The Patients Wish to Die: Research, Ethics, and Palliative Care

Paperback | July 22, 2015

EditorChristoph Rehmann-Sutter, Heike Gudat, Kathrin Ohnsorge

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Wish to die statements are becoming a frequent phenomenon in terminally ill patients. Those confronted by these statments need to understand the complexity of such wishes, so they can respond competently and compassionately to the requests. If misunderstood, the statements can be taken atface-value and the practitioner may not recognise that a patient is in fact experiencing ambivalent feelings at the end of life, or they may misinterpret the expressed wish to die as a sign of clinical depression.Public debate about the morality and ethics of various end-of-life care options has exploded in recent years. However, it has never been sensitive to the finer aspects of clinical reality or the experiences of patients. The Patient's Wish to Die: Research, Ethics, and Palliative Care brings togetherthat reality and the patient's voice, combining them with different research approaches. It presents the best available knowledge and research methodologies about patients' wishes at the end-of-life, together with a series of ethical views and a discussion about the clinical implications forpalliative care. The book presents material in an open and unbiased manner whilst remaining sensitive to the spiritual and existential dimensions of dying, and to the different cultural views that provide meaning to the individual. Written by the best specialists and ethics scholars from around the world, including palliative care practitioners and end-of-life scholars from countries where assisted dying practices are legalized and from those where it isn't, The The Patient's Wish to Die: Research, Ethics, and Palliative Carewill prove essential reading for all those working or studying in the field of palliative care.

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Wish to die statements are becoming a frequent phenomenon in terminally ill patients. Those confronted by these statments need to understand the complexity of such wishes, so they can respond competently and compassionately to the requests. If misunderstood, the statements can be taken atface-value and the practitioner may not recognis...

Christoph Rehmann-Sutter is Professor of Theory and Ethics in the Biosciences at the University of Lubeck in Germany and is also a visiting professor at King's College, London. After a diploma in molecular biology, he studied philosophy and sociology. In 1996 he founded the Unit of Bioethics at the University of Basel, Switzerland, and...

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Kobo ebook|Jan 6 2006

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Format:PaperbackDimensions:288 pages, 9.21 × 6.14 × 0.61 inPublished:July 22, 2015Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198713983

ISBN - 13:9780198713982

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Table of Contents

Section One: Introduction1. Christoph Rehmann-Sutter, Heike Gudat, Kathrin Ohnsorge: Opening: Why is it important to know about patients' wishes to dieSection Two: Research2. Yasmin Gunaratnam: Illness narratives, meaning making and epistemic injustice in research at the end of life3. Nessa Coyle and Lois Sculco: Expressed desire for hastened death: a phenomenological inquiry4. Nessa Coyle: Commentary: 10 years later - a nursing perspective5. Luc Deliens and Tinne Smets: Euthanasia (requests) after the implementation of the euthanasia law in 2002 in Belgium. Results of empirical studies in Flanders, Belgium6. Tracy A. Schroepfer: The journey to understanding the wish to hasten death7. Rinat Nissim, Chris Lo, and Gary Rodin: The desire for hastened death in patients in palliative care8. Kathrin Ohnsorge: Intentions, motivations and social interactions regarding a wish to die9. Alexandre Mauron: Acting on a wish to die at the end of life. The Swiss situation10. Bregje D. Onwuteaka-Philipsen: Understanding older people's wish to die11. Dialogue Intermezzo Part ISection Three: Ethics12. Lars Johan Materstvedt: Caring and killing in the clinic: the argument of self-determination13. Marian Verkerk: Towards responsive knowing in matters of life and death14. Guy Widdershoven, Margreet Stolper and Bert Molewijk: Dealing with dilemmas around patients' wishes to die: Moral Case Deliberation in a Dutch hospice15. Christoph Rehmann-Sutter: End-of-life ethics from the perspectives of patients' wishes16. Dialogue Intermezzo Part IISection Four: Practice17. H. Christof Muller-Busch: Issues of palliative medicine in end-of-life care18. Settimio Monteverde: Spirituality at the bedside: negotiating the meaning of dying19. Heike Gudat, Christoph Rehmann-Sutter and Kathrin Ohnsorge: Communication on wishes to die20. Heike Gudat: From understanding to patient centred management: clinical pictures of a wish to die21. Cristina Monforte-Royo, Albert Balaguer and Christian Villavicencio-Chavez: What does the wish to hasten death mean for the palliative patient? Clinical implicationsSection Five: Conclusion22. Concluding Dialogue