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Titolo:
Psychiatric evaluation of death-hastening requests - Lessons from dialysisdiscontinuation
Autore:
Cohen, LM; Steinberg, MD; Hails, KC; Dobscha, SK; Fischel, SV;
Indirizzi:
Baystate Med Ctr, Dept Psychiat, Springfield, MA 01199 USA Baystate Med Ctr Springfield MA USA 01199 hiat, Springfield, MA 01199 USA Long Isl Jewish Med Ctr, New Hyde Park, NY 11042 USA Long Isl Jewish Med Ctr New Hyde Park NY USA 11042 yde Park, NY 11042 USA Albert Einstein Med Ctr, Philadelphia, PA 19141 USA Albert Einstein Med Ctr Philadelphia PA USA 19141 ladelphia, PA 19141 USA Portland VA Med Ctr, Portland, OR USA Portland VA Med Ctr Portland OR USA ortland VA Med Ctr, Portland, OR USA
Titolo Testata:
PSYCHOSOMATICS
fascicolo: 3, volume: 41, anno: 2000,
pagine: 195 - 203
SICI:
0033-3182(200005/06)41:3<195:PEODR->2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICIAN-ASSISTED SUICIDE; OF-LIFE CARE; TERMINALLY ILL; ADVANCE DIRECTIVES; MEDICAL-TREATMENT; PATIENT REQUESTS; CRITICALLY ILL; DYING PATIENTS; UNITED-STATES; EUTHANASIA;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
111
Recensione:
Indirizzi per estratti:
Indirizzo: Cohen, LM Baystate Med Ctr, Dept Psychiat, Springfield, MA 01199 USA Baystate Med Ctr Springfield MA USA 01199 ngfield, MA 01199 USA
Citazione:
L.M. Cohen et al., "Psychiatric evaluation of death-hastening requests - Lessons from dialysisdiscontinuation", PSYCHOSOMAT, 41(3), 2000, pp. 195-203

Abstract

The authors aim to facilitate the psychiatric evaluation of death-hastening decisions, such as cessation of life-support treatment or physician-assisted suicide, by deriving principles for evaluating patients from a literature review and a recently completed prospective study on dialysis discontinuation conducted by consultation psychiatrists. Factors are delineated and suggestions are provided for the evaluation of requests to accelerate dying. Included are the authors' method for determining major depression in the context of terminal illness and their "vector analysis " in assessing patient requests to stop dialysis. As our society heatedly examines the care provided to the terminally ill, psychiatry also needs to reconsider whether actions that foreshorten life can be normative and permissible. Familiarity with competency, psychiatric diagnosis, and ease in communication and negotiation between patient, family, and staff are resources that psychiatrists can bring to these complicated assessments. Challenging areas include diagnosing depression, establishing the adequacy of palliative care, and appreciating issues related to personality features, family dynamics, and ethnic differences.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/05/20 alle ore 05:14:54