scholarly journals End-of-life treatment and care: General Medical Council good practice guidance

2011 ◽  
Vol 35 (6) ◽  
pp. 228-229 ◽  
Author(s):  
Michael Tapley ◽  
David Jolley
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Good Practice ◽  
General Medical Council ◽  
Medical Council ◽  
Mental Capacity Act 2005 ◽  
Nutrition And Hydration ◽  
Mental Capacity Act ◽  
Legal And Ethical Issues

SummaryThe General Medical Council's guidelines on treatment and care towards the end of life, published in May 2010, contain important guidance for all doctors, including psychiatrists, who care for patients and their families towards the end of life. The document is written in the light of the Mental Capacity Act 2005 and complements existing Good Medical Practice and confidentiality guidelines, also from the General Medical Council. Psychiatrists need to be aware of the communication, legal and ethical issues around end-of-life care, including advance directives and clinically assisted nutrition and hydration. This new guidance is compulsory reading for all psychiatrists.

Legal and ethical issues

2020 ◽  
pp. 433-454
Keyword(s):  
Decision Making ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Small Degree ◽  
Life Care ◽  
Difficult Decision ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act ◽  
Legal And Ethical Issues ◽  
Care Withdrawal

Legal and ethical decision-making is highly relevant to many patients suffering acute and chronic neurological illness and brain injury. The Mental Capacity Act 2005 has provided a robust framework on which to support difficult decision-making. Advance directives have enabled individuals to take control of their lives to some small degree; however, research, genetic testing, and disclosure continue to cause anxiety for people and healthcare professionals. Decision-making around end of life care, withdrawal of care, and palliative care is a particularly complex, emotive, and challenging area of nursing practice.

scholarly journals Legal and Ethical Issues among Oncology Nurses Toward End of Life Care

2018 ◽  
Vol 03 (01) ◽  
Author(s):  
Salim NA ◽  
Nematollahi R ◽  
Tuffaha M ◽  
Chehab FH ◽  
Nigim HA ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Oncology Nurses ◽  
Life Care ◽  
Legal And Ethical Issues

scholarly journals Nutrition and Hydration in the End-of-Life Care: Ethical Issues

2018 ◽  
Vol 15 ◽  
pp. 36-40
Author(s):  
Cintia Pinho-Reis ◽  
◽  
António Sarmento ◽  
Manuel Luís Capelas ◽  
◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Life Care ◽  
Nutrition And Hydration

scholarly journals Mandating doctors to attend counter-terrorism workshops is medically unethical

2016 ◽  
Vol 40 (2) ◽  
pp. 87-88 ◽  
Author(s):  
Derek Summerfield
Keyword(s):  
Medical Association ◽  
Ethical Leadership ◽  
Ethical Issues ◽  
Civil Liberties ◽  
General Medical Council ◽  
British Medical Association ◽  
Medical Council ◽  
Counter Terrorism ◽  
Mandatory Training ◽  
The Uk

SummaryThis is a brief exploration of the ethical issues raised for psychiatrists, and for universities, schools and wider society, by the demand that they attend mandatory training as part of the UK government's Prevent counter-terrorism strategy. The silence on this matter to date on the part of the General Medical Council, medical Royal Colleges, and the British Medical Association is a failure of ethical leadership. There is also a civil liberties issue, reminiscent of the McCarthyism of 1950s USA. We should refuse to attend.

Situating requests for medical aid in dying within the broader context of end-of-life care: ethical considerations

2018 ◽  
Vol 45 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Lori Seller ◽  
Marie-Ève Bouthillier ◽  
Veronique Fraser
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Retrospective Chart Review ◽  
Median Number ◽  
Life Care ◽  
Ethical Considerations ◽  
Term Care ◽  
Medical Aid ◽  
Aid In Dying

BackgroundMedical aid in dying (MAiD) was introduced in Quebec in 2015. Quebec clinical guidelines recommend that MAiD be approached as a last resort when other care options are insufficient; however, the law sets no such requirement. To date, little is known about when and how requests for MAiD are situated in the broader context of decision-making in end-of-life care; the timing of MAiD raises potential ethical issues.MethodsA retrospective chart review of all MAiD requests between December 2015 and June 2017 at two Quebec hospitals and one long-term care centre was conducted to explore the relationship between routine end-of-life care practices and the timing of MAiD requests.ResultsOf 80 patients requesting MAiD, 54% (43) received the intervention. The median number of days between the request for MAiD and the patient’s death was 6 days. The majority of palliative care consults (32%) came less than 7 days prior to the MAiD request and in another 25% of cases occurred the day of or after MAiD was requested. 35% of patients had no level of intervention form, or it was documented as 1 or 2 (prolongation of life remains a priority) at the time of the MAiD request and 19% were receiving life-prolonging interventions.InterpretationWe highlight ethical considerations relating to the timing of MAiD requests within the broader context of end-of-life care. Whether or not MAiD is conceptualised as morally distinct from other end-of-life options is likely to influence clinicians’ approach to requests for MAiD as well as the ethical importance of our findings. We suggest that in the wake of the 2015 legislation, requests for MAiD have not always appeared to come after an exploration of other options as professional practice guidelines recommend.

Sign in / Sign up

Export Citation Format

Share Document