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Ethische overwegingen bij behandeling met diepe hersenstimulatie

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Handboek diepe hersenstimulatie bij neurologische en psychiatrische aandoeningen

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Diepe hersenstimulatie (‘deep brain stimulation’, DBS) is een behandeling die bij uitbehandelde patiënten met specifieke neurologische of psychiatrische aandoeningen effectief kan zijn en tot verbetering van de kwaliteit van leven kan leiden. De ethische problemen die zich rondom deze behandeling voordoen zijn niet wezenlijk anders dan die welke zich voordoen bij andere medische behandelingen. De ethische basisprincipes, ‘niet schaden’, ‘weldoen’, ‘respect voor autonomie’ en ‘rechtvaardigheid’ geven in het algemeen voldoende houvast om richting te geven aan de klinische beslissingen die in het kader van DBS genomen moeten worden. Gezien de meer ingrijpende en invasieve aard van de behandeling met DBS is wel extra zorgvuldigheid vereist bij de indicatiestelling en bij beslissingen met betrekking tot het staken van deze therapie. Deze beslissingen worden bij voorkeur multidisciplinair en in overleg met de patiënt genomen.

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Author information

Authors and Affiliations

  1. Afdeling Psychiatrie, Maastricht UMC+, Maastricht, The Netherlands

    Albert Leentjens

  2. School for Public Health and Primary Care (CAPHRI), Department of Health Ethics and Society (HES), Universiteit Maastricht, Maastricht, The Netherlands

    Dorothee Horstkötter & Guido de Wert

Authors
  1. Albert Leentjens
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  2. Dorothee Horstkötter
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  3. Guido de Wert
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Editor information

Editors and Affiliations

  1. Maastricht University Medical Cente Department of Neurosurgery, Maastricht, The Netherlands

    Y. Temel

  2. Dept. Of Psychiatry, Maastricht Univeristy Medical Centre, Maastricht, The Netherlands

    A.F.G. Leentjens

  3. Afd. Neurologie, Amsterdam Medisch Centrum, Amsterdam, The Netherlands

    R.M.A. de Bie

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© 2016 Bohn Stafleu van Loghum

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Leentjens, A., Horstkötter, D., de Wert, G. (2016). Ethische overwegingen bij behandeling met diepe hersenstimulatie. In: Temel, Y., Leentjens, A., de Bie, R. (eds) Handboek diepe hersenstimulatie bij neurologische en psychiatrische aandoeningen. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0959-7_9

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  • DOI: https://doi.org/10.1007/978-90-368-0959-7_9

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  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-368-0958-0

  • Online ISBN: 978-90-368-0959-7

  • eBook Packages: Dutch language eBook collection

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