End-of-Life Care Decisions and Euthanasia: Medical Perspectives
Explore the complex medical aspects of end-of-life care decisions, including euthanasia and physician-assisted suicide. Dive into discussions on treatment withdrawal, withholding treatment, and patient directives. Delve into the ethical considerations surrounding patients' end-of-life choices and the legal landscape of euthanasia in different countries.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Elu lpu otsused Eutanaasia meditsiinilised aspektid Mari-Liis Ilmoja SA Tallinna Lastehaigla
The limits of our language are the limits of our world Ludwig Wittgenstein
Ravi / hooldus elu lpus (End-of-life Care - EOLC) Elu l puga seotud otsused (End-of-life Decisions - EOLD) Ravi l petamine (Withdrawal of treatment) Aktiivravi l petamine (Cessation & removal of on-going medical therapy with explicit intent not to substitute another treatment) Ravi alustamisest hoidumine (Withholding treatment) Otsus mitte alustada ravi, mis tavatingimustes v iks olla tulemuslik, kuid konkreetse haigusjuhu puhul ei muudaks l pptulemust (Decision not to institute a therapy that, although in normal circumstances may be beneficial, would not alter the outcome in a specific case) Patsienditestament 3/19/2025
Patsienditestament? Eutanaasia is defined as death resulting from medication that is administered by a physician with the explicit intention of hastening death at the explicit request of the patient. (Euthanasia) ? Suicide effected with the assistance of another person, especially the taking of lethal drugs provided by a doctor for the purpose by a patient suffering from a terminal illness or incurable condition. (Physician assisted suicide ) ? (Physician assisted death)
Flag of Luxembourg.svg Flag of Belgium.svg File:Flag of the Netherlands.svg Holland 2002 (al 12. eluaastast; 2005.a. < 1 .a. ) Belgia 2002 ( 2014.a. lastel) Luksemburg 2009 Nii eutanaasia kui ka arsti-abistatud enesetapp Inimene peab avaldama vabatahtlikult soovi Inimesel peab olema pidev ja talumatu f siline v i ps hhiline kannatus
o 2 eutanaasia juhtu 5 aasta jooksul alla 1 aastastel o 7 eutanaasia juhtu 15 aasta jooksul 12 18 aastastel
Flag of Switzerland.svg Oregon 1997 veits 1982 Washington, Vermont, California, Colorado, Hawaii, New Jersey Ainult arsti-abistatud enesetapp
Trends in end-of-life practices before and after the enactment of the euthanasia law in the Netherlands from 1990 to 2010: a repeated cross-sectional survey B Onwuteaka-Philipsen, et al. Lancet 2012; 380: 908 15
Oregon, USA Eesti Holland 4,3 milj 1,3 milj 17,3 milj Sureb 38 000 Sureb 15 184 153 383 sureb PAS 0,5% surmadest 0,5% = 75 inimest Eutanaasia 4% PAS 0,1% surmadest 4% = 600 inimest
Kellele? Oregon, USA Holland 65 74.a. 29,3% 75 84.a. - 28,7% 70 79.a. 32,4% 80 +a . - 60 69.a. - 22,2% 23,5% Pahaloomuline kasvaja 68 % Neuroloogiline haigus 14% Hingamiss steemi haigused 7% Pahaloomuline kasvaja 66 % Kombineeritud haigused 12% Neuroloogiline haigus 6%
Miks? Oregon, USA
Kas ainult meditsiiniline k simus? Euthanasia is not medical treatment J. Donald Boudreau, J. Donald Boudreau * Department of Medicine, and Core member, Center for Medical Education, Faculty of Medicine , McGilBritish Medical Bulletin, Volume 106, Issue 1, June 2013,
