Abstract
In this retrospective study, determinants of unbearable suffering in hospice patients who died due to euthanasia were analyzed. The four dimensions of suffering (physical, psychological, social, and existential) were used as a framework. 28 patients (5% of all admitted patients in nine years) were included. Most patients indicated 3-5 determinants, predominantly a combination of physical (96% of patients) and existential determinants (89%). Fatigue, anorexia, and dry mouth were the most prevalent and severe symptoms. Psychological (21%) and social determinants (4%) were much less often described. The results of this study may be used to assess determinants playing a role in euthanasia requests.
References
Sep 10, 2003·Medical Law Review·Jurriaan de Haan
Oct 22, 2003·Lancet·Luc Deliens, Gerrit van der Wal
Jan 1, 1949·The British Journal of Nutrition·R ASCHAFFENBURG, S BARTLETT
Nov 30, 2006·Death Studies·Jean-Jacques GeorgesPaul J Van Der Maas
Sep 1, 2009·Journal of Bioethical Inquiry·Judith A C RietjensAgnes van der Heide
Sep 23, 2009·Psycho-oncology·Marianne DeesChris van Weel
Feb 12, 2010·Journal of Neurology·Maud MaessenBregje D Onwuteaka-Philipsen
Sep 29, 2011·Journal of Medical Ethics·Marianne K DeesChris van Weel
Mar 16, 2012·Health Policy·Donald G van TolAgnes van der Heide
Aug 10, 2013·Medical Care·Nicole SteckMarcel Zwahlen
Oct 22, 2013·JAMA : the Journal of the American Medical Association·UNKNOWN World Medical Association
Jan 1, 2014·BMC Family Practice·Cees D M RuijsBregje D Onwuteaka-Philipsen
Jan 15, 2015·BMC Palliative Care·Cees Dm RuijsBregje D Onwuteaka-Philipsen
Mar 18, 2015·The New England Journal of Medicine·Kenneth ChambaereLuc Deliens
Nov 21, 2015·Palliative Medicine·Lukas RadbruchUNKNOWN Board Members of EAPC
Nov 2, 2016·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sigrid DierickxKenneth Chambaere
Aug 3, 2017·The New England Journal of Medicine·Agnes van der HeideBregje D Onwuteaka-Philipsen