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.
Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustaining treatment. It is sometimes assumed that if there is evidence of consciousness, treatment should not be withdrawn. But, paradoxically, the discovery of consciousness in very severely brain-damaged patients may provide more reason to let them die. Although functional neuroimaging is likely to play an increasing role in the assessment of patients in a vegetative state, caution is needed in the interpretation of neuroimaging findings.
This paper assesses the possible effects on decision making about the withdrawal of life-sustaining treatment if fMRI suggests that a patient in VS has some level of consciousness. It focuses on the principles set out in the Mental Capacity Act 2005 (UK) (which has come into force since the case mentioned above),5 the Mental Capacity Act Code of Practice (CoP)6 and the common law.
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.
Aruna Shanbaug, the brain-damaged woman who has lived in a Mumbai hospital for 38 years, should continue to live, the Supreme Court of India has ruled. Since the hospital staff are effectively her "next of kin", a request for euthanasia made on Aruna's behalf by activist Pinki Virani was turned down.
Doctors have the right and the ethical responsibility to pull patients off life support if they decide treatment is futile – and should not need patient or family consent to do so, lawyers for two doctors at Toronto’s Sunnybrook Hospital will argue in Ontario’s highest court. The Court of Appeal’s decision will not only determine the fate of a man who has been comatose in a Toronto hospital for most of the time since he moved to Canada from Iran, it could have wide-ranging implications for the ability of patients to determine the course of their treatment and the right of medical professionals to make those decisions.
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.