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Author Archive: Thaddeus Mason Pope, JD, PhD

About Thaddeus Mason Pope, JD, PhD

12/05/2017

Assisted Dying: Human Rights in the 21st Century – 2018 Conference of World Federation of Right to Die Societies

The World Federation of Right to Die Societies will hold its 2018 conference in Cape Town, South Africa. The theme is "Assisted Dying: Human Rights in the 21st Century."

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12/04/2017

Newspaper Ownership, Deliberative Discourse, and Medical Coverage of the Terri Schiavo Case

Deana Rohlinger Two Florida State University professors have published "How much does ownership matter? Deliberative discourse in local media coverage of the Terri Schiavo case." The authors conclude that independently owned newspapers cover contro...

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12/03/2017

Unconscious Patient with a DNR Tattoo

Clinicians and bioethicists are widely discussing a brief case published in the New England Journal of Medicine last week. A seriously ill patient without capacity presented to a Miami ED.  His chest has a tattoo that read "Do Not Resus...

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12/02/2017

50th Anniversary of the 1st Heart Transplant

On December 3, 1967, Christiaan Barnard performed the first human heart transplant in South Africa. A key element permitting the procedure was Barnard's ability to determine the donor dead despite the beating heart.

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11/30/2017

Straight From The Patient’s Mouth: Videos Can Clearly State Your End-Of-Life Wishes

I was delighted to discuss video advance directives for this important story from Kaiser Health News.

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11/29/2017

Victoria Passes Voluntary Assisted Dying Bill 2017

The Australian state of Victoria has legalized medical aid in dying, allowing terminally ill patients the right to request a lethal drug to end their lives from June 2019. This is the first time that MAID has been legal in Australia since the short-li...

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11/28/2017

Nurse Sanctioned for Removing Life Support without Authorization

In March 2014,Ontario nurse Joanna Flynn took Deanna Leblanc off life support. While the family supported that plan, Flynn did not have physician authorization. Flynn was found not guilty of manslaughter and criminal negligence in a criminal court thi...

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11/27/2017

Continuous Sedation at the End of Life: Ethical, Clinical and Legal Perspectives

New from Cambridge University Press: Continuous Sedation at the End of Life: Ethical, Clinical and Legal Perspectives

Continuous sedation until death (sometimes referred to as terminal sedation or palliative sedation) is an increasingly common practice in end-of-life care. However, it raises numerous medical, ethical, emotional and legal concerns.

These include: the reducing or removing of consciousness (and thus potentially causing 'subjective death'), the withholding of artificial nutrition and hydration, the proportionality of the sedation to the symptoms, its adequacy in actually relieving symptoms rather than simply giving onlookers the impression that the patient is undergoing a painless 'natural' death, and the perception that it may be functionally equivalent to euthanasia. 

This book brings together contributions from clinicians, ethicists, lawyers and social scientists, and discusses guidelines as well as clinical, emotional and legal aspects of the practice. The chapters shine a critical spotlight on areas of concern and on the validity of the justifications given for the practice, including in particular the doctrine of double effect.

Introduction pp 1-28
By Sigrid Sterckx, Kasper Raus, Freddy Mortier

Continuous sedation until death: pp 29-46
By Sophie M. Bruinsma, Judith A.C. Rietjens, Agnes van der Heide

Death by equivocation: pp 47-64
By David Albert Jones

Palliative sedation: pp 65-85
By Josep Porta-Sales

Clinical aspects of palliative sedation pp 86-99
By Nigel P. Sykes

Understanding the role of nurses in the management of symptoms and distress in the last days of life pp 100-115
By Eleanor Wilson, Jane Seymour

Principle and practice for palliative sedation: pp 116-131
By David Orentlicher

The legal permissibility of continuous deep sedation at the end of life: pp 132-148
By Evelien Delbeke

The Dutch national guideline on palliative sedation pp 149-159
By Johan Legemaate

Continuous deep sedation at the end of life: pp 160-176
By Richard Huxtable, Ruth Horn

Can the doctrine of double effect justify continuous deep sedation at the end of life? pp 177-201
By Kasper Raus, Sigrid Sterckx, Freddy Mortier

Palliative sedation, consciousness and personhood pp 202-217
By Timothy Holahan, Thomas Carroll, Claudia Gonzalez, Timothy E. Quill

The ethical evaluation of continuous sedation at the end of life pp 218-227
By Johannes J.M. van Delden

Terminal sedation and euthanasia: pp 228-239
By Søren Holm

Terminal sedation: pp 240-249
By Margaret P. Battin

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11/26/2017

Virginia Considers Amending Medical Futility Statute

Last week, the Virginia Joint Commission on Health Care outlined policy options for the 2018 General Assembly Session. Among the eight staff reports was one on medical futility conflicts. A proposed amendment to the Virginia Code would clarify that...

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11/26/2017

Virginia Considers Amending Medical Futility Statute

Last week, the Virginia Joint Commission on Health Care outlined policy options for the 2018 General Assembly Session. Among the eight staff reports was one on medical futility conflicts. A proposed amendment to the Virginia Code would clarify that...

Full Article

This entry was posted in Health Care and tagged . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.