Palliative and end-of-life care in Egypt: overview and recommendations for improvement

2020 ◽  
Vol 26 (6) ◽  
pp. 284-291 ◽  
Author(s):  
Sameh Eltaybani ◽  
Ayumi Igarashi ◽  
Noriko Yamamoto-Mitani
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Cultural Context ◽  
Ethical Issues ◽  
Clear Picture ◽  
Life Care ◽  
Health And Illness ◽  
Care Situation ◽  
Country Specific ◽  
Made In

Background: The literature on the situation of palliative and end-of-life care in the Arab and Islamic world, including Egypt, is limited and does not present a clear picture of the cultural context. This report aims to portray the palliative and end-of-life care situation in Egypt, focusing on the nursing viewpoint. First, we describe health- and illness-related cultural, religious, and ethical issues. Second, we present an overview of the healthcare and nursing system in Egypt. Third, we discuss the situation of palliative and end-of-life care, highlighting the shortcomings of existing literature. Finally, we delineate country-specific recommendations to improve the palliative and end-of-life care situation at the level of policy, education, and research. Countries with similar healthcare, cultural, legal, religious, economic, or ethical contexts may benefit from the recommendations made in this study.

Ideology and Politicization in Public Bioethics

2011 ◽  
Vol 20 (1) ◽  
pp. 73-84 ◽  
Author(s):  
SUMMER McGEE
Keyword(s):  
Stem Cell ◽  
End Of Life ◽  
Stem Cell Research ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Party Politics ◽  
Culture Wars ◽  
Human Cloning ◽  
Life Care ◽  
Made In

Recently, concern has been raised regarding the politicization of public bioethics. Party politics has increasingly influenced public debate on ethical issues like stem cell research, human cloning, and end-of-life care. These debates have put bioethics “smack in the middle” of the culture wars. These recent events confirm Daniel Callahan’s prescient claim made in 1996 that “bioethical debates are beginning to reflect those culture wars … the larger moral struggles of our society.”

scholarly journals Dignity Therapy for End-of-Life Care Patients: A Literature Review

2021 ◽  
Vol 8 ◽  
pp. 237437352199695
Author(s):  
Pearl Ed Cuevas ◽  
Patricia Davidson ◽  
Joylyn Mejilla ◽  
Tamar Rodney
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Cultural Context ◽  
Age Groups ◽  
Empirical Support ◽  
Family Care ◽  
Life Care ◽  
Dignity Therapy ◽  
Meta Analyses

Dignity therapy as an intervention has been used for individuals receiving palliative care. The goal of this review is to explore the current state of empirical support to its use for end-of-life care patients. Data sources were articles extracted from search engines PubMed, Cochrane, Embase, CINAHL, Web of Science, and PsycINFO. The years searched were 2009 to 2019 (10-year period). The review process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Results revealed the feasibility, acceptability, satisfaction, and effectiveness of dignity therapy for life-limiting cases/conditions of patients in different age groups. It also highlighted the importance of the therapy setting and the need to apply this in the cultural context. The meaning of dignity therapy to patients and their family care members also emerged. Findings showed most patients displayed the need to leave a legacy and from this their core values surfaced. In conclusion, this review highlighted the contribution of dignity therapy to the holistic care of patients who hope to leave a legacy. The therapy was also relevant to decrease the anxiety; depression, and burden of family members throughout the palliative care period of their loved ones.

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.

Ethical issues in palliative and end-of-life care

2018 ◽  
pp. 91-118
Author(s):  
Anne Halli-Tierney ◽  
Amy Albright ◽  
Deanna Dragan ◽  
Megan Lippe ◽  
Rebecca S. Allen
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Life Care

scholarly journals The bioethics of end-of-life care in Internal Medicine: decision making and setting of care

2013 ◽  
pp. 133-138
Author(s):  
Giancarlo Traisci
Keyword(s):  
Internal Medicine ◽  
Decision Making ◽  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Present Report ◽  
Clinical Care ◽  
Terminal Phase ◽  
Life Care ◽  
Physician Patient Relationship

Introduction In the field of Internal Medicine, the management of the terminal phase of an illness raises important issues involving clinical care, with particular reference to the physician-patient relationship. The present report describes the professional code of conduct relative to the assessments and decision making involved in end-of-life care. Materials and methods The article summarizes and discusses Italian common deontological low and the current positions of national and international experts in the field of end-of-life care. Results The ethical issues regarding euthanasia, withdrawal/withholding of health care, and medical treatment that uselessly prolongs the life of a terminal patient are defined and analyzed in conjunction with the outcomes suggested by the palliative medicine. Discussion Physicians caring for patients at the end of their lives must give consideration to bioethical approach.

scholarly journals MORECare research methods guidance development: Recommendations for ethical issues in palliative and end-of-life care research

2013 ◽  
Vol 27 (10) ◽  
pp. 908-917 ◽  
Author(s):  
Marjolein Gysels ◽  
Catherine J Evans ◽  
Penney Lewis ◽  
Peter Speck ◽  
Hamid Benalia ◽  
...  
Keyword(s):  
End Of Life ◽  
Research Methods ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Life Care ◽  
Care Research ◽  
Guidance Development
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