Participating Physicians Kenneth R. This is a review and evaluation of medical and public literature regarding the reported emotional and psychological effects of participation in physician-assisted suicide PAS and euthanasia on the involved physicians. Articles in medical journals, legislative investigations and the public press were obtained and reviewed to determine what has been reported regarding the effects on physicians who have been personally involved in PAS and euthanasia.
Data are all contained within the paper and in its Supporting Information files. Abstract Background Research in the end-of-life context has explored the sense of dignity experienced by patients with advanced disease, examining the factors associated with it.
This study aims to explore the relationship between perceived dignity, autonomy and sense of control in patients at the end of life. Methods We conducted a systematic review and meta-ethnography using reciprocal translation and line-of-argument synthesis.
This identified articles, after excluding duplicates. The inclusion criterion was primary qualitative studies in which dignity, autonomy and control at the end of life were explored.
Studies were evaluated using Patient dignity and effects CASP guidelines. Results Twenty-one studies recording the experiences of participants were identified. We propose an explanatory model which highlights that those patients with an intrinsic sense of dignity maintained a positive view of themselves in the face of their illness.
Conclusion This synthesis illustrates how dignity and autonomy are intertwined and can be perceived as a multidimensional concept, one that is close to the notion of personal identity.
The ability to regard dignity as an intrinsic quality has a positive impact on patients, and the design of care strategies should take this into account.
Introduction Safeguarding the dignity of patients at the end of life EOL has become a key objective of clinical practice [ 1 — 4 ].
Numerous studies have sought to clarify what is meant by dignity [ 4 — 11 ], to identify the variables associated with it [ 12 — 15 ], to examine how it is perceived by patients, families, and professionals [ 215 — 19 ], and to explore ways of assessing and enhancing it [ 20 — 22 ].
Broadly speaking, there are two ways in which the notion of dignity is evoked [ 6723 ]. One is to consider it as something intrinsic and ontological, what some authors refer to as basic dignity.
From this point of view, dignity is an irrevocable feature of personhood that does not depend on, or vary, according to circumstances. Although the two terms autonomy and dignity are sometimes regarded as distinct concepts, this is not always the case in the EOL setting. Indeed, a loss of autonomy or control among patients is often interpreted as a loss of self, and of the sense of dignity [ 24 ].
Research conducted to date on the perception of dignity and autonomy has contributed to an understanding of the needs and concerns of patients facing the EOL, and of the kind of care they require in order to improve their wellbeing.
However, although the terms autonomy and dignity are frequently used in the literature [ 25 ] the link between them remains ambiguous. Paradoxically, dignity—especially when it is understood as autonomy—often appears as a key argument in clinical, legal, and philosophical debates, where it may be invoked to support opposing positions.
A clear example of this is how the notion of dignity may be used both to support and challenge the act of euthanasia and assisted suicide, with opposing conclusions being reached on the basis of the same principles [ 23 ].
The goal in doing so was to analyse how the relationship between autonomy and dignity is interpreted in this context.
Several trials were required to achieve a sensitive and specific search strategy see Table 1. The reference lists of the retrieved studies were also reviewed.
Table 1 Final search terms for the strategy applied in the databases.Oct 07, · Brittany Maynard has glioblastoma, an aggressive brain cancer, and will not live long. Here, she tells her story and how she will say goodbye with dignity. Dignity In Care website explains the dignity model in health care for health care professionals, researchers and the general public.
When one hears the words ‘patient dignity’, one tends to think of showing the patient that they are, in a sense, worthy of honour and respect. While no-one is likely to dispute that patient dignity is an important concept, it is much more difficult to translate this abstract concept into the clinical setting.
Ethics in Professional Nursing Practice Janie B. Butts CHAPTER 3 • 81 • But nurses are still reaching out towards ideals which we trust may be realized in the full-. To help inform you, we have summarized these patient rights.
Mercyhealth is proud to serve patients in the Wisconsin and Illinois regions. Jun 04, · Dr. Chochinov’s Patient Dignity Question helps healthcare professionals to embrace that moral imperative, as he observed: “Research has shown that this single question can identify issues and stressors that may be important to consider when planning and delivering someone’s care and treatment.