Euthanasia: the word and the act in palliative medicine.

Abstract:

:The word 'euthanasia' has been used with a variety of meanings, all of which refer to one precise action: the killing of a suffering person. A moral evaluation of such an act can lead us either to condemn it a priori, shutting the door upon any argument, or to allow further discussion. But the issue must be discussed, starting with an analysis of the meaning of the word and then examining both whether it is justifiable or not in palliative care, and whether it is acceptable within a general medical context. This paper supports the assumption that a correct and clear-cut analysis of the word euthanasia and of the act to which the word refers can be carried out only through a debate which separates the various levels of reasoning (medical, ethical, religious, political, legal) and keeps distinct from one another.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

Di Mola G

doi

10.1177/026921639300700304

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

187-92

issue

3

eissn

0269-2163

issn

1477-030X

journal_volume

7

pub_type

杂志文章
  • "We will remember them": a mixed-method study to explore which post-funeral remembrance activities are most significant and important to bereaved people living with loss, and why those particular activities are chosen.

    abstract::In an increasingly secular age in which society no longer offers a code of behaviour for those who are bereaved as in Victorian times, the majority of people do not seek support from church-based rituals of remembrance. Most hospices provide religious Services of Remembrance and Thanksgiving or non-faith remembrance g...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216309103803

    authors: Vale-Taylor P

    更新日期:2009-09-01 00:00:00

  • Variations in the cost of formal and informal health care for patients with advanced chronic disease and refractory breathlessness: A cross-sectional secondary analysis.

    abstract:BACKGROUND:Refractory breathlessness in advanced chronic disease leads to high levels of disability, anxiety and social isolation. These result in high health-resource use, although this is not quantified. AIMS:To measure the cost of care for patients with advanced disease and refractory breathlessness and to identify...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216317690994

    authors: Dzingina MD,Reilly CC,Bausewein C,Jolley CJ,Moxham J,McCrone P,Higginson IJ,Yi D

    更新日期:2017-04-01 00:00:00

  • A qualitative study of clinical nurse specialists' views on depression in palliative care patients.

    abstract::Depression is the most common psychiatric illness in patients with terminal cancer. Depression not only lowers the quality of life for the patients and their families, but patients who are depressed may also have physical symptoms that are difficult to palliate and that improve as their depression is appropriately tre...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216303pm747oa

    authors: Lloyd Williams M,Payne S

    更新日期:2003-06-01 00:00:00

  • Is there a research paradigm for palliative care?

    abstract::The question of whether a coherent tradition in research and research methods (or paradigm) exists in palliative care is explored in this paper through an examination of the discussion and debate surrounding palliative care; attempts at achieving consensus for research through priority setting exercises; and a critica...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/026921639601000304

    authors: Corner J

    更新日期:1996-07-01 00:00:00

  • The role of general practitioners in continuity of care at the end of life: a qualitative study of terminally ill patients and their next of kin.

    abstract:OBJECTIVES:Exploring terminal patients' perceptions of GPs' role in delivering continuous end-of-life care and identifying barriers to this. DESIGN:Qualitative interview study with patients (two consecutive interviews). SETTING:Primary care Belgium. PARTICIPANTS:Seventeen terminally ill cancer patients, informed abo...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216307078503

    authors: Michiels E,Deschepper R,Van Der Kelen G,Bernheim JL,Mortier F,Vander Stichele R,Deliens L

    更新日期:2007-07-01 00:00:00

  • Knowledge and information needs of informal caregivers in palliative care: a qualitative systematic review.

    abstract:OBJECTIVES:To review current understanding of the knowledge and information needs of informal caregivers in palliative settings. DATA SOURCES:Seven electronic databases were searched for the period January 1994--November 2006: Medline, CINAHL, PsychINFO, Embase, Ovid, Zetoc and Pubmed using a meta-search engine (Metal...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216307085343

    authors: Docherty A,Owens A,Asadi-Lari M,Petchey R,Williams J,Carter YH

    更新日期:2008-03-01 00:00:00

  • Spouse caregivers of people with advanced dementia in nursing homes: a longitudinal narrative study.

    abstract:BACKGROUND:Dementia is a life limiting illness and is becoming a major cause of death in developed countries. Many people with dementia die in nursing homes or long-term residential care settings. Spouse caregivers of people with dementia living in nursing homes find themselves in a position which is difficult to under...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313479685

    authors: Hennings J,Froggatt K,Payne S

    更新日期:2013-07-01 00:00:00

  • Comparison of preferences for end-of-life care among patients with advanced cancer and their caregivers: A discrete choice experiment.

    abstract:BACKGROUND:Patients with advanced cancer often have to make difficult decisions, such as how much to spend on moderately life-extending treatments. This and other end-of-life decisions are also influenced by their informal caregivers. Understanding the relative value that patients and their caregivers place on various ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315578803

    authors: Malhotra C,Farooqui MA,Kanesvaran R,Bilger M,Finkelstein E

    更新日期:2015-10-01 00:00:00

  • Advance Care Planning in palliative care: a qualitative investigation into the perspective of Paediatric Intensive Care Unit staff.

    abstract:BACKGROUND:The majority of children and young people who die in the United Kingdom have pre-existing life-limiting illness. Currently, most such deaths occur in hospital, most frequently within the intensive care environment. AIM:To explore the experiences of senior medical and nursing staff regarding the challenges a...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315573000

    authors: Mitchell S,Dale J

    更新日期:2015-04-01 00:00:00

  • Progressive multifocal leukoencephalopathy and palliative care: a report of three cases and review of the literature.

    abstract::Progressive multifocal leukoencephalopathy (PML) is a rare but usually fatal demyelinating disease of the central nervous system in patients who are immunocompromised. It is characterized by rapid neurological deterioration associated with progressive white matter changes on imaging and is confirmed by isolation of th...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216312450932

    authors: Cotton PJ,Le B

    更新日期:2013-03-01 00:00:00

  • Access and equity in HIV/AIDS palliative care: a review of the evidence and responses.

    abstract::The high prevalence of pain and other symptoms throughout the HIV disease trajectory, the need for management of side effects related to antiretroviral therapy, the continuing incidence of cancers and new emerging co-morbidities as a result of extended life expectancy under new therapeutic regimes, and the ongoing nee...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1191/0269216305pm1005oa

    authors: Harding R,Easterbrook P,Higginson IJ,Karus D,Raveis VH,Marconi K

    更新日期:2005-04-01 00:00:00

  • The development and validation of a novel questionnaire to measure patient and family satisfaction with end-of-life care: the Canadian Health Care Evaluation Project (CANHELP) Questionnaire.

    abstract::The purpose of this study was to further validate a novel instrument to measure satisfaction with end-of-life care, called the Canadian Health Care Evaluation Project (CANHELP) questionnaire. Data were collected by a cross-sectional survey of patients who had advanced, life-limiting illnesses and their family caregive...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216310373168

    authors: Heyland DK,Cook DJ,Rocker GM,Dodek PM,Kutsogiannis DJ,Skrobik Y,Jiang X,Day AG,Cohen SR,Canadian Researchers at the End of Life Network.

    更新日期:2010-10-01 00:00:00

  • A cross-national cross-sectional survey of the attitudes and perceived competence of final-year medicine, nursing and pharmacy students in relation to end-of-life care in dementia.

    abstract:BACKGROUND:Little is known about the attitudes of healthcare professional students' perceived competence and confidence in treating those with dementia who are at the end of life. AIM:To explore the attitudes of final year medical, nursing and pharmacy students towards people with dementia and to evaluate their percei...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313483661

    authors: De Witt Jansen B,Weckmann M,Nguyen CM,Parsons C,Hughes CM

    更新日期:2013-10-01 00:00:00

  • The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review.

    abstract:BACKGROUND:Terminal illness not only causes physical suffering but also spiritual distress. Spiritual care has been widely implemented by healthcare professionals to assist patients coping with spiritual distress. However, the effects of spiritual care need to be clear. AIM:To evaluate the effects of spiritual care on...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318772267

    authors: Chen J,Lin Y,Yan J,Wu Y,Hu R

    更新日期:2018-07-01 00:00:00

  • Inappropriateness of using opioids for end-stage palliative sedation: a Dutch study.

    abstract::To be able to distinguish end-stage palliative sedation from euthanasia without having to refer to intentions that are difficult to verify, physicians must be able to manage palliative sedation appropriately (i.e., see that death is not hastened as a result of disproportionate medication). In the present study, we ass...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216308091867

    authors: Reuzel RP,Hasselaar GJ,Vissers KC,van der Wilt GJ,Groenewoud JM,Crul BJ

    更新日期:2008-07-01 00:00:00

  • Implantable cardioverter defibrillator knowledge and end-of-life device deactivation: A cross-sectional survey.

    abstract:BACKGROUND:End-of-life implantable cardioverter defibrillator deactivation discussions should commence before device implantation and be ongoing, yet many implantable cardioverter defibrillators remain active in patients' last days. AIM:To examine associations among implantable cardioverter defibrillator knowledge, pa...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216317718438

    authors: McEvedy SM,Cameron J,Lugg E,Miller J,Haedtke C,Hammash M,Biddle MJ,Lee KS,Mariani JA,Ski CF,Thompson DR,Chung ML,Moser DK

    更新日期:2018-01-01 00:00:00

  • Legalisation of euthanasia or physician-assisted suicide: survey of doctors' attitudes.

    abstract::This study reports UK doctors' opinions about legalisation of medically assisted dying (euthanasia and physician-assisted suicide), comparing this with the UK general public. A postal survey of 3733 UK medical practitioners was done. The majority of UK doctors are opposed to legalisation, contrasting with the UK gener...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216308102041

    authors: Seale C

    更新日期:2009-04-01 00:00:00

  • Which patients with terminal cancer are admitted from home care?

    abstract::The factors related to admission of patients with terminal cancer who had been referred to a reputable home care service were examined in 415 patients referred in a two-year period and in a prospective study of a randomized one in three sample of the 232 adults still alive one week after referral, who were able to con...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/026921639400800303

    authors: Hinton J

    更新日期:1994-01-01 00:00:00

  • Cancer patients' experiences of living with venous thromboembolism: A systematic review and qualitative thematic synthesis.

    abstract:BACKGROUND:Cancer-associated thrombosis is common. Recommended treatment is daily injected low-molecular-weight heparin for 6 months. Most studies focus on prophylaxis and treatment; few have explored the patients' experience. AIMS:To identify and synthesise the available literature concerning patients' experience of ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318757133

    authors: Benelhaj NB,Hutchinson A,Maraveyas AM,Seymour JD,Ilyas MW,Johnson MJ

    更新日期:2018-05-01 00:00:00

  • Illness awareness in terminal cancer patients: an Italian study.

    abstract::The amount and quality of information and awareness in cancer patients' is a topic frequently debated, but few studies have focussed on terminal patients. This is the objective of the present study that involved two different palliative home-care units in Italy, which recruited 550 terminal cancer patients. Data from ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0269216308100772

    authors: Corli O,Apolone G,Pizzuto M,Cesaris L,Cozzolino A,Orsi L,Enterri L

    更新日期:2009-06-01 00:00:00

  • Inviting the absent members: examining how caregivers' participation affects hospice team communication.

    abstract::This paper is a secondary observation of a larger pilot study. The Assessing Caregivers for Team Intervention via Video Encounters intervention project enabled caregiver participation in hospice interdisciplinary team meetings. This paper used the team observation scale to assess the impact of caregiver involvement on...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0269216309352066

    authors: Wittenberg-Lyles E,Oliver DP,Demiris G,Burt S,Regehr K

    更新日期:2010-03-01 00:00:00

  • The trajectory of functional decline over the last 4 months of life in a palliative care population: A prospective, consecutive cohort study.

    abstract:BACKGROUND:Understanding current patterns of functional decline will inform patient care and has health service and resource implications. AIM:This prospective consecutive cohort study aims to map the shape of functional decline trajectories at the end of life by diagnosis. DESIGN:Changes in functional status were me...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319839024

    authors: Morgan DD,Tieman JJ,Allingham SF,Ekström MP,Connolly A,Currow DC

    更新日期:2019-06-01 00:00:00

  • A study into the educational needs of children's hospice doctors: a descriptive quantitative and qualitative survey.

    abstract:OBJECTIVES:To identify and explore the educational needs of children's hospice doctors in England. DESIGN:A descriptive quantitative and qualitative survey. SETTING:Children's hospices in England. PARTICIPANTS:All children's hospice doctors (n =55) in England were approached, and 35 (65%) consented. INTERVENTIONS:A...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216304pm902oa

    authors: Amery J,Lapwood S

    更新日期:2004-12-01 00:00:00

  • Attitudes of Danish doctors and nurses to palliative and terminal care.

    abstract:BACKGROUND:The WHO definitions of palliative care have been adopted in Denmark and implemented in The National Guidelines from 1999, but service developments have been very slow and not according to the recommendations. Attitudes to palliative care of Danish doctors and nurses may in part account for this. OBJECTIVE:T...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216305pm988oa

    authors: Vejlgaard T,Addington-Hall JM

    更新日期:2005-03-01 00:00:00

  • Audit of intrathecal drug delivery for patients with difficult-to-control cancer pain shows a sustained reduction in pain severity scores over a 6-month period.

    abstract:BACKGROUND:Intrathecal drug delivery is known to be effective in alleviating cancer pain in patients for whom the conventional World Health Organization approach has proved insufficient. A multidisciplinary interventional cancer pain service was established in the West of Scotland in 2008 with the aim of providing a sa...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315570514

    authors: Mitchell A,McGhie J,Owen M,McGinn G

    更新日期:2015-06-01 00:00:00

  • Home or hospital as the place of end-of-life care and death: A grounded theory study of parents' decision-making.

    abstract:BACKGROUND:While several studies have examined 'what' families want with regard to the place of a child's end-of-life care and death, few have explored 'how' parents reach a decision. AIMS:(1) to develop a model explaining how parents of a child with a life-threatening illness in Greece decide about the place of end-o...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320967547

    authors: Papadatou D,Kalliani V,Karakosta E,Liakopoulou P,Bluebond-Langner M

    更新日期:2021-01-01 00:00:00

  • 'It all depends!': A qualitative study of preferences for place of care and place of death in terminally ill patients and their family caregivers.

    abstract:BACKGROUND:It is often suggested that terminally ill patients favour end-of-life care at home. Yet, it is unclear how these preferences are formed, if the process is similar for patients and family caregivers, and if there are discrepancies between preferences for place of care and place of death. Understanding these n...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319845794

    authors: Gerber K,Hayes B,Bryant C

    更新日期:2019-07-01 00:00:00

  • A comparison of the use of sedatives in a hospital support team and in a hospice.

    abstract::This study examines how frequently and for what indications sedatives are prescribed in a hospital support team and in a hospice. We also looked at the survival of sedated patients from the date of admission and from the start of sedation. Overall 26% of patients were prescribed sedatives in order to sedate them (31% ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639701100208

    authors: Stone P,Phillips C,Spruyt O,Waight C

    更新日期:1997-03-01 00:00:00

  • Educational opportunities in palliative care: what do general practitioners want?

    abstract::It is important to support general practitioners (GPs) in maintaining and developing their palliative care skills as most of the final year of a patient's life is spent at home under the care of the primary health care team. The training needs and uptake of GPs have been explored, but little is known about how GP educ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/026921601678576176

    authors: Shipman C,Addington-Hall J,Barclay S,Briggs J,Cox I,Daniels L,Millar D

    更新日期:2001-05-01 00:00:00

  • Prevalence and characteristics of patients with advanced chronic conditions in need of palliative care in the general population: a cross-sectional study.

    abstract:BACKGROUND:Of deaths in high-income countries, 75% are caused by progressive advanced chronic conditions. Palliative care needs to be extended from terminal cancer to these patients. However, direct measurement of the prevalence of people in need of palliative care in the population has not been attempted. AIM:Determi...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313518266

    authors: Gómez-Batiste X,Martínez-Muñoz M,Blay C,Amblàs J,Vila L,Costa X,Espaulella J,Espinosa J,Constante C,Mitchell GK

    更新日期:2014-04-01 00:00:00