Medical assistance in dying for palliative patients in different countries of the world: lessons on euthanasia legalization
Inter Collegas,
Год журнала:
2024,
Номер
11(2)
Опубликована: Июнь 30, 2024
Background.
The
practice
of
countries
in
legalizing
euthanasia
is
useful
for
other
that
have
not
yet
allowed
Medical
Assistance
Dying
(MAiD).
Palliative
patients
these
varying
levels
access
to
medical
care,
including
adequate
analgesia.
care
many
does
meet
the
needs
palliative
patients,
and
systems
hospice
are
often
poorly
developed.
MAiD
can
be
an
alternative
suffering
at
end
life.
Aim.
Analysis
legal,
social
financial
aspects
legalization
different
world.
Materials
Methods.
method
system
analysis,
comparative
bibliosemantic
were
used
research.
Results
Conclusions.
path
begins
with
a
wide
public
debate.
Important
opinion
professionals,
who
usually
divided
into
two
camps:
those
deny
necessity
humanity
euthanasia,
as
well
advocate
their
seeking
satisfy
persistent
conscious
desire
exercise
"right
die".
Countries
take
paths
speeds
legalize
euthanasia.
difference
between
models
legalized
lies,
first
all,
its
permitted
type
(passive
or
active),
distribution
age
categories
hopeless
(in
particular,
children),
incapacitated
cognitive
disorders.
Active
such
European
Netherlands
(since
2001),
Belgium
2002),
Luxembourg
2009),
Spain
2010),
Switzerland
2011).
Since
years,
there
has
been
change
attitude
towards
medically
assisted
death
Court
Human
Rights,
which
previously
categorically
regarded
intentional
murder.
In
all
active
discussion
continues
regarding
rules
implementation.
A
common
feature
already
approval
procedure
by
least
third
professionals.
Keywords:
suicide,
suicide
tourism,
Quality
Death
Index,
critically
ill
right
life,
die.
Язык: Английский
Medical and social aspects of euthanasia of palliative patients in Ukraine, Switzerland, Canada, the USA and Israel
Medicine Today and Tomorrow,
Год журнала:
2024,
Номер
93(3)
Опубликована: Сен. 20, 2024
Medical
Assistance
in
Dying
(MAiD)
is
legally
used
such
countries
as
the
Netherlands,
Belgium,
Luxembourg,
Switzerland,
Colombia,
Canada,
Australia,
Spain,
Germany,
and
USA.
Portugal
New
Zealand
are
considering
legal
euthanasia
laws.
MAiD
performed
by
injecting
a
lethal
substance
into
terminally
ill
person
doctor
or
patient
himself.
Euthanasia
one
of
services
that
palliative
patients
need
last
months
days
their
lives.
The
availability
increases
country's
ranking
Quality
Death
Index
reduces
for
tourism.
Ukraine
needs
legalization
MAiD,
well
improvement
hospice
care
system
general.
research
was
conducted
using
methods
systematic
analysis,
comparative
method
bibliosemantic
with
search
literary
sources
acts
Google,
Google
Scholar
PubMed,
an
emphasis
on
Ukraine,
USA,
Canada
Israel.
During
it
concluded
Canadian
model
optimal
taking
account
experience
its
construction,
society's
perception
problems
related
to
application
legislative
norms
MAiD.
health
system,
practice
guided
social
work
models.
Legislators
respond
sensitively
thorough
scientific
court
decisions,
which
respect
state
institutions.
analyzed
results
USA
Israel
warn
researchers
legislators
against
possible
abuses
implementation
But
at
same
time,
they
attest
importance
accessible
procedure
patients,
should
be
available
realization
right
dignified
death
along
quality
medicine
life.
Keywords:
care,
reform,
Dying,
Index,
life,
die.
Язык: Английский
Medical and social aspects of euthanasia of palliative patients in the Netherlands, Belgium and Germany
Experimental and Clinical Medicine,
Год журнала:
2024,
Номер
93(3)
Опубликована: Сен. 30, 2024
In
the
palliative
and
hospice
medicine
of
Ukraine,
there
are
a
number
unresolved
legal
organizational
problems
that
stand
in
way
dignified
existence
hopelessly
ill
patients
last
days
months
their
lives.
First
all,
these
issues
with
coverage
treatment
care
sufficient
categories
patients:
is
provided
mainly
to
oncological,
cardiovascular
neurological
profiles
treatment.
Secondly,
it
lack
adequate
analgesia
for
significant
inpatients
vast
majority
receiving
at
home.
Availability
recently
legalized
medical
cannabis
remains
low
patients,
euthanasia
not
legalized.
our
previous
research,
we
found
out
Ukrainian
society
ready
dialogue
about
need
legalize
euthanasia,
best
model
preparing
Canadian
one,
which
based
on
comprehensive
study
opinions
general
public
direct
participants
Medical
Assistance
Dying
(MAiD),
as
well
implementation
decisions
federal
court.
The
article
devoted
procedures
socio-medical
aspects
MAiD
Netherlands,
Belgium
Germany.
Certain
legalization,
its
context
circumstances,
compared
conditions
Ukraine.
an
original
theoretical
performed
using
method
systematic
analysis,
comparative
bibliosemantic
methods.
Note
clarifying
terminology
stages
study:
by
patient
himself,
doctor.
opinion,
Ukraine
needs
legalization
all
age
categories,
special
additional
consent
adult
incapacitated
patients.
experience
countries
current
comparison,
paid
attention
prevention
abuses
procedures,
frequent
disregard
norms
law
since
beginning
war.
Keywords:
care,
suicides
Dying,
right
life,
die.
Язык: Английский
Analytical study of the leading causes of death of palliative patients
Inter Collegas,
Год журнала:
2024,
Номер
11(4)
Опубликована: Дек. 30, 2024
Background.
Palliative
and
Hospice
Care
(PHC)
aims
to
prevent
premature
death
of
patients
from
complications
serious
illnesses
their
comorbid
impact
on
vital
functions.
As
well
as
adequate
pain
relief,
treatment
should
be
aimed
at
alleviating
suffering
improving
the
quality
life
such
patients.
The
causes
palliative
patients,
which
are
closely
related
PHC
organization,
in
particular
package
budget
financing
inpatient
mobile
care
for
adults
children,
leading
needs
remain
insufficiently
studied.
Aim.
Analysis
main
depending
diagnosis
determination
organization
hospice
care.
Materials
Methods.
method
system
analysis,
comparative
bibliosemantic
were
used
research.
Results
Conclusions.
Causes
studied
diseases
listed
severe
cases
presence
complications.
analysis
allows
us
deepen
our
understanding
practical
aspects
organizing
meeting
children.
summary
group
these
into
organ
failure;
vascular
crises;
asphyxia;
thromboembolic
conditions;
infectious
up
sepsis;
chronic
intoxication;
tumor
growth
other
organs
with
disruption
functions,
metastasis;
malignancy
benign
tumors;
treatment;
brain
spinal
cord
lesions
due
epileptic
seizures,
injuries,
inflammatory
processes;
endocrine
comas;
gangrene
bedsores;
immunodeficiency;
underdevelopment
or
absence
congenital
malformations;
prematurity;
suicides
depressive
states.
Keywords:
care,
primary
diagnosis,
comorbidity.
Язык: Английский
Civil society and palliative care
Experimental and Clinical Medicine,
Год журнала:
2024,
Номер
93(4)
Опубликована: Дек. 31, 2024
In
Ukraine,
the
participation
of
civil
society
in
development
Palliative
and
Hospice
Care
(PHC)
system
is
not
crucial,
since
professional
Non-Governmental
(Civil)
Organizations
(NGOs)
do
have
resources
powers
necessary
for
such
an
impact.
However,
experience
other
countries
shows
that
NGOs
creation
a
PHC
system,
which
should
be
among
"best
practices",
mandatory.
The
study
was
conducted
to
identify
areas
work
Ukrainian
provision
influence
on
state
policy.
using
method
analysis
bibliosemantic
method,
with
search
sources
by
keywords
English
Google,
Google
Scholar
PubMed.
consists
medical
care,
psychological,
spiritual,
social
legal
support
patients.
Medical
care
psychological
are
entrusted
healthcare
also
coordinate
areas.
actual
overload
workers
leaves
sphere
responsibility
services
NGOs.
specializing
palliative
mainly
associations
doctors
nurses
medicine.
Some
advocate
patients’
rights,
patients
their
relatives
(caregivers),
provide
support.
developed
systems,
can
organize
own
hospices,
coordination
centers
conduct
training,
scientific
research,
even
issue
licenses
care.
many
where
euthanasia
legalized,
had
significant
impact
legalization
process,
studied
public
opinion,
exerted
politicians.
scientists
developing
models
organizing
receive
greater
play
role
further
national
system.
Keywords:
hospice
support,
spiritual
advocacy.
Язык: Английский