Hasten death2/20/2023 ![]() Participants' challenge to the interpretation of legal end-of-life practices as AD represents an epistemic contest to the foundation of medical knowledge, authority and ethics and therefore carries implications for preferences in care, communication and palliative care practice.Īnalgesics double effect principle ethics euthanasia medical opioid palliative care. The difference really has to do with intent, Magnus. Participants' perspective was consistent with a consequentialist framework whereas deontology often guides medical ethics at the end of life. It is legal for people to take or give large doses of narcotics to relieve pain, even if a known side effect is that it may hasten death. There is a divide in what medical ethics and most health professionals and what some patients consider active hastening death. This article contributes to what is known about how patients perceive end-of-life practices that potentially hasten death. ![]() Participants asserted that active and passive practices for ending life were morally equivalent, and preferred to choose the time of death over other legal means for death. ![]() They implied such practices were performed without patient consent, though they did not conceive of this as murder. Some participants did not agree with the 'doctrine of double effect' ('DDE') and saw such practices as 'slow euthanasia' and 'covert euthanasia'. Most of the participants viewed current palliative care practices, such as pain relief with opioids and symptom management with PS, as hastening death, in contrast to some medical research which concludes that proportional therapeutic doses do not hasten death. We compared the findings to prevailing ethical frameworks. Interview transcripts were inductively analyzed consistent with thematic analysis. We asked them about why they would consider AD if it was available. An additional six family members were also interviewed and included in analysis. Their mean age was 61 (range, 34-82) years and half were enrolled in Hospice. We recruited 14 people with life-limiting illness and life expectancy of less than a year. ![]() The aim of this article is to describe the perspectives of a group of New Zealanders with life-limiting illness, who want or would consider AD, on the provision of end of life services, including assisted death, withdrawal of lifeprolonging treatment and symptom management with opioids or PS. Its relationship to other end-of-life practices such as palliative sedation (PS) is the subject of ongoing debate. Assisted dying (AD) is currently of wide interest due to legislative change. ![]()
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