Sprawiedliwość a płeć

Chańska, Weronika

doi:10.14394/etyka.926

Cited by 1 publication

(1 citation statement)

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“…A second difference is that Germany grants the right to withdraw IV or tube‐feeding in response to a patient's request. In contrast, such an action in Poland, if the treatment is indispensable for the patient's survival, is considered assisted suicide and is inconsistent with the Medical Ethics Code (Chańska, 2013 ). Despite the emphasis on upholding patient dignity and privacy at every stage of treatment as stipulated by the Polish Medical Ethics Code and the Patient Rights Protection Act and Patient Ombudsman ( Ustawa o ochronie praw pacjenta i Rzeczniku Praw Pacjenta ), a significant consideration must be given to the potential extension of survival when PEG or IV is implemented, and the consequent loss of life following their discontinuation.…”

Section: Introductionmentioning

confidence: 99%

One third of physicians discuss exit strategies with patients with amyotrophic lateral sclerosis: Results from nationwide surveys among German and Polish neurologists

Barć,

Finsel,

Helczyk

et al. 2024

Brain and Behavior

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ObjectiveThis paper examines neurologists’ approaches to exit strategies (ESs), such as euthanasia and physician‐assisted suicide, in patients with amyotrophic lateral sclerosis (PALS) in two European countries.MethodsIn a nationwide anonymous survey, we collected responses from 237 Polish and 228 German neurologists, focusing on their practices and beliefs about ESs, as well as their viewpoints on life‐sustaining measures (LSMs) (percutaneous endoscopic gastrostomy, non‐invasive, and invasive ventilation). To analyze the data, we employed statistical methods, including Mann–Whitney U, Kruskal–Wallis, chi‐square tests, Spearman's rank correlation, and multiple regression analysis.ResultsOne third of the neurologists initiated the discussion about ESs with PALS. Half were ready to have this conversation upon patient's request. Age, gender, religiousness, and nationality were closely associated with this approach. One in 9 neurologists received a request to terminate an LSM, whereas 1 in 10 to implement an ES. German neurologists and palliative care trainees acquired both demands more commonly. Neurologists quoted a low quality of life, decreased mood, and being a burden to the family/closest ones as primary reasons for a wish to hasten death among PALS. Although the majority expressed a willingness to terminate an LSM at a request of the patient, most opposed the legalization of euthanasia. Younger and less religious individuals were more likely to favor accepting euthanasia.ConclusionNeurologists vary significantly in their approaches to terminal care. Complex relationships exist among personal indices, shared beliefs, and current practices.

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Section: Introductionmentioning

confidence: 99%