The book strives for as complete and dispassionate a description of the situation as possible and covers in detail: the substantive law applicable to euthanasia, physician-assisted suicide, withholding and withdrawing treatment, use of pain relief in potentially lethal doses, terminal sedation, and termination of life without a request (in particular in the case of newborn babies); the process of legal development that has led to the current state of the law; the system of legal control and its operation in practice; and, the results of empirical research concerning actual medical practice.
The National Ethics Council has intensively discussed the issues involved in dealing responsibly with dying. It has perused a large volume of material, obtained expert opinions, consulted with doctors and other medical specialists, and held meetings in Augsburg and Münster at which it exposed itself to public debate. The outcome is enshrined in the Opinion now presented. Self-determination and care at the end of life continues the examination of the themes addressed in the Opinion The advance directive published in June 2005. The present analysis, in conjunction with the clarification of terminology here proposed, may facilitate interpretation of the recommendations set out in that Opinion.
More than 700,000 people in the UK currently suffer from dementia, and nearly 500,000 friends and family members act as carers for people with dementia. Our rapidly ageing population means that these numbers are likely to double in the next forty years. While we are getting to understand better the causes of the disease, and diagnostic and treatment options are improving, we are still a long way from prevention or cure. Meanwhile, these people and their families, healthcare staff and care workers face difficult ethical dilemmas on a day-to-day basis. An exploratory workshop was held in March 2007, and the Nuffield Council set up a Working Party in December 2007 to examine the ethical issues raised by dementia. Following a public consultation and meetings with stakeholders including people with dementia, carers, health professionals and other members of the public, a report with recommendations for policy makers was published on 1st October 2009.
Politically strident debates surrounding end-of-life decisionmaking have surfaced once again, this time across the Atlantic in Italy. Eluana Englaro died early this year after a prolonged court fight, causing the international press to compare her case to that of Theresa Marie Schiavo, who passed away in 2005 in Florida after nearly sparking constitutional crises on both state and federal levels. In many respects, the facts of Ms. Englaro’s case are similar to Schiavo, but a close analysis of Englaro leads to the surprising conclusion that the Italian Court of Cassazione in that case actually enunciated a broader, stronger right to make end-of-life decisions than has the United States Supreme Court thus far in America.
BERLIN — In a landmark ruling that will make it easier for people to allow relatives and other loved ones to die, Germany’s highest court ruled Friday that it was not a criminal offense to cut off life-sustaining treatment for a patient. The court overturned the conviction of a lawyer who last year was found guilty of attempted manslaughter for advising a client to sever the intravenous feeding tube that was keeping her mother alive, although in a persistent vegetative state. The mother had told her daughter that she did not wish to be kept alive artificially.
Germany’s highest criminal appeals court has overturned the conviction for attempted manslaughter of a lawyer who advised a woman to cut the intravenous feeding tube keeping her comatose mother alive. In a landmark ruling hailed as a victory by advocates of the right to die, the Federal Court of Justice ruled on 25 June that terminally ill, comatose patients who had previously signalled their opposition to life prolonging treatments have the right to have such treatments stopped. The ruling gives legal cover for what some call "passive" euthanasia of terminally ill patients but is not applicable to the administration of a lethal substance, which remains illegal.
Dying Auckland GP John Pollock says he will be "long gone" by the time the fiery debate on euthanasia has reached a resolution. Pollock, 61, ignited the issue last month when he went public calling for a review of the law which prohibits euthanasia for dying and suffering Kiwis. Pollock, who is suffering from metastatic melanoma, is now shying away from the spotlight, not wanting to spend his final days in a glare of publicity. But, he says, he has done what he set out to do - start an open and vigorous debate on a subject which has been more-or-less taboo up until now. "My part in all this is over," says Pollock. "I set out to ignite debate, and the fire has now been lit - in fact it's blazing. I'm not going to be the centrepiece for the fight. It's going to take donkey's years and I'll be long gone." The key, he says, is to get the medical profession on board.
This End of life guidance covers three main issues: contemporaneous and advance refusal of treatment; withholding and withdrawing life-prolonging medical treatment; assisted dying - euthanasia and assisted suicide.
ROMA - I punti salienti della legge sul testamento biologico approvata oggi alla Camera, che per il varo definitivo dovrà tornare al Senato, sono almeno due: le dichiarazioni anticipate di trattamento non sono vincolanti per i medici ed escludono la possibilità di sospendere nutrizione e idratazione, salvo in casi terminali. Inoltre, sono applicabili solo se il paziente ha un'accertata assenza di attività cerebrale.
'Living wills' that stipulate exactly how a person wants to die should be drawn up with absolute clarity, a judge has ruled after concluding a 67-year-old man with motor neurone disease had made a "valid decision" to refuse treatment.
Le professeur Didier Sicard a remis au président de la République, François Hollande, mardi 18 décembre, le rapport de la "commission de réflexion sur la fin de vie en France". Six mois n'auront pas été de trop pour explorer les conditions de la mort et envisager si, conformément à la proposition 21 du candidat Hollande, il faut ouvrir la voie à une "assistance médicalisée pour terminer sa vie dans la dignité". Il en ressort des propositions fortes esquissant "une solution à la française" au débat sur la fin de vie. Le constat du professeur Sicard est sans appel : il faut "mieux faire droit aux attentes et espérances des citoyens à l'égard de la fin de vie". Prenant acte que la majorité des Français souhaitent être aidés médicalement pour mourir (56 % selon un sondage réalisé par la mission), il propose que la loi Leonetti soit appliquée non pas à la lettre mais dans son esprit et qu'une sédation terminale (administration d'opiacés entraînant le coma puis la mort) puisse être ...