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Dying patients are being denied adequate medication to control symptoms
and relive pain because nurses fear prosecution for assisting suicide, a
Nursing Times survey has found.
More than one in 10 of the 2,311 respondents to the online survey of
nurses said they had restricted a patient's medication despite that
exacerbating symptoms as they were concerned about being prosecuted.
The respondents acknowledged restricting medication left patients in more
pain than necessary and prolonged their lives against their wishes.
Commenting on the survey, one nurse said: "I was worried about the
authorities scrutinising the medication record with the intention of
prosecuting me for over-medication, even though the dosage was ordered by
a physician and necessary to relieve the patient's pain and suffering."
Another said increasing medication could be a difficult "balancing act".
"Giving opiates could reduce pain but increase respiratory depression. I
am acutely aware that my actions within my role could result in not being
able to practice or legal proceedings."
Senior nursing leaders said the survey finding showed a need for "urgent"
action and clarification of nurses' legal position and professional
accountability.
[There is information in the Notes section below.]
[There are other related stories in the Links section below.]
To read the full article click on one of these links, both of which go to the same destination. A short link is provided for the convenience of readers. Also, readers may search and browse past and future advisories on the web (see bottom.)
The role of nurses in physician-assisted deaths in Belgium
[Canadian Medical Association Journal]
http://www.cmaj.ca/cgi/doi/10.1503/cmaj.091881
From the abstract:
Background: Belgium's law on euthanasia allows only physicians to perform
the act. We investigated the involvement of nurses in the decision-making
and in the preparation and administration of life-ending drugs with a
patient's explicit request (euthanasia) or without an explicit request.
We also examined factors associated with these deaths.
Methods: In 2007, we surveyed 1678 nurses who, in an earlier survey, had
reported caring for one or more patients who received a potential
life-ending decision within the year before the survey. Eligible nurses
were surveyed about their most recent case.
Results: The response rate was 76%. Overall, 128 nurses reported having
cared for a patient who received euthanasia and 120 for a patient who
received life-ending drugs without his or her explicit request.
Respectively, 64% (75/117) and 69% (81/118) of these nurses were involved
in the physician's decision-making process. More often this entailed an
ex change of information on the patient's condition or the patient's or
relatives' wishes (45% [34/117] and 51% [41/118]) than sharing in the
decision-making (24% [18/117] and 31% [25/118]). The life-ending drugs
were administered by the nurse in 12% of the cases of euthanasia, as
compared with 45% of the cases of assisted death without an explicit re
quest. In both types of assisted death, the nurses acted on the
physician's orders but mostly in the physician's absence. Factors
significantly associated with a nurse administering the life- ending
drugs included being a male nurse working in a hospital (odds ratio [OR]
40.07, 95% confidence interval [CI] 7.37-217.79) and the patient being
over 80 years old (OR 5.57, 95% CI 1.98-15.70).
Interpretation: By administering the life-ending drugs in some of the
cases of euthanasia, and in almost half of the cases without an explicit
request from the patient, the nurses in our study operated beyond the
legal margins of their profession.
The full 6 page document is available from this page in PDF
format.
Lomas, Clare. "Dying patients denied pain relief because of legal fears". Nursing Times. 18 May 2010. <www.nursingtimes.net/whats-new-in-nursing/news-topics/ethics-and-law-in-nursing/dying-patients-denied-pain-relief-because-of-legal-fears/5014721.article>. Nursing Times, Emap Limited, Greater London House, Hampstead Road, London, NW1 7EJ, UK.
Tags (or keywords) briefly indicate some major topics of the report.
nurses
end-of-life care
pain relief
Britain
Ireland: Exit International to set up Irish group
[sbpost.ie]
http://www.sbpost.ie/news/ireland/euthanasia-body-to-set-up-irish-group-49289.html
Exit International, the controversial
pro-euthanasia organisation, is setting up a
group in Ireland. The first advocacy group of
its kind in Ireland will be headed by Dublin
man Tom Curran.
Curran said the association in Ireland would
be a source of information and support to
people interested in learning more about
euthanasia and assisted suicide. He said
people had a right to access
information.
Curran's partner had multiple sclerosis
and, as her condition had become progressively
worse, he said they had discussed options such
as assisted suicide and euthanasia.
Curran said the group was very much in its infancy, but planned to
hold its first meeting before the end of July. He said he became
involved with Exit International after attending a meeting held by
Dr Philip Nitschke, its founder.
The EuthaNEWSia ID for this advisory is: enid201005199988.
Mailed: Wednesday, May 19, 2010 14:26:28 -0600
at Saskatoon, Saskatchewan.
EuthaNEWSia is a free Canadian news advisory service covering end-of-life issues such as right to die, assisted suicide, and euthanasia. EuthaNEWSia is produced by the Right to Die Society of Canada which works toward a good death for all, including open, regulated and equitable access to euthanasia and assisted suicide. The editor is Michael Dawson <editor@euthanewsia.ca>.
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