Using drugs to end life without an explicit request of the patient

Title

Using drugs to end life without an explicit request of the patient

Creator

Rietjens JA; Bilsen J; Fischer S; van der Heide A; van der Maas PJ; Miccinessi G; Norup M; Onwuteaka-Philipsen BD; Vrakking AM; van der Wal G

Publisher

Death Studies

Date

2007

Subject

Female; Humans; Male; Adult; Questionnaires; Aged; Middle Aged; Netherlands; Intention; Informed Consent; Ethics; Suicide; Medical; Belgium; Denmark; adolescent; 80 and over; decision making; Switzerland; Assisted/ethics/legislation & jurisprudence/psychology; Euthanasia/ethics/legislation & jurisprudence/psychology; Mental Competency/legislation & jurisprudence; Patient Participation/legislation & jurisprudence/psychology; Physician's Practice Patterns/ethics; Terminal Care/ethics/legislation & jurisprudence/psychology

Description

A small proportion of deaths result from the use of drugs with the intention to hasten death without an explicit request of the patient. Additional insight into its characteristics is needed for evaluating this practice. In the Netherlands in 2001, questionnaires were mailed to physicians that addressed the decision making that preceded their patient's death. Cases of ending life without an explicit request of the patient were compared with similar cases from 1995 and with cases from Belgium, Denmark, and Switzerland. In the Netherlands in 2001, patients receiving life-ending drugs without their explicit request were most often 80+ years old and had cancer. Most of them were incompetent patients nearing death. Characteristics of this practice in 1995 were quite comparable, as were characteristics of this practice in Belgium, Denmark, and Switzerland. The use of drugs with the intention to hasten death without an explicit request of the patient is part of medical end-of-life practice in the studied countries, regardless of their legal framework, and it occurs in similar fashion.
2007

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

205-221

Issue

3

Volume

31

Citation

Rietjens JA; Bilsen J; Fischer S; van der Heide A; van der Maas PJ; Miccinessi G; Norup M; Onwuteaka-Philipsen BD; Vrakking AM; van der Wal G, “Using drugs to end life without an explicit request of the patient,” Pediatric Palliative Care Library, accessed December 6, 2021, https://pedpalascnetlibrary.omeka.net/items/show/14292.

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