Literature DB >> 8683501

Euthanasia: going Dutch?

R G Twycross1.   

Abstract

My experience in 25 years as a hospice doctor have reinforced my belief that when everything is taken into account--physical, psychological, social and spiritual--euthanasia is not the answer. This belief is enhanced by what I see happening in the Netherlands. However, lest it be thought that I have become hardened and indifferent to suffering let me add that, although firmly opposed to euthanasia, I consider that: (i) a doctor who has never been tempted to kill a patient probably has had limited clinical experience or is not able to empathize with those who suffer (ii) a doctor who leaves a patient to suffer intolerably is morally more reprehensible than the doctor who performs euthanasia A doctor has twin obligations to preserve life and to relieve suffering. Preserving life is increasingly meaningless when a terminally ill patient is close to death, and the emphasis on relieving suffering becomes paramount. Even here, however, the doctor is obliged to achieve his objective with minimum risk to the patient's life. This means that treatment to relieve pain and suffering which coincidentally might bring forward the moment of death by a few hours or days is acceptable (the principle of double effect), but administering a drug such as potassium or curare, with the primary intention of causing death, is not.

Entities:  

Keywords:  Death and Euthanasia

Mesh:

Year:  1996        PMID: 8683501      PMCID: PMC1295657     

Source DB:  PubMed          Journal:  J R Soc Med        ISSN: 0141-0768            Impact factor:   5.344


  8 in total

1.  Nurses cannot assist suicide in Netherlands.

Authors:  Marjanke Spanjer
Journal:  Lancet       Date:  1995-04-01       Impact factor: 79.321

2.  Mental suffering as justification for euthanasia in Netherlands.

Authors:  Marjanke Spanjer
Journal:  Lancet       Date:  1994-06-25       Impact factor: 79.321

3.  The story behind the blank spot. Hospice in Holland.

Authors:  Z Zylicz
Journal:  Am J Hosp Palliat Care       Date:  1993 Jul-Aug       Impact factor: 2.500

4.  Euthanasia in The Netherlands.

Authors:  G van der Wal; R J Dillmann
Journal:  BMJ       Date:  1994-05-21

5.  Euthanasia: can be part of good terminal care.

Authors:  A P Heintz
Journal:  BMJ       Date:  1994-06-25

6.  Seduced by death: doctors, patients, and the Dutch cure.

Authors:  H Hendin
Journal:  Issues Law Med       Date:  1994

7.  Euthanasia and other medical decisions concerning the end of life.

Authors:  P J Van Der Maas; J J Van Delden; L Pijnenborg; C W Looman
Journal:  Lancet       Date:  1991-09-14       Impact factor: 79.321

8.  The House of Lords on issues of life and death.

Authors:  J Walton
Journal:  J R Coll Physicians Lond       Date:  1994 May-Jun
  8 in total

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