Advertisement

Physician-Assisted Suicide and Euthanasia

  • K. M. Foley
Part of the Developments in Critical Care Medicine and Anesthesiology book series (DCCA, volume 29)

Abstract

The issues of euthanasia and physician-assisted suicide have emerged once again in the public and professional medical literature. Numerous factors contribute to this public debate, including the advancements in high technological medical support systems for patients with respiratory or cardiac failure, the AIDS epidemic, policy shifts to individual rights from societal rights, the increasing prevalence of cancer, the increasing aged population, and the limitation in health care resources, particularly, for the care of the dying. Coincident with this debate and in support of patient-centered care has been the wide expansion of the use of living wills, advanced directives and health care proxies to protect patients from the medical systems—physicians and hospitals— who care for them (1–3).

Keywords

Palliative Care Assisted Suicide Comfort Care Active Euthanasia Voluntary Euthanasia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Reiser SJ: The era of the patient. JAMA 269: 1012–1017, 1993PubMedCrossRefGoogle Scholar
  2. 2.
    Presidentv’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: Deciding to forego life-sustaining treatment. Washington D.C., U.S. Government Printing Office 1983Google Scholar
  3. 3.
    The Hastings Center: Guidelines on the termination of life-sustaining treatment and the care of the dying. Bloomington, IN, Indiana University Press, 1987Google Scholar
  4. 4.
    Emanuel EJ: A review of the ethical and legal aspects of terminating medical care. Am J Med 84: 291–301, 1988PubMedCrossRefGoogle Scholar
  5. 5.
    Ashley BM, O’Rourke KD: Healthcare ethics a theological analysis. Catholic Health Association, St. Louis, Mo., 1989Google Scholar
  6. 6.
    Coyle N, Adelhardt J, Foley KM, Portenoy RK: Character of terminal illness in the advanced cancer patient: pain and other symptoms during the last four weeks of life. J Pain Symptom Manage 5: 83–93, 1990PubMedCrossRefGoogle Scholar
  7. 7.
    Kevorkian placid under arrest, New York Times, Nov. 7, 1993Google Scholar
  8. 8.
    Humphrey D: Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Eugene, OR, Hemlock Society, 1991Google Scholar
  9. 9.
    The Remmelink Report. Health Policy. (Special Issue) 22: 1-262, 1992Google Scholar
  10. 10.
    Initiative 119 WSMA membership survey. Seattle, Washington State Medical Association, March 1991Google Scholar
  11. 11.
    Knox RA: Poll: Americans favor mercy killing. Boston Globe, November 3, 1991: 1,22Google Scholar
  12. 12.
    The Hemlock Society 1991 Roper Poll of the West Coast on Euthanasia. New York, Roper Organization, May 1991Google Scholar
  13. 13.
    de Wachter MAM: Active euthanasia in the Netherlands. JAMA 262: 3316–3319, 1989PubMedCrossRefGoogle Scholar
  14. 14.
    van der Maas PJ, van Delden JJM, Pinjnenborg L, Looman CWN. Euthanasia and other medical decisions concerning the end of life. The Lancet 338: 669–674, 1991CrossRefGoogle Scholar
  15. 15.
    Helig S: The San Francisco Medical Society Euthanasia Survey: Results and Analysis. San Francisco, CA, San Francisco Medicine 61: 24–34, 1988Google Scholar
  16. 16.
    Cleeland CS, Cleeland LM, Dar R, Rinehardt LC: Factors influencing physician management of cancer pain. Cancer 58: 796–800, 1986PubMedCrossRefGoogle Scholar
  17. 17.
    Anonymous: It’s Over Debbie. JAMA 259: 272, 1988Google Scholar
  18. 18.
    Wanzer SH, Federman DD, Adelstein J, et al: The Physician’s responsibility toward hopelessly ill patients. N Engl J Med 320: 844–849, 1989PubMedCrossRefGoogle Scholar
  19. 19.
    Quill T: Diane. New Engl J Med 324: 691–694, 1991PubMedCrossRefGoogle Scholar
  20. 20.
    Quill T: Death & Dignity. WW Norton & Co, New York, 1993Google Scholar
  21. 21.
    Quill TE, Cassel CK, Meier DE: Care of the hopelessly ill: Proposed clinical criteria for physician-assisted suicide. N Engl J Med 327: 1280–1384, 1992CrossRefGoogle Scholar
  22. 22.
    Overmyer M: National survey: physicians’ views on the right to die. Physician’s Management 31: 40–60, 1991Google Scholar
  23. 23.
    Crosby C: Internists grapple with how they should respond to requests for aid in dying. The Internist 33: 10, 1992Google Scholar
  24. 24.
    Caralis PV, Hammond JS: Attitudes of medical students, housestaff, and faculty physicians toward euthanasia and termination of life-sustaining treatment. Crit Care Med 20: 683–690, 1992PubMedCrossRefGoogle Scholar
  25. 25.
    Fried TR, Stein MD, O’Sullivan PS, Brock DW, Novack DH: The limits of patient autonomy: physician attitudes and practices regarding life-sustaining treatments and euthanasia. Arch Intern Med (inpress)Google Scholar
  26. 26.
    Heilig S: The SFMS euthanasia survey: results and analysis. SF Medicine 61(5): 24–26, 34, 1989Google Scholar
  27. 27.
    Portenoy RK, Coyle N, Kash K, et al: Determinants of the willingness to endorse assisted suicide: a survey of physicians, nurses and social workers. Manuscript in preparation, 1993Google Scholar
  28. 28.
    Foley KM: The treatment of cancer pain. NEJM, 313: 84–95, 1985PubMedCrossRefGoogle Scholar
  29. 29.
    Coyle N: The euthanasia and physician-assisted suicide debate: Issues for nursing. Oncol Nurs Forum 19: 41–46, 1992PubMedGoogle Scholar
  30. 30.
    Ventafridda V, Ripamonti C, DeConno F, Tamburini M, Casseleth BR: Symptom prevalence and control during cancer patients’ last days of life. J Palliative Care 6: 7–11, 1990Google Scholar
  31. 31.
    Roy D: Need they sleep before they die. J Palliative Care 6: 3–4, 1991Google Scholar
  32. 32.
    Foley KM: The relationship of pain and symptom management to patient requests for physician-assisted suicide. J Pain Symptom Manage 6: 289–297, 1991PubMedCrossRefGoogle Scholar
  33. 33.
    Callahan D: The Troubled Dreams of Life. Simon and Schuster, New York, 1993Google Scholar
  34. 34.
    Byock I: The euthanasia/assisted suicide debate matures. Amer J Hospice and Palliative Care, March/April, 1993Google Scholar
  35. 35.
    Mount B: A final crescendo of pain. J Palliative Care 6: 3–4, 1991Google Scholar
  36. 36.
    Cassell E: The nature of suffering and the goals of medicine. NEngl J Med 306: 639–645, 1982CrossRefGoogle Scholar
  37. 37.
    Cherny NI, Coyle NM, Foley KM: Aggressive treatment of suffering. Manuscript in preparation, 1993Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • K. M. Foley

There are no affiliations available

Personalised recommendations