Special Issue: Ethical concerns involving end-of-life issues in the United States Introduction: Ethics and end-of-life issues

Mortality ◽  
2005 ◽  
Vol 10 (1) ◽  
pp. 1-5
Author(s):  
George E Dickinson
Keyword(s):  
United States ◽  
End Of Life ◽  
The United States ◽  
Special Issue ◽  
Ethical Concerns ◽  
Life Issues ◽  
End Of Life Issues

scholarly journals End-of-Life Issues in the United States after Terri Schiavo: Implications for Social Work Practice

10.18060/1841 ◽  
2011 ◽  
Vol 12 (2) ◽  
pp. 164-180 ◽  
Author(s):  
Darrel Montero
Keyword(s):  
United States ◽  
End Of Life ◽  
Assisted Suicide ◽  
Work Practice ◽  
The United States ◽  
Social Work Practice ◽  
Physician Assisted Suicide ◽  
Life Issues ◽  
The Status ◽  
End Of Life Issues

The very public death of Terri Schiavo in 2005 alerted Americans to what is a growing ethical, medical, and social crisis: the status of end-of-life issues and decisions in the United States. Currently, Oregon is the only state to give terminally ill patients the right to end their lives, with physicians’ help, if they so choose. Public opinion data from 1977 to the present show that Americans support greater rights for individuals facing end-of-life decisions--up to and including physician-assisted suicide and euthanasia. This paper considers the status of end-of-life issues in the United States after Terri Schiavo’s death and examines the opportunities for advocacy by social workers who serve clients and families encountering this complex and controversial issue.

scholarly journals Patient experiences of shared decision-making are associated with implantable cardioverter defibrillator recipients" openness to discuss device deactivation at end-of-life

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
OJ Oh ◽  
KS Lee ◽  
J Miller ◽  
M Hammash ◽  
DR Thompson ◽  
...  
Keyword(s):  
United States ◽  
Decision Making ◽  
End Of Life ◽  
Shared Decision Making ◽  
The United States ◽  
Public Institution ◽  
Shared Decision ◽  
Icd Implantation ◽  
Life Issues ◽  
End Of Life Issues

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): In Australia, this study received funding from a faculty grand by Australian University Faculty of Health Sciences Research grant. In the United States, the study was funded by a research professor award from University of Kentucky. Background. Shared decision-making is important for ICD recipients to fully contemplate and rationally decide about ICD deactivation at end-of-life. Although discussions about device deactivation at end-of-life are recommended to be held before ICD implantation and throughout the illness trajectory, such discussions rarely occur in clinical practice. Purpose. To identify whether ICD recipients’ experiences of end-of-life discussions with clinicians are associated with openness to discussing ICD deactivation at end-of-life. Methods. This cross-sectional study included 293 ICD recipients living in the United States, Australia, and South Korea (mean age 59, 22.5% female, mean ICD implantation 10 years). Hierarchical logistic regression was used to determine whether patients’ experiences of shared decision-making were associated with openness to discuss device deactivation at end-of-life after controlling for relevant covariates (i.e. age, gender, ICD implantation years, ICD shock experience, general ICD experience, ICD knowledge, and concerns related to the ICD). Results. About half of the participants (57.7%) were open to discussing ICD deactivation at end-of-life with clinicians. Almost one-quarter (23.5%) had no prior experience of discussing any end-of-life issues with clinicians. Patients’ past experiences of end-of-life discussions with clinicians were significantly associated with openness to discuss device deactivation at end-of-life (OR: 1.30) after adjusting for covariates. Conclusion. Our results highlight that clinicians’ willingness to discuss sensitive end-of-life issues such as battery replacement and deactivation of defibrillation therapy empowers patients to actively engage in end-of-life discussions.

End-of-Life Issues in United States Veterinary Medicine Schools

2010 ◽  
Vol 18 (2) ◽  
pp. 152-162 ◽  
Author(s):  
George E. Dickinson ◽  
Paul D. Roof ◽  
Karin W. Roof
Keyword(s):  
United States ◽  
Veterinary Medicine ◽  
End Of Life ◽  
Baccalaureate Nursing ◽  
Clinical Work ◽  
The United States ◽  
Nursing Schools ◽  
Life Issues ◽  
The Status ◽  
End Of Life Issues

AbstractThe purpose of this research endeavor was to determine the status of dying, death, and bereavement as topics within the curricula of the 28 veterinary medicine schools in the United States. Data were obtained via a mailed questionnaire (100% return rate). Results revealed that over 96% of the schools have offerings related to end-of-life issues, with 80% of students exposed to these offerings. The average number of hours students devote to end-of-life issues is 14.64, about the same as for U.S. medical and baccalaureate nursing schools. Topics covered most often are “euthanasia” and “communication with owners of dying animals.” Veterinary schools over-whelmingly note that dying, death, and bereavement are important topics. It might be helpful to veterinary medicine students if their own feelings regarding dying and death were addressed early in the curriculum and throughout class activities and clinical work. Veterinarians would likely relate better to animal guardians and to nonhuman animals themselves if they felt more comfortable with dying and death.

scholarly journals A Comparative Study of the Law of Palliative Care and End-of-Life Treatment

2003 ◽  
Vol 31 (1) ◽  
pp. 130-143 ◽  
Author(s):  
Danuta Mendelson ◽  
Timothy Stoltzfus Jost
Keyword(s):  
Palliative Care ◽  
Supreme Court ◽  
End Of Life ◽  
The United States ◽  
Legal Issues ◽  
The United Kingdom ◽  
Life Issues ◽  
The Law ◽  
End Of Life Issues ◽  
End Of Life Treatment

Since the Supreme Court of New Jersey decided the Quinlan case a quarter of a century ago, three American Supreme Court decisions and a host of state appellate decisions have addressed end-of-life issues. These decisions, as well as legislation addressing the same issues, have prompted a torrent of law journal articles analyzing every aspect of end-of-life law. In recent years, moreover, a number of law review articles, many published in this journal, have also specifically addressed legal issues raised by palliative care. Much less is known in the United States, however, as to how other countries address these issues. Reflection on the experience and analysis of other nations may give Americans a better understanding of their own experience, as well as suggest improvements to their present way of dealing with the difficult problems in this area.This article offers a conceptual and comparative analysis of major legal issues relating to end-of-life treatment and to the treatment of pain in a number of countries. In particular, it focuses on the law of Australia, Canada, the United Kingdom, Poland, France, the Netherlands, Germany, and Japan.

scholarly journals SUICIDE TRENDS AND DISPARITIES AMONG OLDER ADULTS IN THE UNITED STATES, 2008-2017

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S692-S692
Author(s):  
Sanae El Ibrahimi ◽  
Yunyu Xiao ◽  
Matthew L Smith
Keyword(s):  
United States ◽  
Older Adults ◽  
Suicide Rate ◽  
Causes Of Death ◽  
Age Groups ◽  
The United States ◽  
Suicide Mortality ◽  
Suicide Rates ◽  
Life Issues ◽  
End Of Life Issues

Abstract Background: Suicide ranks within the top fifteen causes of death among adults 55 and older in the United States and is a growing concern in the face of social isolation and other end-of-life issues. This study examined differences and trends in suicide rates and methods among older adults in the U.S. Methods: Suicide mortality rates from 2008-2017 were derived from the Multiple Cause of Death files in the CDC’s WONDER database. Suicide deaths were identified from the underlying causes of death using ICD-10 codes. Age-adjusted death rates (per 100,000) were calculated. Older adults were grouped into four age categories: 55-64, 65-74, 75-84, and 85+ years. Percent change in suicide rates between 2008-2017 were examined, which were then stratified by gender and top suicide methods. Results: Suicide rates increased by 16% among adults 55 years of age and older from 2008 to 2017 (15.4 vs 17.8 per 100,000 respectively). In 2017, the suicide rate among older adults was 27% higher than the general population (14.0 per 100,000). Suicide rates were significantly higher among men relative to women for those ages 85+ (14:1 ratio of males-to-females). However, females in the 65-74 age group experienced the highest increase of suicide rate (41%) compared to other females or males across age groups. The most common method of suicide was firearms, followed by poisoning and suffocation. Suffocation had the highest increase over time (37%). Conclusion: Rising suicide rates among older adults suggest the need for tailored intervention strategies that address upstream suicide-related risk factors.

End-of-Life Issues for People Who Use AAC

2005 ◽  
Vol 14 (3) ◽  
pp. 15-19 ◽  
Author(s):  
Melanie Fried-Oken ◽  
Lisa Bardach
Keyword(s):  
End Of Life ◽  
Life Issues ◽  
End Of Life Issues
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