El presente articulo expone los resultados de una investigacion empirica que se ha adentrado en las experiencias y discursos ciudadanos respecto del tema de la muerte en dignidad y de la legitimidad ...de la implementacion de medidas de acompanamiento de este proceso. A traves de la realizacion y analisis de siete grupos de discusion, llevados a cabo en la Region Metropolitana de Santiago de Chile, se ha podido concluir la existencia de altos niveles de consenso entre la ciudadania, respecto de la legitimidad de la implementacion de medidas externas para terminar con la vida de pacientes que lo soliciten debido al padecimiento de enfermedades terminales, y de la necesidad de contar con una normativa legal que respalde su aplicacion. Todo esto en el marco de una amplia valoracion ciudadana de la autonomia personal y desde la narracion de experiencias que revelan los grandes costos emocionales y monetarios que implica el cuidado de personas con enfermedades terminales. Palabras clave: eutanasia, envejecimiento, opinion publica, politicas de la salud This article presents the results of empirical research that investigates the citizen's perspectives regarding the issue of death with dignity and the legitimacy of the implementation of measures to accompany this process. Through the implementation and analysis of seven discussion groups, carried out in the Metropolitan Region of Santiago de Chile, it can be concluded that there are high levels of consensus among the citizens supporting the need for implementation of external measures to end the life of patients who request it due to suffering related to terminal illnesses, and the need to have legal regulations that supports its application. All of this has been evaluated within the framework of a broad citizen assessment of personal autonomy and from the narration of experiences that reveal the great emotional and monetary burden involved in the process of caring for people with terminal illnesses. Keywords: euthanasia, ageing, public opinion, health policy O presente artigo expoe os resultados de uma investigacao empirica que adentrou as experiencias e discursos cidadaos a respeito do tema da morte com dignidade e da legitimidade da implementacao de medidas de acompanhamento deste processo. Atraves da analise do obtido em sete grupos de discussao, levados a cabo na Regiao Metropolitana de Santiago do Chile, se pode demonstrar a existencia de altos niveis de consenso entre as pessoas no que diz respeito a legitimidade de implementar medidas externas para terminar com a vida de pacientes que as solicitem devido ao padecimento de enfermidades terminais e da necessidade de contar com uma normativa legal que respalde sua aplicacao. Tudo isto no contexto de uma ampla valorizacao cidada da autonomia pessoal e a partir da narrativa de experiencias que revelam os grandes custos emocionais e economicos implicados no cuidado de pessoas com enfermidades terminais. Palavras chave: eutanasia, envelhecimento, opiniao publica, politicas de saude
Euthanasia and the sacred Michael Kelly
Australasian Catholic record,
01/2020, Letnik:
97, Številka:
1
Journal Article
Recenzirano
For euthanasia the case is deceptively easy to make. When the suffering of others is ended by death we often feel relief. Commonly we accept that animals must sometimes, as the saying goes, be 'put ...out of their misery'. And, while most people who advocate euthanasia do not rely simply on our revulsion from suffering as though there were no other considerations, the public appeal of their view probably does rest largely on it.
Euthanasia and the sacred Michael Kelly
Australasian Catholic record,
01/2020, Letnik:
97, Številka:
1
Journal Article
Recenzirano
For euthanasia the case is deceptively easy to make. When the suffering of others is ended by death we often feel relief. Commonly we accept that animals must sometimes, as the saying goes, be 'put ...out of their misery'. And, while most people who advocate euthanasia do not rely simply on our revulsion from suffering as though there were no other considerations, the public appeal of their view probably does rest largely on it.
Does a competent person suffering from a terminal illness or enduring an otherwise burdensome existence, who considers his life no longer of value but is incapable of ending it, have a right to be ...helped to die? Should someone for whom further medical treatment would be futile be allowed to die regardless of expressing a preference to be given all possible treatment? These are some of the questions that are asked and answered in this wide-ranging discussion of both the morality of medically assisted death and the justifiability of making certain instances legal. A case is offered in support of the moral and legal permissibility of specified instances of medically assisted death, along with responses to the main objections that have been levelled against it. The philosophical argument is bolstered by empirical evidence from The Netherlands and Oregon where voluntary euthanasia and physician-assisted suicide are already legal.
The Future of Assisted Suicide and Euthanasia provides the most thorough overview of the ethical and legal issues raised by assisted suicide and euthanasia--as well as the most comprehensive argument ...against their legalization--ever published. In clear terms accessible to the general reader, Neil Gorsuch thoroughly assesses the strengths and weaknesses of leading contemporary ethical arguments for assisted suicide and euthanasia. He explores evidence and case histories from the Netherlands and Oregon, where the practices have been legalized. He analyzes libertarian and autonomy-based arguments for legalization as well as the impact of key U.S. Supreme Court decisions on the debate. And he examines the history and evolution of laws and attitudes regarding assisted suicide and euthanasia in American society.
The increasing legalization of euthanasia and physician-assisted suicide worldwide makes it important to understand related attitudes and practices.
To review the legal status of euthanasia and ...physician-assisted suicide and the available data on attitudes and practices.
Polling data and published surveys of the public and physicians, official state and country databases, interview studies with physicians, and death certificate studies (the Netherlands and Belgium) were reviewed for the period 1947 to 2016.
Currently, euthanasia or physician-assisted suicide can be legally practiced in the Netherlands, Belgium, Luxembourg, Colombia, and Canada (Quebec since 2014, nationally as of June 2016). Physician-assisted suicide, excluding euthanasia, is legal in 5 US states (Oregon, Washington, Montana, Vermont, and California) and Switzerland. Public support for euthanasia and physician-assisted suicide in the United States has plateaued since the 1990s (range, 47%-69%). In Western Europe, an increasing and strong public support for euthanasia and physician-assisted suicide has been reported; in Central and Eastern Europe, support is decreasing. In the United States, less than 20% of physicians report having received requests for euthanasia or physician-assisted suicide, and 5% or less have complied. In Oregon and Washington state, less than 1% of licensed physicians write prescriptions for physician-assisted suicide per year. In the Netherlands and Belgium, about half or more of physicians reported ever having received a request; 60% of Dutch physicians have ever granted such requests. Between 0.3% to 4.6% of all deaths are reported as euthanasia or physician-assisted suicide in jurisdictions where they are legal. The frequency of these deaths increased after legalization. More than 70% of cases involved patients with cancer. Typical patients are older, white, and well-educated. Pain is mostly not reported as the primary motivation. A large portion of patients receiving physician-assisted suicide in Oregon and Washington reported being enrolled in hospice or palliative care, as did patients in Belgium. In no jurisdiction was there evidence that vulnerable patients have been receiving euthanasia or physician-assisted suicide at rates higher than those in the general population.
Euthanasia and physician-assisted suicide are increasingly being legalized, remain relatively rare, and primarily involve patients with cancer. Existing data do not indicate widespread abuse of these practices.
A qualitative study using group and individual interviews involving 10 veterinary hospitals in Wellington County, Ontario, explored how the practices involved in euthanasia-related care impacts the ...wellbeing of veterinary professionals. Thematic analysis indicated two major outcomes: the goal and desire of veterinary professionals was to facilitate a ‘good death’ for the companion animal and navigating the euthanasia decision process was more challenging than the actual event of performing euthanasia. When successful in achieving a ‘good death’ and navigating euthanasia decisions, participants reported feeling that their own sense of wellbeing and the veterinary client’s sense of wellbeing were improved. When unsuccessful, participants reported experiencing a reduced sense of wellbeing, reduced job satisfaction, increased emotional strain and feeling that the client was also detrimentally impacted. For many participants, navigating euthanasia decision-making consultations was seen as a greater challenge and a greater contributor to a reduced sense of wellbeing than the act of euthanasia itself. These findings suggest that there is a need for greater attention and support for veterinary professionals, particularly when navigating euthanasia decision-making consultations. Additional training and resources on navigating euthanasia consultations may assist in improving the wellbeing for veterinary professionals and the companion animals and owners under their care.
