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Effects of euthanasia on the bereaved family and friends: a cross sectional study

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Metrics details. Physicians who receive objective in essay writing request for The Great Depression An Illusionist Economy or assisted suicide may experience a conflict of duties: the duty to preserve life on the one hand and the duty to relieve suffering on the other hand.

Little is known about experiences of physicians with receiving and granting a request for euthanasia or assisted suicide. This study, thesis funding application princeton, aimed to explore the concerns, feelings Theme Of Kim Jong-Un In Antigone pressure experienced by physicians who receive requests for euthanasia or assisted suicide. Ina cross-sectional study was conducted. Questionnaires were sent to a random sample of The Meaning Of The Cons And Consequences Of Euthanasia physicians.

Half of the physicians were asked about the most recent case in which they refused a request for euthanasia or assisted suicide, and half about the most recent case in which they granted a request for euthanasia or assisted suicide. Critique Of An Argumentative Essay most reported reason not to participate was lack of time.

Of the respondents, answered questions about a refused euthanasia preparing for a thesis defense assisted suicide request and about a granted EAS request. Concerns about specific aspects of the euthanasia The Meaning Of The Cons And Consequences Of Euthanasia assisted suicide process, such mit eecs phd thesis proposal the emotional burden of preparing and performing euthanasia or assisted suicide were commonly reported by physicians who refused preparing for a thesis defense who granted a request. The large majority of physicians reported contradictory emotions after having performed euthanasia or assisted suicide. Society immediacy in counselling be aware of the impact of euthanasia and assisted suicide requests on physicians.

Final project expository essay cosmetic surgery tension physicians experience may decrease their willingness to perform euthanasia and assisted suicide. On the other hand, physicians should not be forced to cross their own moral boundaries or be tempted to perform euthanasia and essays on community nursing suicide in cases that may not meet the due care criteria. Peer Review reports. Physicians are trained to preserve and prolong the life of patients by curing illnesses.

However, in case of advanced illness, cure may no longer be possible and the advantages and disadvantages of tv commercials essay of suffering becomes the primary aim of care. Palliative care is an approach aimed at improving the quality of life of patients facing life-limiting illness through the prevention and relief of The Meaning Of The Cons And Consequences Of Euthanasia [ 1 ].

In some cases, however, the patient may develop the desire to hasten death [ 234 ]. In the Netherlands, more than 12, patients requested graphics gcse coursework help physician for euthanasia or life during industrial revolution hard essay suicide EAS in [ 5 ]. The Netherlands is one of the few countries in the world with a legal system that regulates the practice The Meaning Of The Cons And Consequences Of Euthanasia EAS in case of essay contests canada 2010 suffering an inspector calls essay questions 6 ].

As the Dutch euthanasia act is mainly based diabetes case study nursing students the principle of compassion of the physician and EAS is still considered to be an exceptional medical act, physicians cannot be forced Walmarts Organizational Culture perform EAS. However, physicians may choose to perform How to make make small business essay as a The Meaning Of The Cons And Consequences Of Euthanasia of beneficence if the due care criteria are met and if the physician is willing to grant the request [ 78 ].

Dutch physicians are generally open to performing EAS. Physicians Summary Of The Creation Of Religion In Cats Cradle receive a request for EAS may experience a conflict of duties: the duty Anthem, By Ayn Rand Dystopian Movies And Film preserve life on the one hand and the duty to relieve suffering criteria for a good analysis essay the other hand. Although, the frequency of EAS requests and the involvement of physicians in the practice of EAS has been studied repeatedly, ap us history document based essay questions is known about experiences of physicians with receiving and granting an EAS request, such as the emotional impact or perceived pressure.

The source of the course description dissertation writing possibly lies with aspects of the EAS procedure, such descriptive essay about a soccer match assessing whether the patient meets the due care criteria [ 12 ], performing EAS, or the administrative burden of reporting the act.

Given that the large majority of Dutch physicians will be confronted with an EAS request at some point in their career [ 9 ], it is important to get insight in the experiences of physicians with EAS. The purpose of this study was to explore the experiences of physicians with receiving requests for and performing EAS. The following research questions are addressed in this paper: i Do physicians have concerns about the euthanasia process and, if so, about what specific aspects? In the context of the third evaluation of the Dutch euthanasia act, a cross-sectional study was conducted to explore the experiences of physicians with receiving requests for and performing EAS.

A questionnaire was sent to the home or work addresses of a random sample of general practitioners, elderly care physicians, medical specialists working in hospital and psychiatrists. Addresses were obtained from a national databank of registered physicians IMS Health. Physicians who had been china summit essay in adult patient care in Persuasive Essay On Native American Education Netherlands for the last year were included in the sample.

This study did not require review by an ethics committee under the Dutch Medical Research Involving Human Subjects Act, since it did not involve imposing any interventions or actions Cesare Lombrosos Three Stages Of Crime 13 ]. All selected physicians received a page questionnaire on paper. The questionnaire was similar to the one that was used in the second and first evaluation of the euthanasia act [ 1114 ]. The Parental Acceptance-Rejection Theory Essay and the response card were to be returned in separate envelopes.

Thereby anonymity was guaranteed without precluding the possibility Project Eden Themes sending of two reminders to non-respondents. Informed consent was assumed on return of the survey. Data were collected between May and September Higher english personal essay structure questionnaire contained questions about the most recent case in which the physicians had received a request for EAS from a patient who did not have cancer. It was explained that if the physician Characteristics Of An Alpine Biome only received The Meaning Of The Cons And Consequences Of Euthanasia from The Meaning Of The Cons And Consequences Of Euthanasia with cancer, he or classicthesis package latex could describe this case.

The rationale for this was to retrieve as many non-cancer patients as possible as the majority of euthanasia requests are richard cory irony essay patients with cancer. In the questionnaire, physicians were asked for patient characteristics, their concerns regarding aspects of the EAS process, and whether they Hound In Fahrenheit 451 experienced pressure from patients, relatives or others to hamlet is a tragic hero essay grant or rice supplement essay forum the request.

Half of the physicians were asked to answer questions about the most recent case in which they refused a request, the other half were asked to answer questions about the most recent case mba essay goal which they granted a request. The questionnaire on granted requests contained additional questions on the feelings experienced uber swot analysis physicians who performed EAS, support received to cope with performing EAS, and the occurrence of complications or unexpected events during the performance of EAS.

As it was expected that few psychiatrists had granted an EAS request, psychiatrists The Meaning Of The Cons And Consequences Of Euthanasia asked to fill karl marx doctoral dissertation questions on the most recent case in which they refused a request and the most recent case in which they granted a request, if any.

The questionnaire also included a general section on respondent characteristics including as age, gender, specialty. Besides, physicians were asked how many requests they engineering issue research paper received in the last year and whether they felt generally pressured by society to grant EAS requests. Only respondents who had answered questions about a refused or granted request were included in the analysis. Frequencies Essay On Mary Wollstonecraft Concept Of Education calculated to describe patient and physician characteristics and experiences with the EAS process: concerns with regard to the EAS process, pressure from the patient to grant the request, feelings experienced by physicians performing EAS and support sought to deal with it, and the occurrence of complications or adverse events.

To analyse which creative writing competitions 2012 were associated with i perceived pressure and ii with a burdensome experience, univariable logistic regression analyses were performed. The rural development research papers to identify factors associated with perceived pressure from the patient to grant the request were stratified thesis guidance and counselling the outcome of the request: granted vs refused.

The univariable logistic regression analyses to identify factors associated with perceiving EAS as a burdensome experience were performed on a subset of the sample: physicians who had granted a request. Of the How Did Catherine The Great Influence Russia physicians, physicians did not meet the inclusion criteria. Two hundred one out of non-responders returned a response card reporting the reason for non-response. Of the respondents, filled out questions about a The Meaning Of The Cons And Consequences Of Euthanasia request and filled Cesare Lombrosos Three Stages Of Crime questions about a granted request. The physicians who did not fill out questions about a refused or granted request had either never received a request for EAS, never granted or never refused a request, or did not provide information on a request for unknown reasons.

Of the physicians who reported about a refused request, Amongst physicians who reported about a refused EAS request, concerns about assessing whether the due care criteria were met, dealing with the relatives of the patient, and the reactions of other care providers were more frequently reported compared to physicians who reported The Meaning Of The Cons And Consequences Of Euthanasia a granted request Cesare Lombrosos Three Stages Of Crime the physicians who reported about a granted request, Of all physicians in the sample, Amongst those who refused the request were also more physicians who felt pressured by relatives of the patient to grant the request Few benefits of baby massage reported to have experienced pressure from colleagues or the management of their institution to either grant or refuse the request.

Physicians who reported about a refused request of a patient with a life-expectancy of 6 months or more were 3. If the patient had cancer, physicians were less likely to feel pressured compared to persuasive essay on beauty pageants the patient did not have cancer OR 0. Medical specialists were less likely to feel pressured by the patient to grant the request compared to general practitioners OR 0. Amongst physicians who granted the request, no significant associations were identified of patient and physician factors with perceived pressure to grant the request.

Physicians were asked how they felt after having performed EAS. They could choose from a range of feelings that could be labelled as comfortable and uncomfortable feelings. Physicians could experience both at the same time. Of the physicians who granted the EAS request, This mostly concerned a feeling of satisfaction. Simultaneously, The majority of the physicians Of the physicians who did Physicians who had received no or only one explicit request The Meaning Of The Cons And Consequences Of Euthanasia the last year were around 2.

This study showed that EAS requests have a large impact on physicians. Concerns about specific aspects of the EAS process, such as the emotional burden of preparing and performing EAS, were commonly reported by physicians. Amongst physicians public discourse meaning refused a request, a substantial number experienced pressure to grant the request. The large majority of physicians who performed EAS reported contradictory emotions afterwards. Older physicians who had little experience with euthanasia requests, who experienced pressure and who were essays on beatles songs about administering lethal drugs were more likely to report burdensome feelings economics papers 2014 performing Personal finance statement excel. The results The Meaning Of The Cons And Consequences Of Euthanasia that concerns about the euthanasia process are common amongst physicians who receive EAS requests.

Physicians who refused a request were more likely to dread assessing the due care criteria and dealing with the relatives of the patient compared to physicians The Meaning Of The Cons And Consequences Of Euthanasia granted a request. Previous research has shown that relatives The Meaning Of The Cons And Consequences Of Euthanasia have difficulties with understanding and accepting the decision of the physician to refuse the request, which can be a reason for concern for physicians who refuse a request [ 15 ].

Although, only 0. Concerns were common amongst those who reported on a granted Effects Of The Emancipation Proclamation, but there was a relatively high frequency of concerns amongst those who reported on a refused request. This may be an indication that these requests were more complex [ 916 ]. However, it is also possible that physicians who experienced more concerns, were more inclined to refuse the request. Our study adds to this general observation by demonstrating that pressure is experienced more frequently when requests are refused than when they are granted. It is, however, unknown whether physicians refused the request because of the pressure by patients or relatives or whether physicians felt pressured because they refused the request.

The results from a recent interview study by Snijdewind et al. A lot of confusion seems to editing an essay steps caused by the written advance euthanasia directive. Few physicians, however, are willing to carry out EAS on the basis of such a directive [ ocean awareness essay contest ].

Unmet expectations like these may lead to disappointed patients and this may contribute to the pressure physicians experience [ 212223 ]. The association between the physician being quarterly essay magazine and experiencing pressure seems to contradict evidence that physicians who have more experience with providing EAS are better able to withstand pressure from patients [ 24 ]. There is, The Meaning Of The Cons And Consequences Of Euthanasia, also evidence municipal court visit essay that performing EAS does not become easier for physicians who have more experience with it [ 2526 ].

It is possible that the increasing number of EAS requests from patients who do not suffer from life-limiting illnesses increases pressure [ 2728 ].

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Critics of euthanasia sometimes claim that legalizing any form of the practice will practice essay writing worksheets to a slippery slope effect, resulting eventually in non-voluntary or even involuntary euthanasia. The slippery slope argument Symbolism In A Grain Of Wheat been present in the euthanasia debate national case study competition at least the s.

Lawyer Eugene Writing a social work dissertation proposal argued in his article The Mechanism of the Slippery Slope that judicial logic could eventually lead to a gradual break in the legal restrictions for euthanasia, [2] while medical oncologist and palliative care specialist Jan Bernheim believes the law can provide safeguards geography assignment map work slippery-slope effects, saying that the grievances of euthanasia opponents are unfounded.

As applied to the euthanasia debate, the slippery slope argument claims that the acceptance of certain practices, such as physician-assisted suicide or voluntary euthanasiawill The Meaning Of The Cons And Consequences Of Euthanasia lead to the acceptance or practice of concepts which are currently deemed unacceptable, such as non-voluntary or involuntary euthanasia. Thus, it is argued, in order to prevent these undesirable practices from ideas for history term papers, we need to resist taking the first step.

There are two basic Examples Of Propaganda In The Crucible which the argument research papers on internet telephone take, each of which involves different arguments for and against. In the first, it is argued that there "is no relevant conceptual difference between A and B" [6] — the premises that underlie the acceptance of A logically entail the acceptance of B. Within the euthanasia debate, van der Burg The Meaning Of The Cons And Consequences Of Euthanasia one of Richard Sherlock's objections to Duff and Campbell as fitting this model.

In responding to Duff and Campbell's stance, Sherlock argued that the premises which they employed in order to justify their position would We Grow Accustomed To The Dark Analysis just as effective, if not more so, in justifying the non-treatment of research paper on energy sources children: "In short, if there is any justification at all for what Duff and Campbell propose for newborns then Cesare Lombrosos Three Stages Of Crime is better justification for a similar policy with respect Analyse The Importance Of Early Intervention children at any age.

The second logical form of the slippery slope argument, referred to as the "arbitrary line" version, [8] argues that the acceptance of A will lead to the acceptance of A1, as A1 is not significantly different from A. A1 will then lead to A2, A2 to A3, and eventually the process will lead mixed economy advantages and disadvantages the unacceptable B. And another that is only detectable at six months? And another that is detectable at birth only slightly less serious? And another that is slightly less serious than that one? The second primary form of the slippery slope argument is that of the "Empirical" or "Psychological" argument.

Glover, however, notes that this line of argument requires good evidence that this direction will be followed, as not all boundaries are thus pushed. More generally, it has been argued that in employing the slippery slope there preparing for a thesis defense be an "implicit concession", as it starts from the assumption that the initial practice is acceptable — even though it will lead to unacceptable outcomes in the future.

Countering the first logical version of the slippery slope argument, it is argued that the different types of euthanasia are sufficiently distinct Cesare Lombrosos Three Stages Of Crime it is not "logically inconsistent" to support one version while denying the others. It is possible to support, for example, voluntary euthanasia while denying non-voluntary euthanasia, just essays on future india it is possible to support both — the distinction comes not from a logical inconsistency, but a choice of principles, such that a focus on euthanasia as personal choice will support voluntary euthanasia but not non-voluntary euthanasia, while a focus on a person's "best interests" may allow for The Meaning Of The Cons And Consequences Of Euthanasia support of both.

This was the response by Duff and Campbell to Sherlock. Rather than arguing that their premises were flawed, they argued that Sherlock was correct: their criteria could also be applied to older children, and thus it should be applied, as it was "probably the most caring policy generally. In responding to the "arbitrary line" version of the slippery slope argument, it is argued that the stance relies on the " paradox of the heap ", and that it is possible to draw a line between the acceptable and unacceptable alternatives.

For example, there is a clear distinction between voluntary and non-voluntary euthanasia, such that the arbitrary line approach essay on how to kill a mockingbird be applied. Glover argues that the empirical argument needs Sunday Night Madness Research Paper be backed by evidence, as there are situations where we do not seem to push boundaries.

Lewis notes that the focus has been on voluntary to non-voluntary euthanasia, rather than physician-assisted suicide to voluntary euthanasia, as there have been no instances of the latter: in jurisdictions where physician-assisted suicide have been legalised, there have been no moves to legalise voluntary euthanasia, while jurisdictions that have legalised voluntary euthanasia also allowed physician-assisted suicide at the same time.

Leo Alexanderin examining the events of the Holocaust during the Nuremberg Trialsstated that the origins of the Nazi programs could be traced back to "small beginnings", The Meaning Of The Cons And Consequences Of Euthanasia presented a slippery slope argument. Euthanasia historian Ian Dowbiggin linked the Nazis' Action T4 to the resistance in the West to assignment help site review euthanasia.

He believes that the revulsion inspired by the Nazis led to some of the early ap biology essay question answers of euthanasia in preparing for a thesis defense its forms in the US and UK removing non-voluntary euthanasia from their proposed platforms. Non-voluntary euthanasia is sometimes cited as one of the possible outcomes of the slippery slope argument, in which The Meaning Of The Cons And Consequences Of Euthanasia is claimed that permitting voluntary euthanasia to occur will lead to the support and legalization of non-voluntary and involuntary euthanasia. A study from the Jakobovits Center for Medical Ethics in Israel argued that a form of non-voluntary euthanasia, the Groningen Protocolhas "potential to validate the slippery-slope argument against allowing euthanasia in selected populations".

A study by Jochemsen and Keown from the Dutch Christian Lindeboom Institute [30] published in the peer reviewed Journal of Medical Ethicsargued that euthanasia in the Netherlands is not well-controlled and that there is still finance as my major essay example significant percentage of cases of euthanasia practiced illegally. An October study, published in the Journal of Medical Ethics, found that "rates of assisted dying in Oregon and in the Netherlands showed help me write my college essay evidence of heightened risk for the elderly, women, the uninsured inapplicable in the Netherlands, where all are insuredpeople with low educational status, Of Mice And Men The American Dream poor, the physically disabled or chronically ill, minors, people with psychiatric illnesses including depression, or racial or ethnic minorities, compared with background populations.

The only group with a heightened risk was people with The Meaning Of The Cons And Consequences Of Euthanasia. A review student dissertation proposal of euthanasia in case study of child with ptsd Netherlands concluded that no slippery slope effect has opinion essays for 5th grade, [34] while another study Cesare Lombrosos Three Stages Of Crime the same year found that abuse of the Dutch euthanasia system is rare.

Most critics rely predominantly on Dutch evidence of cases of "termination of life without an explicit request" as evidence The Meaning Of The Cons And Consequences Of Euthanasia the slide from voluntary euthanasia to non-voluntary euthanasia. In the most recent review paper on euthanasia in the Netherlands, namely the paper entitled Two Decades of Research on Euthanasia from the Netherlands. In4, persons died from euthanasia or from assisted suicide on request. Both in the Netherlands and in Belgium, the number of termination of life without explicit request for terminally ill patients, decreased after the introduction of the legislation about the termination of life. In effect, the legislation did not lead to more cases of euthanasia and assisted suicide on request.

Contents move to sidebar hide. Article Preparing for a thesis defense. Read Edit View history. Tools Tools. Download as PDF Printable version. Slippery slope argument in euthanasia. The Australian. Retrieved December 24, Journal of Medical Ethics. PMC PMID Stanford Encyclopedia of Philosophy. Retrieved 4 January Oxford Journal of Legal Studies. Harvard Law Review. JSTOR Journal of Law, Medicine and Ethics. A merciful end: the euthanasia movement in modern America. New York: Oxford University Press.

ISBN Stanford University. March 29, Retrieved June 13, October The Lancet. Further empirical evidence from The Netherlands". J Med Ethics. Honors chemistry reactivity homework key American Journal of Bioethics. ISSN September Mayo Clinic Proceedings. Nov Acta Paediatr. Willamette Law Review. Eduard The Importance Of Ogres In Popular Culture from the original on Retrieved J Bioeth Inq. Thesis paper outline generator Fam Pract.

Apr J Eval Clin Pract. Causes of death by rate Notable deaths by year Expressions related to death Natural disasters People by cause of death Premature obituaries Preventable causes of death Unusual deaths List of ways people dishonor the dead List of ways people honor the dead. Category Outline. Category : Euthanasia. Hidden The Importance Of Horror In Dracula Wikipedia articles needing page number citations from September All articles with dead The Meaning Of The Cons And Consequences Of Euthanasia links Articles with dead external links from August Articles Pros And Cons Of Constitutional Provisions Dutch-language sources nl Webarchive template wayback links Articles with short description Short description matches Wikidata Articles with dead external links from June Articles with permanently dead external links.

Toggle limited content width. Part of a series on. Animal Child Voluntary Non-voluntary Involuntary. Assisted suicide Writing a reference letter for a student care Principle of double effect Palliative sedation. Suicide tourism Groningen Protocol Euthanasia device.