Literature DB >> 26661050

First Do No Harm: Euthanasia of Patients with Dementia in Belgium.

Raphael Cohen-Almagor1.   

Abstract

In Memory of Ed Pellegrino. Euthanasia in Belgium is not limited to terminally ill patients. It may be applied to patients with chronic degenerative diseases. Currently, people in Belgium wish to make it possible to euthanize incompetent patients who suffer from dementia. This article explains the Belgian law and then explores arguments for and against euthanasia of patients with dementia. It probes the dementia paradox by elucidating Dworkin's distinction between critical and experiential interests, arguing that at the end-of-life this distinction is not clearcut. It argues against euthanasia for patients with dementia, for respecting patients' humanity and for providing them with more care, compassion, and good doctoring.
© The Author 2015. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  Belgium; autonomy; beneficence; critical and experiential interests; dementia paradox; euthanasia

Mesh:

Year:  2015        PMID: 26661050      PMCID: PMC4882626          DOI: 10.1093/jmp/jhv031

Source DB:  PubMed          Journal:  J Med Philos        ISSN: 0360-5310


  36 in total

1.  The euthanasia law in Belgium and the Netherlands.

Authors:  Luc Deliens; Gerrit van der Wal
Journal:  Lancet       Date:  2003-10-11       Impact factor: 79.321

2.  Physicians' attitudes towards end-of-life decisions: a comparison between seven countries.

Authors:  Guido Miccinesi; Susanne Fischer; Eugenio Paci; Bregje D Onwuteaka-Philipsen; Colleen Cartwright; Agnes van der Heide; Tore Nilstun; Michael Norup; Freddy Mortier
Journal:  Soc Sci Med       Date:  2004-12-08       Impact factor: 4.634

3.  Caring for people with dementia.

Authors:  Murna Downs; Barbara Bowers
Journal:  BMJ       Date:  2008-01-10

4.  Euthanasia policy and practice in Belgium: critical observations and suggestions for improvement.

Authors:  Raphael Cohen-Almagor
Journal:  Issues Law Med       Date:  2009

5.  Physician-assisted deaths under the euthanasia law in Belgium: a population-based survey.

Authors:  Kenneth Chambaere; Johan Bilsen; Joachim Cohen; Bregje D Onwuteaka-Philipsen; Freddy Mortier; Luc Deliens
Journal:  CMAJ       Date:  2010-05-17       Impact factor: 8.262

6.  Dying from dementia.

Authors:  Greg A Sachs
Journal:  N Engl J Med       Date:  2009-10-15       Impact factor: 91.245

7.  Dying dementia patients: too much suffering, too little palliation.

Authors:  Bechor Zvi Aminoff; Abraham Adunsky
Journal:  Am J Alzheimers Dis Other Demen       Date:  2004 Jul-Aug       Impact factor: 2.035

8.  Patients dying with dementia: experience at the end of life and impact of hospice care.

Authors:  Joseph W Shega; Gavin W Hougham; Carol B Stocking; Deon Cox-Hayley; Greg A Sachs
Journal:  J Pain Symptom Manage       Date:  2008-02-08       Impact factor: 3.612

9.  End-of-life decision-making in six European countries: descriptive study.

Authors:  Agnes van der Heide; Luc Deliens; Karin Faisst; Tore Nilstun; Michael Norup; Eugenio Paci; Gerrit van der Wal; Paul J van der Maas
Journal:  Lancet       Date:  2003-08-02       Impact factor: 79.321

10.  Burden on family carers and care-related financial strain at the end of life: a cross-national population-based study.

Authors:  Lara Pivodic; Lieve Van den Block; Koen Pardon; Guido Miccinesi; Tomás Vega Alonso; Nicole Boffin; Gé A Donker; Maurizio Cancian; Aurora López-Maside; Bregje D Onwuteaka-Philipsen; Luc Deliens
Journal:  Eur J Public Health       Date:  2014-03-17       Impact factor: 3.367

View more
  8 in total

1.  Physicians' Professionally Responsible Power: A Core Concept of Clinical Ethics.

Authors:  Laurence B McCullough
Journal:  J Med Philos       Date:  2015-12-14

2.  Between palliative care and euthanasia.

Authors:  Tom Mortier; René Leiva; Raphael Cohen-Almagor; Willem Lemmens
Journal:  J Bioeth Inq       Date:  2015-04-22       Impact factor: 1.352

Review 3.  Euthanasia: Global Scenario and Its Status in India.

Authors:  Raghvendra Singh Shekhawat; Tanuj Kanchan; Puneet Setia; Alok Atreya; Kewal Krishan
Journal:  Sci Eng Ethics       Date:  2017-07-19       Impact factor: 3.525

Review 4.  Euthanasia in Dementia: A Narrative Review of Legislation and Practices in the Netherlands and Belgium.

Authors:  Radboud M Marijnissen; Kenneth Chambaere; Richard C Oude Voshaar
Journal:  Front Psychiatry       Date:  2022-06-02       Impact factor: 5.435

5.  Clinical Considerations in Physician-Assisted Death for Probable Alzheimer's Disease: Decision-Making Capacity, Anosognosia, and Suffering.

Authors:  Jaime D Mondragón; Latife Salame; Arnoldo Kraus; Peter Paul De Deyn
Journal:  Dement Geriatr Cogn Dis Extra       Date:  2019-06-18

6.  Euthanasia in the case of dementia: a survey among Flemish GPs.

Authors:  Jasper Cleemput; Birgitte Schoenmakers
Journal:  BJGP Open       Date:  2019-11-26

Review 7.  Physician-Assisted Suicide in Dementia: Paradoxes, Pitfalls and the Need for Prudence.

Authors:  Ravi Philip Rajkumar
Journal:  Front Sociol       Date:  2021-12-22

8.  Bioethical implications of end-of-life decision-making in patients with dementia: a tale of two societies.

Authors:  Jaime D Mondragón; Latife Salame-Khouri; Arnoldo S Kraus-Weisman; Peter P De Deyn
Journal:  Monash Bioeth Rev       Date:  2020-05
  8 in total

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