Casting Light on an Occultation in the IAHPC Position Paper on Palliative Care and Assisted Dying

2017 ◽  
Vol 20 (7) ◽  
pp. 697-698 ◽  
Author(s):  
Jan L. Bernheim ◽  
Gert Huysmans ◽  
Arsène Mullie ◽  
Marc Desmet ◽  
Paul Vanden Berghe ◽  
...  
Keyword(s):  
Palliative Care ◽  
Position Paper ◽  
Assisted Dying

Legalisation of assisted dying does not harm palliative care, study concludes

BMJ ◽  
2011 ◽  
Vol 343 (oct24 2) ◽  
pp. d6779-d6779 ◽  
Author(s):  
C. Dyer
Keyword(s):  
Palliative Care ◽  
Assisted Dying ◽  
Care Study

Governing Body of the Church in Wales

2016 ◽  
Vol 19 (01) ◽  
pp. 73-77 ◽  
Author(s):  
Lynette Chandler
Keyword(s):  
Palliative Care ◽  
Steel Industry ◽  
Moral Duty ◽  
Assisted Dying ◽  
Hospice Nurses ◽  
Governing Body ◽  
Hospice Movement ◽  
The Uk ◽  
The Right ◽  
The Church

In his address to the April meeting, the archbishop raised questions about the high business rates placed on the steel industry in the UK and the crisis faced by Welsh steelworkers, the elections for members of the Welsh Assembly and the forthcoming referendum on Europe. He reminded the Governing Body that the right to vote was won at a price and that, as Christians, we had a moral duty to exercise that right. The archbishop, considering the recent death of his wife, Hilary, also spoke of bereavement and dying in general. Palliative care and the hospice movement had come a long way in fifty years; if he had not already been persuaded by the arguments against assisted dying, watching the care and the gentleness of hospice nurses, for whom nothing was too much trouble, would have convinced him.

The PERSONS score for symptoms assessment in simultaneous care setting: A pilot study

2018 ◽  
Vol 17 (1) ◽  
pp. 82-86 ◽  
Author(s):  
Alessio Cortellini ◽  
Giampiero Porzio ◽  
Eva K. Masel ◽  
Anna S. Berghoff ◽  
Barbara Knotzer ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Setting ◽  
Medical Oncology ◽  
Position Paper ◽  
Italian Association ◽  
Recent Position ◽  
American Society ◽  
Oncology Practice ◽  
Treat All

One of the first steps to early integrate palliative care into oncology practice is a timely and efficient evaluation of symptoms (Bakitas et al., 2015; Davis et al., 2015; Temel et al., 2010). In a recent position paper, the Italian Association of Medical Oncology tells oncologists that they “must be able to prevent, recognize, measure, and treat all cancer-related symptoms” (Zagonel et al., 2017). Major international scientific societies such as the American Society of Clinical Oncology and the European Society of Medical Oncology have often defined the key role of symptoms evaluation and management to force the integration of palliative care into oncology (Davis et al., 2015; Ferrel et al., 2017). Nevertheless, a recent survey conducted by the Italian Association of Medical Oncology shows that only 20% of oncologists regularly uses valid tools to evaluate symptoms, 45% exclusively use them in the context of clinical trials, 30% use them only occasionally, and 5% never use them (Zagonel et al., 2016).

scholarly journals How does Medical Assistance in Dying affect end-of-life care planning discussions? Experiences of Canadian multidisciplinary palliative care providers

2021 ◽  
Vol 15 ◽  
pp. 263235242110459
Author(s):  
Anita Ho ◽  
Joshua S. Norman ◽  
Soodabeh Joolaee ◽  
Kristie Serota ◽  
Louise Twells ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Assisted Dying ◽  
Life Care ◽  
Care Providers ◽  
Specialist Palliative Care ◽  
Medical Assistance ◽  
Medical Assistance In Dying ◽  
Qualitative Thematic Analysis

Background: More than a dozen countries have now legalized some form of assisted dying, and additional jurisdictions are considering similar legislations or expanding eligibility criteria. Despite the persistent controversies about the relationship between medicine, palliative care, and assisted dying, many people are interested in assisted dying. Understanding how end-of-life care discussions between patients and specialist palliative care providers may be affected by such legislation can inform end-of-life care delivery in the evolving socio-cultural and legal environment. Aim: To explore how the Canadian Medical Assistance in Dying legislation affects end-of-life care discussions between patients and multidisciplinary specialist palliative care providers. Design: Qualitative thematic analysis of semi-structured interviews. Participants: Forty-eight specialist palliative care providers from Vancouver (n = 26) and Toronto ( n = 22) were interviewed in person or by phone. Participants included physicians ( n = 22), nurses ( n = 15), social workers ( n = 7), and allied health professionals ( n = 4). Results: Qualitative thematic analysis identified five notable considerations associated with Medical Assistance in Dying affecting end-of-life care discussions: (1) concerns over having proactive conversations about the desire to hasten death, (2) uncertainties regarding wish-to-die statements, (3) conversation complexities around procedural matters, (4) shifting discussions about suffering and quality of life, and (5) the need and challenges of promoting open-ended discussions. Conclusion: Medical Assistance in Dying challenges end-of-life care discussions and requires education and support for all concerned to enable compassionate health professional communication. It remains essential to address psychosocial and existential suffering in medicine, but also to provide timely palliative care to ensure suffering is addressed before it is deemed irremediable. Hence, clarification is required regarding assisted dying as an intervention of last resort. Furthermore, professional and institutional guidance needs to better support palliative care providers in maintaining their holistic standard of care.

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