Palliative Care in the ICU and the Role for Physician-Assisted Dying—Or Lack Thereof*

Curtis, J. Randall; Tonelli, Mark R.

doi:10.1097/ccm.0000000000001947

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…Other studies have focused on physicians' attitudes toward physician-assisted suicide (Curtis & Tonelli, 2017;Dickinson et al, 2005;Gielen et al, 2008;McCormack et al, 2012;Wilson et al, 2019), and they argue that the legalisation of assisted dying would oppose excellence in palliative care and thus is against the latter's principles (Radbruch et al, 2016), or that the combination of euthanasia with palliative care reflects incompatibilities (Bernheim & Raus, 2017).…”

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confidence: 99%

UK Public’s Views and Perceptions About the Legalisation of Assisted Dying and Assisted Suicide

Pentaris

Jacobs

2020

Omega (Westport)

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Current debates about assisted dying and assisted suicide cover a series of medical, legal, moral, ethical and religious aspects. Yet, public views on the subject remain underexplored and, therefore, not always accounted for in the formation of public policy. This paper reports on empirical data from a cross-sectional study in the UK in 2019, which examines public views about the legalisation of assisted dying and assisted suicide, by means of a self-administered Qualtrics-based survey (self-devised vignettes). A combination of simple random and convenience sampling was used. Participants (n = 297) state their preference that both assisted dying and assisted suicide should be legalised in the UK (n = 70%), while doctors should be legally allowed to support such wishes of patients with an incurable and painful illness from which they will die (n = 62.22%). The paper concludes that public opinion needs to be further accounted for in policymaking and discourses regarding patient autonomy and dignity of care.

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confidence: 99%

UK Public’s Views and Perceptions About the Legalisation of Assisted Dying and Assisted Suicide

Pentaris

Jacobs

2020

Omega (Westport)

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“…The large, private rooms, available nurses with extensive experience administering analgesics and sedatives and facilitating end of life care, and relative availability of patient support such as social workers and spiritual care would seem to make the intensive care unit an optimal location for managing MAID. However, procedural and administrative requirements for MAID requests to come from patients who are "conscious and competent" -presumably excluding intensive care patients who request their own deaths after being "saved" -result in this practice rarely, if ever, occurring in the intensive care unit (Curtis and Tonelli 2017;Goligher et al 2017;Lazaridis 2017).…”

Section: Materials Consequences Of Lifesaving Narrativesmentioning

confidence: 99%

Reimagining Death: A Posthuman Analysis of Life Support and the Concept of Death in the Intensive Care Unit

Beinum¹

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Often assumed to be simply the opposite or absence of life, death is in truth a distinctively uncertain category which troubles assumptions about what it means to be alive, and what it means to be human. In this project, I explore what happens to understandings of bodily endings when the "normal human" is de-centered from the concept of death. I take a post-Enlightenment, post-humanist approach in the mode espoused by Rosi Braidotti (2006, 2019) which seeks to move beyond the elite and exclusive category of "human," as well as to get outside of anthropocentric patterns of thought. This project focuses on shifting definitions and meanings of death in the midst of advanced life-sustaining technologies and against a backdrop of cultural fascination with immortality as represented by the modern intensive care unit. Employing ethnographic methods and concepts from feminist new materialism, and founded on an in-depth understanding of posthuman theory, this work contributes novel analyses of how death happens in technological spaces, and how our understandings of it could be approached differently. I contrast cases of patients sustained on life-support technologies seemingly beyond their desired limits with those of individuals declared to be dead against their beliefs to explore ontological, epistemological, and practical elements presently maintaining the appearance of universal definitions of death. A final analysis of media cases of people who continue to produce life through pregnancy despite being categorized as dead helps to reconfigure assumptions about life, death, and life sustaining technologies into a new understanding of how bodily endings, alongside perceptions of liveliness, are always a particular product of ongoing and unfolding social and technical iii | relations. Ultimately, I suggest that life sustaining technologies and their capacity to promote impressions of vitality allow us to better appreciate how death is already always a part of life, a perhaps unwanted "other" that we might learn to tolerate and accept, a personal ethical threshold of existence with the potential to transport us into different futures. This work expands the application of posthuman theory into the domain of clinical death and demonstrates the added value of posthuman analyses in medical spaces. iv | ACKNOWLEDGEMENTS This dissertation was made possible through the intellectual contributions, commitment of time and energy, and emotional care of many, many people. I am also grateful to organizations such as the Canadian Social Science and Humanities Research Council, the Ontario Graduate Scholarship, Carleton University, and the Department of Sociology and Anthropology for making this work and this degree possible through grants and scholarship funding.A huge thank you is owed to my supportive and engaged committee, who have truly helped to guide the direction and improve the focus of this project. To my supervisor, Carlos Novas, thank you for inspiring me to pursue inquiry in the field of STS and posthumanism, and for our ma...

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Decisions to Withdraw Extracorporeal Membrane Oxygenation Support: Patient Characteristics and Ethical Considerations

DeMartino

Braus

Sulmasy

et al. 2019

Mayo Clinic Proceedings

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Palliative Care in the ICU and the Role for Physician-Assisted Dying—Or Lack Thereof*

Cited by 6 publications

References 18 publications

UK Public’s Views and Perceptions About the Legalisation of Assisted Dying and Assisted Suicide

UK Public’s Views and Perceptions About the Legalisation of Assisted Dying and Assisted Suicide

Reimagining Death: A Posthuman Analysis of Life Support and the Concept of Death in the Intensive Care Unit

Decisions to Withdraw Extracorporeal Membrane Oxygenation Support: Patient Characteristics and Ethical Considerations

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