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The EXIT blog explains some background to a story now appearing
in the media. The story was covered in the
May 19th EuthaNEWSia
Belgium:
Euthanasia and the use of end-of-life drugs
without explicit request, and concerns two studies
published in the Canadian Medical Association
Journal. The substance of the story is being
widely misrepresented.
The evidence of studies in several countries suggests that legislation to
allow euthanasia does not affect the number of cases significantly - it
just makes them more open and transparent. This has never deterred
panic-mongers, who spin data to create a climate of fear in attempt to
maintain its illegal status. A recent study in Belgium, where assistance
in dying is legal, has been distorted by groups opposing legal reform.
EXIT explains: In the UK (and many countries that outlaw assistance at the end of life),
there is a war of words over practices that are fiercely pushed into one
classification or the other. Do UK hospices ever perform ‘euthanasia’? Of
course not! (hands up in horror!) But they perform exactly the same
actions that Belgian nurses are being pilloried for in the popular press.
The conclusion: Say the authors of the study: "Opponents of euthanasia often argue that
legalizing the procedure will lead to a rise in the use of life-ending
drugs without a patient's explicit request, especially in vulnerable
patient groups. Thus far, however, no indications of this have been found
in studies of physician-assisted deaths before and after legalization in
Belgium and the Netherlands. In Belgium, the percentage of deaths in which
life-ending drugs were used remained stable, and the proportion without an
explicit request from the patient decreased."
The concern in Belgium is not over whether an unethical practice has
occurred, but over whether nurses do not have appropriate guidelines to
cover them legally. ". . . the nurses we surveyed who administered the
life-ending drugs did not do so on their own initiative. Although the act
was often performed without the physician being present, it was
predominantly carried out on the physician's orders and under his or her
responsibility." They argue that professional guidelines are needed to
help clarify nurses' involvement in these practices lest they get caught
in a vulnerable position when following a
physician's orders.
[Note: there are links to related resources from this page.]
[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.)
http://exiteuthanasia.wordpress.com/2010/06/15/euthanasia-in-belgium-no-slippery-slope/
Also see:
Belgium: Euthanasia and the use of end-of-life drugs without explicit request
[EuthaNEWSia, May 19, 2010]
http://www.euthanewsia.ca/archive/2010/05/enid201005199318.4.html
Some key information contained in that Advisory:
Despite the lack of explicit patient request, the use of life-ending drugs
was in most cases discussed with patients' families and health
professional colleagues.
'The use of life-ending drugs without explicit patient request occurs
predominantly in hospital and among elderly patients who are mostly in an
irreversible coma or demented,' write Dr Kenneth Chambaere, Vrije
Universiteit, Brussel, and coauthors.
…the nurses acted on the physician's
orders but mostly in the physician's absence.…
"Euthanasia in Belgium: no slippery slope". The EXIT euthanasia blog. Posted on Tuesday, June 15, 2010. <exiteuthanasia.wordpress.com/2010/06/15/euthanasia-in-belgium-no-slippery-slope/>. Exit, 17 Hart Street, Edinburgh EH1 3RN Scotland, United Kingdom.
Tags (or keywords) briefly indicate some major topics of the report.
euthanasia
nurses
doctor
Belgium
The EuthaNEWSia ID for this advisory is: enid201006169248.
Mailed: Wednesday, June 16, 2010 14:33:52 -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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