Die Grundsätze der Bundesärztekammer zur ärztlichen Sterbebegleitung

1999 ◽  
Vol 43 (1) ◽  
pp. 85-96 ◽  
Author(s):  
Mirjam Zimmermann ◽  
Ruben Zimmermann
Keyword(s):  
Medical Association ◽  
End Of Life ◽  
Assisted Suicide ◽  
Treatment Decisions ◽  
Voluntary Euthanasia ◽  
Active Euthanasia ◽  
Medical Decisions ◽  
German Medical Association ◽  
Voluntary Active Euthanasia

Abstract The guidelines of the >German Medical Association< for doctors treating the dying passed on 11. Sept. 1998 are trying to provide an ethically justified frame for medical decisions conceming the end of life. In certain justified cases they allow non-treatment decisions and allevation of pain and symptoms that might cause the patient's death while they strictly reject voluntary active euthanasia, non-voluntary euthanasia or assisted suicide

scholarly journals Managing Profound Suffering at the End-of-Life: Should expanding access to continuous deep sedation be the priority?

2016 ◽  
Vol 4 ◽  
Author(s):  
Jeffrey Kirby
Keyword(s):  
End Of Life ◽  
Healthcare Provider ◽  
Assisted Suicide ◽  
Deep Sedation ◽  
Patient Access ◽  
Active Euthanasia ◽  
Physician Assisted Suicide ◽  
Continuous Deep Sedation ◽  
Voluntary Active Euthanasia

This paper argues that in addressing and managing profound suffering at the end-of-life, the priority should not be the legalization of physician-assisted suicide or voluntary active euthanasia in jurisdictions where these practices are not currently available. Rather, concerted efforts should be made by society and the healthcare provider community to expand patient access to proportionate distress-relieving sedation and continuous deep sedation.

Aid-in-Dying: Should We Decriminalize Physician-Assisted Suicide and Physician-Committed Euthanasia?

1992 ◽  
Vol 18 (4) ◽  
pp. 369-394 ◽  
Author(s):  
Maria T. CeloCruz
Keyword(s):  
Medical Journal ◽  
Assisted Suicide ◽  
Active Euthanasia ◽  
Physician Assisted Suicide ◽  
Journal Articles ◽  
News Stories ◽  
Voluntary Active Euthanasia ◽  
Aid In Dying

Recent news stories, medical journal articles, and two state voter referenda have publicized physicians’ providing their patients with aid-in-dying. This Note distinguishes two components of aid-in-dying: physician-assisted suicide and physiciancommitted voluntary active euthanasia. The Note traces these components’ distinct historical and legal treatments and critically examines arguments for and against both types of action. This Note concludes that aid-in-dying measures should limit legalization initiatives to physician-assisted suicide and should not embrace physician-committed voluntary active euthanasia.

End-of-life issues in intensive care units: a national random survey of nurses' knowledge and beliefs

2001 ◽  
Vol 10 (4) ◽  
pp. 216-229 ◽  
Author(s):  
KA Puntillo ◽  
P Benner ◽  
T Drought ◽  
B Drew ◽  
N Stotts ◽  
...  
Keyword(s):  
Intensive Care ◽  
Pain Management ◽  
End Of Life ◽  
Intensive Care Units ◽  
Assisted Suicide ◽  
Life Support ◽  
Voluntary Euthanasia ◽  
Knowledge And Beliefs ◽  
Dying Patients ◽  
Almost All

OBJECTIVE: To investigate the knowledge, beliefs, and ethical concerns of nurses caring for patients dying in intensive care units. METHODS: A survey was mailed to 3000 members of the American Association of Critical-Care Nurses. The survey contained various scenarios depicting end-of-life actions for patients: pain management, withholding or withdrawing life support, assisted suicide, and voluntary and nonvoluntary euthanasia. RESULTS: Most of the respondents (N = 906) correctly identified the distinctions among the end-of-life actions depicted in the scenarios. Almost all (99%-100%) agreed with the actions of pain management and withholding or withdrawing life support. A total of 83% disagreed with assisted suicide, 95% disagreed with voluntary euthanasia, and 89% to 98% disagreed with nonvoluntary euthanasia. Most (78%) thought that dying patients frequently (31%) or sometimes (47%) received inadequate pain medicine, and almost all agreed with the double-effect principle. Communication between nurses and physicians was generally effective, but unit-level conferences that focused on grief counseling and debriefing staff rarely (38%) or never (49%) occurred. Among the respondents, 37% had been asked to assist in hastening a patient's death. Although 59% reported that they seldom acted against their consciences in caring for dying patients, 34% indicated that they sometimes had acted against their conscience, and 6% had done so to a great extent. CONCLUSIONS: Intensive care unit nurses strongly support good pain management for dying patients and withholding or withdrawing life-sustaining therapies to allow unavoidable death. The vast majority oppose assisted suicide and euthanasia. Wider professional and public dialogue on end-of-life care in intensive care units is warranted.

Medical Assistance in Dying in Canada: Implications and Considerations for Music Therapists Around the Globe

2020 ◽  
Author(s):  
Amy Clements-Cortes ◽  
Joyce Yip
Keyword(s):  
Music Therapy ◽  
End Of Life ◽  
Assisted Suicide ◽  
Future Research ◽  
Voluntary Euthanasia ◽  
Healthcare Team ◽  
Medical Assistance ◽  
Music Therapists ◽  
Medical Assistance In Dying ◽  
Medical And Healthcare

Abstract Physician-assisted suicide and voluntary euthanasia are two procedures of Medical Assistance in Dying (MAiD) that are readily requested by patients internationally. In April 2016, the legalization of these procedures occurred in Canada after the pursuit of many jurisdictional cases. Known as Bill C-14, this legislation aims to balance patient autonomy at end-of-life with revised standardizations for medical and healthcare professionals. Music therapists may be included in the medical and healthcare team that can be recommended by patients considering MAiD. At present, there are no written guidelines that empirically outline the role of music therapists in this area. This paper explores the global history of MAiD as well as MAiD in the Canadian healthcare system and its implications. Information on the legislation Bill C-14 will be explained, along with a discussion on the current practices of music therapy at end-of-life and the potential scope of a music therapist during the MAiD procedure. Ethical issues and future research are also presented as recommendations to healthcare and music therapy professionals.

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