Bioethics

2019 ◽  
pp. 123-149
Author(s):  
Hilde Lindemann
Keyword(s):  
Assisted Suicide ◽  
Point Of View ◽  
Patient Relationship ◽  
Physician Assisted Suicide ◽  
Doctor Patient Relationship ◽  
Healthcare Resources ◽  
Definition Of

The chapter begins with a definition of bioethics and explains why it is so important. This is followed by an overview of the standard, nonfeminist ways of doing bioethics and why they are unsatisfactory from a feminist point of view. Feminist analyses of four topics in bioethics are offered that demonstrate the usefulness of a feminist approach to bioethics: the doctor-patient relationship, physician-assisted suicide, abortion, and allocation of healthcare resources.

scholarly journals The Doctor–Patient Relationship: Does Christianity Make a Difference?

2021 ◽  
Vol 27 (1) ◽  
pp. 1-13
Author(s):  
James J Delaney
Keyword(s):  
Assisted Suicide ◽  
Clinical Encounter ◽  
Patient Relationship ◽  
Physician Assisted Suicide ◽  
Doctor Patient Relationship ◽  
Moral Tradition ◽  
Practice Of Medicine ◽  
Christian Understanding ◽  
The Relationship ◽  
Perinatal Hospice

Abstract The nature of the doctor–patient relationship is central to the practice of medicine and thus to bioethics. The American Medical Association (in AMA principles of medical ethics, available at: https://www.ama-assn.org/delivering-care/ethics/patient-physician-relationships, 2016) states, “The practice of medicine, and its embodiment in the clinical encounter between a patient and a physician, is fundamentally a moral activity that arises from the imperative to care for patients and to alleviate suffering.” In this issue of Christian Bioethics, leading scholars consider what relevance (if any) Christianity brings to the relationship between physician and patient: does Christianity make a difference? The contributors consider this question from several different perspectives: the proper model of medicine, the role that the Christian moral tradition can play in medicine in a secular pluralistic society, how a Christian understanding of virtue can inform practices such as perinatal hospice and physician-assisted suicide, and whether or not appeals to Christian values can (or should) ground a physician’s right to conscientious objection.

scholarly journals Physicians, Assisted Suicide, and Christian Virtues

2021 ◽  
Vol 27 (1) ◽  
pp. 50-68
Author(s):  
Philip A Reed
Keyword(s):  
Assisted Suicide ◽  
Patient Relationship ◽  
Physician Assisted Suicide ◽  
Doctor Patient Relationship ◽  
Goals Of Medicine ◽  
Assist Suicide

Abstract The debate about physician-assisted suicide has long been entwined with the nature of the doctor–patient relationship. Opponents of physician-assisted suicide insist that the traditional goals of medicine do not and should not include intentionally bringing about or hastening a patient’s death, whereas proponents of physician-assisted suicide argue that this practice is an appropriate tool for doctors to relieve a patient’s suffering. In this article, I discuss these issues in light of the relevance of a Christian account of the doctor–patient relationship. I argue that Christians typically object to assist suicide independently of the doctor–patient relationship. I argue that a focus on the Christian virtues of charity, compassion, and humility helps to explain why doctors should not assist their patients in suicide.

scholarly journals Relationship between doctors and patients in the end of life process in palliative care and dysthanasia

2021 ◽  
Vol 18 (1) ◽  
pp. 193-205
Author(s):  
Cynthia De Freitas Melo ◽  
Maria Rannielly de Araujo Lima Magalhães ◽  
Liza Maria Studart de Meneses ◽  
Railda Sabino Fernandes Alves ◽  
Ana Cristina Eberhardt Lins ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Point Of View ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Life Process ◽  
Patients With Cancer ◽  
Therapeutic Choice ◽  
Probabilistic Sample ◽  
Descriptive Survey

Introduction: In the course of an illness, when the patient receives a poor prognosis, he can be assisted with dysthanasia or palliative care. The therapeutic choice and the adherence to it are related, among other factors, to the quality of the doctor-patient relationship. The objective of this study was to evaluate the patients’ point of view of the doctor-patient relationship in the end of life process, and compare scores between patients in palliative care and those experiencing dysthanasia. Method: The design was a descriptive survey with a non-probabilistic sample composed of 234 patients with cancer in the end of life process: 117 in palliative care and 117 expriencing dysthanasia. Two instruments were used: a biodemographic questionnaire and the Questionnaire for Assessing the Doctor-Patient Relationship in the End of Life Process, and data were analyzed using descriptive and bivariate statistics in the Statistical Package for the Social Sciences software. Results: The results showed good evaluations of the doctor-patient relationship. Palliative care patients attributed better scores in terms of time dedicated, attention, confidence, understanding and communication; and patients experiencing dysthanasia made better assessments in terms of frequency of visits and continuity of care. Conclusion: It is concluded that this study represents an advance in studies on the subject and indicates that patients in palliative care perceive the doctor-patient relationship more positively than patients undergoing dysthanasia. It stressed that it is necessary to invest in training medical students and professionals to carry out interventions that prioritize the use of their oldest, simplest and most powerful technology: the relationship between professionals and patients.

scholarly journals Perceived Proximity and Distance in the Doctors-Patients Relationships : Application to the Breast Cancer Treatment Case

K@iros ◽  
2019 ◽  
Author(s):  
Patrick RALET ◽  
◽  
Pascal BRASSIER ◽  
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Breast Cancer Treatment ◽  
Point Of View ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Treatment Pathway ◽  
The Relationship

An obvious questioning of the doctor-patient relationship leads us to conduct a research on the point of view of patients who have had to follow a breast cancer treatment pathway. We want to know to what extent the notions of distance/proximity make it possible to explain the doctors-patients relationships, and on what realities it is based. It appears that the answer is complex, multifaceted, and rather poses the question of the dimensions of the relationship alongside the medical protocol.

scholarly journals Euthanasia and Physician-Assisted Suicide: A Review from Islamic Point of View

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Yousuf RM ◽  
Mohammed Fauzi AR
Keyword(s):  
Assisted Suicide ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Point Of View ◽  
Medical Community ◽  
Physician Assisted Suicide ◽  
Dying Patients ◽  
Practice Of Medicine ◽  
The Subject ◽  
Lay Public

Due to globalizing trend of homogenisation of culture, changes in the health care delivery system and market economics infringing on the practice of medicine, there has been a gradual shift in the attitude of the medical community as well as the lay public towards greater acceptance of euthanasia as an option for terminally ill and dying patients. Physicians in developing countries come across situations where such issues are raised with increasing frequency. As the subject has gained worldwide prominence, we want to review this topic from Islamic perspective due to its significance in medical ethics and clinical practice.

scholarly journals ASPEK ETIKA DAN LEGAL EUTHANASIA

2018 ◽  
Vol 18 (3) ◽  
Author(s):  
Taufik Suryadi ◽  
Kulsum Kulsum
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Assisted Suicide ◽  
Life Support ◽  
Medical Science ◽  
Final Decision ◽  
Physician Assisted Suicide ◽  
Definition Of Death ◽  
Definition Of

Abstrak. Isu-isu tentang akhir kehidupan (end of life) selalu menarik untuk dibicarakan. Penentuan akhir kehidupan ini sering menjadi dilema bagi para dokter karena apabila dokter tidak memahami tentang pengambilan keputusan akhir hidup pasien ia akan menghadapi konsekuensi bioetika dan medikolegal. Terdapat beberapa istilah yang berkaitan dengan isu akhir kehidupan yaitu euthanasia, withholding and withdrawal life support, physician assisted suicide, dan  palliative care. Dengan berkembangnya ilmu kedokteran dan teknologi, definisi kematian menjadi sulit ditentukan karena dengan bantuan alat canggih kedokteran kehidupan ‘dapat diperpanjang’. Dari kenyataan inilah maka timbul pertanyaan serius: “Sampai kapan dokter harus mempertahankan kehidupan?. Apakah semua jenis pengobatan dan perawatan yang dapat  memperpanjang hidup manusia itu harus selalu diberikan?”.Dari permasalahan ini dapat didiskusikan tentang euthanasia ditinjau dari sudut bioetika dan medikolegal. Kata kunci: euthanasia, aspek bioetika, aspek medikolegal  Abstract .The issues of end of life are always interesting to discussed. This final determination of life is often a dilemma for doctors because if the doctor does not understand the final decision of the patient's life he will face the consequences of bioethics and medicolegal. There are several terms related to the issues of end of life that is euthanasia, withholding and withdrawal life support, physician assisted suicide, and palliative care. With the development of medical science and technology, the definition of death becomes difficult to determine because with the help of advanced medical devices 'life can be extended'. It is from this fact that a serious question arises: "How long should doctors maintain life? Are all types of cure and care that can extend the life of a human should always be given? "From this issues can be discussed about euthanasia in terms of bioethics and medicolegal. Keywords: euthanasia, bioethics aspect, medicolegal aspect

Narrative Literature and Cancer: Improving the Doctor-Patient Relationship

2012 ◽  
Vol 98 (6) ◽  
pp. e152-e154
Author(s):  
Enrico Aitini ◽  
Paola Bordi ◽  
Chiara Dell'Agnola ◽  
Elisa Fontana ◽  
Wanda Liguigli ◽  
...  
Keyword(s):  
Point Of View ◽  
Faculty Members ◽  
Patient Relationship ◽  
Classical Literature ◽  
Doctor Patient Relationship ◽  
Family Doctors ◽  
Postgraduate Students ◽  
Narrative Literature ◽  
Pain And Suffering

The role of classical literature on the subject of pain and suffering in cancer and other serious illnesses, not only from the point of view of patients but also of hospital personnel, family, friends and family doctors, has not been deeply exploited to favor the human and professional experience of young and not so young oncologists. This manuscript is the result of an effort made by postgraduate students and faculty members at the School of Oncology at Parma University to review the literature on this subject. The aim of our work is to convey the message that before teaching relationship techniques it is important to instill a culture focused on the doctor-patient relationship. Classical literature can make an important contribution to awareness in this area.

Kevorkian, Martha Wichorek and US: A Personal Account

2000 ◽  
Vol 40 (1) ◽  
pp. 267-270 ◽  
Author(s):  
Kalman J. Kaplan ◽  
Mary Leonhardi
Keyword(s):  
Suicide Prevention ◽  
Assisted Suicide ◽  
Terminally Ill ◽  
Definition Of Life ◽  
Physician Assisted Suicide ◽  
Personal Account ◽  
Short Article ◽  
Physical Disease ◽  
Definition Of

In this short article, the authors describe their attempt to do suicide-prevention with a patient that ultimately died as the result of a physician-assisted suicide. Autopsy revealed no sign of physical disease but the patient's letters indicate a preoccupation with independence as the definition of life, and conviction that people who lose independence are no longer alive. I am not stressed, oppressed, or depressed. I don't have Alzheimer's and am not terminally ill, but I am 82 years old and I want to die.

Defining Physician-Assisted Suicide Tourism and Travel

2020 ◽  
Vol 44 (4) ◽  
pp. 694-703 ◽  
Author(s):  
Chung-En Yu ◽  
Jun Wen ◽  
Fang Meng
Keyword(s):  
Assisted Suicide ◽  
Relevant Literature ◽  
Future Research ◽  
Physician Assisted Suicide ◽  
Definition Of

The concept of suicide tourism was first mentioned in the late 1900s; however, definitions remain ambiguous. Although “tourism” is often associated with joyful experiences, it takes involves forms and purposes that may not be leisure- or pleasure-related, in which suicide tourism is unique and scarcely examined. This study reviews relevant literature, reframes the definition of suicide tourism, and provides a better understanding of this emerging tourism phenomenon. The notion is redefined by tourism practices related to physician-assisted suicide (PAS). Subcategories include suicide tourism and suicide travel, depending on whether a person returns to his or her own country/region after a PAS-related trip. In addition, suicide tourism applies to anyone interested in exploring PAS, including via an informational journey. Finally, directions for future research are discussed.

Legislation and ethics of physician-assisted suicide and euthanasia in psychiatric patients

2021 ◽  
pp. 127-134
Author(s):  
Philippe Courtet ◽  
Emilie Olié
Keyword(s):  
Psychiatric Disorders ◽  
Suicide Prevention ◽  
Assisted Suicide ◽  
Psychiatric Patients ◽  
Point Of View ◽  
Third Party ◽  
Healthcare Practitioner ◽  
Physician Assisted Suicide ◽  
The Individual ◽  
Or Organization

Euthanasia is the act by which a third party (a physician or qualified healthcare practitioner) intentionally terminated a patient’s life by the patient’s request—the doctor administers the prescription. Physician-assisted suicide is where a physician or healthcare practitioner provide the means to a patient under the patient’s request, which will intentionally terminate the patient’s life—the individual then self-administers the prescription. Assisted suicide is where a physician or a healthcare practitioner is not directly involved and usually another third member or organization would assist in providing the patient with the means for self-administered suicide. This text presents the available data from the Benelux region on euthanasia and physician-assisted suicide requests that are grounded in psychiatric disorders. From a psychiatrist’s point of view, clinical and ethical questions are raised by such practices, since suicide prevention is a primary purpose of psychiatric care and a key focus of training.

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