defines as "the intentional administration of lethal drugs in order to painlessly terminate the life of a patient suffering from an incurable condition deemed unbearable, at this patient's request"; (2) assisted suicide, which is "intentionally assisting a person, at this person's request, to terminate his or her life"; and (3) nonvoluntary euthanasia, which is defined as "the intentional administration of lethal drugs in order to painlessly terminate the life of a patient suffering from an incurable condition deemed unbearable, not at this patient's request" (Broeckaert 2009a, 111).…”

Section: Methodsmentioning

confidence: 99%