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!
New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)
Reusable carbon nanotubes could be the water filter of the future, says RIT study
30.03.2017 | Rochester Institute of Technology
Staphylococcus aureus is a feared pathogen (MRSA, multi-resistant S. aureus) due to frequent resistances against many antibiotics, especially in hospital infections. Researchers at the Paul-Ehrlich-Institut have identified immunological processes that prevent a successful immune response directed against the pathogenic agent. The delivery of bacterial proteins with RNA adjuvant or messenger RNA (mRNA) into immune cells allows the re-direction of the immune response towards an active defense against S. aureus. This could be of significant importance for the development of an effective vaccine. PLOS Pathogens has published these research results online on 25 May 2017.
Staphylococcus aureus (S. aureus) is a bacterium that colonizes by far more than half of the skin and the mucosa of adults, usually without causing infections....
Physicists from the University of Würzburg are capable of generating identical looking single light particles at the push of a button. Two new studies now demonstrate the potential this method holds.
The quantum computer has fuelled the imagination of scientists for decades: It is based on fundamentally different phenomena than a conventional computer....
An international team of physicists has monitored the scattering behaviour of electrons in a non-conducting material in real-time. Their insights could be beneficial for radiotherapy.
We can refer to electrons in non-conducting materials as ‘sluggish’. Typically, they remain fixed in a location, deep inside an atomic composite. It is hence...
Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.
Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...
An Australian-Chinese research team has created the world's thinnest hologram, paving the way towards the integration of 3D holography into everyday...
24.05.2017 | Event News
23.05.2017 | Event News
22.05.2017 | Event News
26.05.2017 | Life Sciences
26.05.2017 | Life Sciences
26.05.2017 | Physics and Astronomy