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March 2011

UK Doctors Consistently Oppose Euthanasia And Assisted Suicide

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Medical News Today 9 March 2011
A review of research carried out over 20 years suggests that UK doctors appear to consistently oppose euthanasia and physician-assisted suicide (PAS). The findings – which appear in the latest issue of the journal Palliative Medicine, published by SAGE – highlight a gap between doctors’ attitudes and those of the UK public.
The study, carried out by Dr Ruaidhrí McCormack and colleagues Dr M Clifford and Dr M Conroy at the Department of Palliative Medicine, Milford Care Centre, Limerick, Eire, searched through literature from 1990 to 2010 and found 16 key studies. These examined UK doctors’ attitudes to either assisted voluntary euthanasia (AVE), or PAS, or both. Qualitative and quantitative data were included.
Definitions of these terms are considered controversial. The authors were guided by the European Association for Palliative Care (EAPC) ethics task force, who defined euthanasia as: “a doctor intentionally killing a person by the administration of drugs, at that person’s voluntary and competent request.” PAS was further defined as: “a doctor intentionally helping a person to commit suicide by providing drugs for self-administration, at that person’s voluntary and competent request”. In both instances, the patient plays an active role and must provide explicit consent.
The majority of doctors opposed AVE in all of the studies but one (11 of the studies examined attitudes to AVE). The majority of doctors were against PAS in eight of the ten studies examining this topic. One study was unclear due to the question phrasing, while a study of ICU physicians demonstrated majority support for PAS. Six studies asked doctors if they would perform these practices were they made legal, on average only about a quarter would be willing (PAS: 25 percent, AVE: 23 percent).
http://www.medicalnewstoday.com/releases/218421.php

Palliative care adds months to life

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The Age (Aust) March 3, 2011
Cancer patients wanting to live for as long as possible should receive palliative care sooner rather than later after research found it could prolong life more effectively than receiving treatment alone.
In a finding that could dramatically change doctors’ and patients’ views of palliative care, the research also concluded that patients with lung cancer enjoyed much greater quality of life and fewer depressive symptoms if they were referred to palliative care soon after diagnosis rather than in the late stage of their disease.
Palliative care is an approach to care for people with serious, progressive illness that tries to improve quality of life through careful attention to pain and symptom control, recognition of psychological and spiritual needs and providing support to the patient and their family.
http://www.theage.com.au/national/palliative-care-adds-months-to-life-20110302-1bewh.html