Facing requests for physician-assisted suicide : Toward a practical and principled clinical skill set.
Requests for physician-assisted suicide are not a new phenomenon, and many physicians are likely to face this challenging situation.
This article proposes for professionals an 8-step approach to respond to requests for physician-assisted suicide.
The approach seeks to identify and treat the root causes of the request and aims to present a plan for consistent application of a set of clinical skills.
Justification for the steps requires only 2 noncontentious principles : the patient should be free of unwanted intervention, and the physician is obligated to provide suffering patients with comfort care.
Care based on these 2 principles alone does not include physician-assisted suicide.
The approach does, however, justify patient refusal of oral intake in specific circumstances.
The approach could resolve a majority of requests for physician-assisted suicide and should be tested further for clinical efficacy.
Mots-clés Pascal : Euthanasie, Aspect médicolégal, Relation médecin malade, Soin palliatif, Arbre décision, Homme, Ethique
Mots-clés Pascal anglais : Euthanasia, Forensic aspect, Physician patient relation, Palliative care, Decision tree, Human, Ethics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0418433
Code Inist : 002B18C11. Création : 25/01/1999.