Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Study finds most Oregon hospices do not fully participate in the Death with Dignity Act

10.09.2010
A survey in the latest issue of the Hastings Center Report found that most hospices in Oregon, the first state to legalize physician-assistance in dying, either do not participate in or have limited participation in requests for such assistance. Both legal and moral reasons are identified.

This finding is significant because hospices are considered important for assuring that physician-assisted death is carried out responsibly, write the authors, Courtney S. Campbell, the Hundere Professor of Religion and Culture at Oregon State University, and Jessica C. Cox, the Hundere Program Assistant and a second year graduate student at Oregon State. Most patients in Oregon who choose physician-assisted death are enrolled in hospice care. Hospices' role is largely confined to providing information about the law in a neutral manner, the study found. Patients must then work on their own to find physicians who are willing to help them die.

The survey report was based on responses from 55 hospice programs in Oregon, or 86 percent of the total. It compared their policy statements, program guidelines, and staff education materials to address patient inquiries about the Death with Dignity Act. The act, passed in 1995, permits physicians to prescribe a fatal dose of medication to a terminally ill patient who requests it, as long as several criteria are met. Twenty-five percent of the hospices surveyed did not participate in the law at all and 27 percent had limited participation, meaning that when patients asked about physician-assisted death a staff member merely referred them to the attending physician without any conversation.

All of the hospices prohibited staff from helping patients obtain and take medications to end their lives. Few of the programs had a policy allowing staff to be with patients when they took life-ending medication.

The study identified legal and moral reasons for these restrictions. Since Oregon's Death with Dignity Act sanctions aid in dying from a physician only, a compassionate hospice staff member who offers assistance risks violating laws against assisting suicide, mercy killing, active euthanasia, or homicide. Certain values also inhibit hospices from participating more fully in physician-assisted death. "Core values (such as commitments not to abandon patients and to neither hasten nor postpone death) are necessarily in tension and do not lend themselves to a clear consensual conclusion for hospice providers," the authors write.

The authors conclude that hospices can avoid the legal and moral obstacles by adopting a position of "studied neutrality," which recognizes a diversity of views among providers and patients about physician-assisted death and encourages open discussion about the issue. "This approach can bring much-needed dialogue and transparency to a process that is unnecessarily opaque, permit hospice programs to acknowledge tensions in their core values, and promote efforts to assure congruence among values, policies, and procedures," they write.

Michael Turton | EurekAlert!
Further information:
http://www.thehastingscenter.org

More articles from Studies and Analyses:

nachricht Do microplastics harbour additional risks by colonization with harmful bacteria?
05.04.2018 | Leibniz-Institut für Ostseeforschung Warnemünde

nachricht Rutgers-led innovation could spur faster, cheaper, nano-based manufacturing
14.02.2018 | Rutgers University

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Molecules Brilliantly Illuminated

Physicists at the Laboratory for Attosecond Physics, which is jointly run by Ludwig-Maximilians-Universität and the Max Planck Institute of Quantum Optics, have developed a high-power laser system that generates ultrashort pulses of light covering a large share of the mid-infrared spectrum. The researchers envisage a wide range of applications for the technology – in the early diagnosis of cancer, for instance.

Molecules are the building blocks of life. Like all other organisms, we are made of them. They control our biorhythm, and they can also reflect our state of...

Im Focus: Spider silk key to new bone-fixing composite

University of Connecticut researchers have created a biodegradable composite made of silk fibers that can be used to repair broken load-bearing bones without the complications sometimes presented by other materials.

Repairing major load-bearing bones such as those in the leg can be a long and uncomfortable process.

Im Focus: Writing and deleting magnets with lasers

Study published in the journal ACS Applied Materials & Interfaces is the outcome of an international effort that included teams from Dresden and Berlin in Germany, and the US.

Scientists at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) together with colleagues from the Helmholtz-Zentrum Berlin (HZB) and the University of Virginia...

Im Focus: Gamma-ray flashes from plasma filaments

Novel highly efficient and brilliant gamma-ray source: Based on model calculations, physicists of the Max PIanck Institute for Nuclear Physics in Heidelberg propose a novel method for an efficient high-brilliance gamma-ray source. A giant collimated gamma-ray pulse is generated from the interaction of a dense ultra-relativistic electron beam with a thin solid conductor. Energetic gamma-rays are copiously produced as the electron beam splits into filaments while propagating across the conductor. The resulting gamma-ray energy and flux enable novel experiments in nuclear and fundamental physics.

The typical wavelength of light interacting with an object of the microcosm scales with the size of this object. For atoms, this ranges from visible light to...

Im Focus: Basel researchers succeed in cultivating cartilage from stem cells

Stable joint cartilage can be produced from adult stem cells originating from bone marrow. This is made possible by inducing specific molecular processes occurring during embryonic cartilage formation, as researchers from the University and University Hospital of Basel report in the scientific journal PNAS.

Certain mesenchymal stem/stromal cells from the bone marrow of adults are considered extremely promising for skeletal tissue regeneration. These adult stem...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

Unique scope of UV LED technologies and applications presented in Berlin: ICULTA-2018

12.04.2018 | Event News

IWOLIA: A conference bringing together German Industrie 4.0 and French Industrie du Futur

09.04.2018 | Event News

 
Latest News

Structured light and nanomaterials open new ways to tailor light at the nanoscale

23.04.2018 | Physics and Astronomy

On the shape of the 'petal' for the dissipation curve

23.04.2018 | Physics and Astronomy

Clean and Efficient – Fraunhofer ISE Presents Hydrogen Technologies at the HANNOVER MESSE 2018

23.04.2018 | Trade Fair News

VideoLinks
Science & Research
Overview of more VideoLinks >>>