Additionally, studies from other domains have shown a higher consumption of technological specialist care in the French-speaking part [ 30 ]. This might be rooted in a general difference in medical culture between the two communities. French-speaking hospital physicians seem to reach out for this treatment option sooner or more easily than Dutch-speaking physicians to treat complex problems of terminal patients. Article PubMed Google Scholar 9. This finding corresponds to previous reports on end-of-life care in Belgium. Continuous deep sedation is a specialist technique used to relieve intolerable suffering and control refractory distressful symptoms in the last phase of life [ 14 ]. Continuous deep sedation until death occurred in one in ten non-sudden deaths. The instrument was first developed in Dutch and then translated into French via forward-backward translation. All authors gave final approval of the manuscript. Table 4 Discussion with patient of end-of-life decisions in Belgium, according to community Full size table.
The debate on the admissibility of euthanasia is ongoing almost Wet toetsing levensbeëindiging op verzoek en hulp bij zelfdoding, art 2.
Today in most countries the practising of euthanasia is not permissible and as . against the consequences which finds reflection in the sanctions of provisions. Procedures) Act” (Wet toetsing levensbeëindiging op verzoek en hulp bij. During the past four decades, the Netherlands played a leading role in the debate about euthanasia and assisted suicide.
Despite the claim.
Anonymity of the patient and the physician was preserved. Societal and cultural differences between both communities possibly play an important role in determining responses to end-of-life suffering. Abstract Background This study compares prevalence and types of medical end-of-life decisions between the Dutch-speaking and French-speaking communities of Belgium. Thus, French-speaking physicians, especially general practitioners, seem to report their cases less often to the Federal Evaluation and Control Committee on Euthanasia than the Dutch-speaking.
Article PubMed Google Scholar Open Peer Review reports.
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|Background Several studies have shown that death is often preceded by a medical end-of-life decision with possible or certain life-shortening effect such as non-treatment decisions, intensification of symptom alleviation, euthanasia, physician-assisted suicide, or the use of lethal drugs without the patient's explicit request [ 1 — 20 ].
We analysed non-sudden deaths. However, actual differences apparently are not large enough to explain the disproportionate percentages observed in the legal notification rate of euthanasia, especially in the home or care home settings [ 27 — 29 ]. Med J Aust. New York: Cambridge University Press.
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A physician. suicide, namely autonomy and suffering, and how those arguments fall .
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49 Wet van 12 april toetsing levensbeëindiging op verzoek en. Modules of Euthanasia. such "forced euthanasia" play an important role in the German euthanasia debate (cf.
Legal situation in the Netherlands (Wet toetsing levensbeëindiging op verzoek en hulp bij zelfdoding) Online Version (Dutch).
Notification of euthanasia cases is legally obligatory. Arch Intern Med. Therefore, the fact that the public debate on life-shortening and the regulation of euthanasia started early in the Netherlands [ 44 ] — lying north of Belgium and where the same language is spoken as in the Dutch-speaking part of Belgium — might have had an early influence on the Dutch-speaking community in Belgium, which was probably absent in the French-speaking community, leading to a higher tendency towards life-shortening decision-making [ 44 ].
Policy and legislation. Physician-assisted death: Expanding the debate.
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|Underestimation is possible especially for patients dying in a hospital and in particular for specific types of decisions which can be seen as part of routine clinical practice and are thus generally less often discussed with other professionals e.
This might partly be explained by the fact that training and consultation initiatives concerning end-of-life decision-making e.
French-speaking hospital physicians seem to reach out for this treatment option sooner or more easily than Dutch-speaking physicians to treat complex problems of terminal patients.
Belgium is a unique country in which to study variations in end-of-life decision-making. This is a preview of subscription content, log in to check access.
Belgisch Staatsblad 26 oktober [Belgian official collection of the laws Octobre 26 ].
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. Wet betreffende euthanasie 28 mei [Law concerning euthanasia. Euthanasia is a highly debated subject. In most countries it is a punishable offence. Euthanasia can be volunary or non-voluntary. In case of.
The Indian ExpressMarch 8, Finally, we also asked whether or not continuous deep sedation was performed, defined as a patient being deeply and continuously sedated or in a coma until death, by means of e.
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In these latter cases, death generally is expected and in some cases also intended [ 144041 ]. Finally, language was used to differentiate between the two communities of Belgium, but cannot be used to explain the differences we found.
Article PubMed Google Scholar The percentage of non-sudden deaths was also comparable to previous death certificate studies [ 4 ]. Number BillBrussels, Belgium.
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|About this article Cite this article Van den Block, L. Seale C: National survey of end-of-life decisions made by UK medical practitioners.
Contrary to the other end-of-life decisions where a possible life-shortening effect is always taken into account and sometimes explicitly intended, a life-shortening effect is generally not intended nor expected in cases of continuous deep sedation, except if artificial food and fluid are forgone i.
Letellier, Ph, et al. Contents Search.