scholarly journals Good Deaths: Perspectives on Dying Well and on Medical Assistance in Dying at Thrangu Monastery Canada

Religions ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 70 ◽  
Author(s):  
Jackie Larm
Keyword(s):  
End Of Life ◽  
Medical Professionals ◽  
Voluntary Euthanasia ◽  
Medical Assistance ◽  
End Of Life Decisions ◽  
Medical Assistance In Dying ◽  
The Media ◽  
Moral Absolutes ◽  
Life Decisions

Anthropological, sociological, and bioethical research suggest that various agencies affect one’s relationship with the dying process and end-of-life decisions. Agencies include the media, medical professionals, culture, and religion. Observing the prevalence of meditations and rituals relating to death at Thrangu Monastery Canada, I wanted to investigate how the latter two agencies in particular, namely culture and religion, impacted the monastery members’ views on the dying process. During 2018 interviews, I asked their opinions on the meaning of dying well, and on Medical Assistance in Dying (MAID), which was legalized in Canada in 2016. Although some scriptural examinations have suggested that voluntary euthanasia is contrary to Buddhist teachings, the majority of the monastery’s respondents support MAID to some degree and in some circumstances. Moral absolutes were not valued as much as autonomy, noninterference, wisdom, and compassion.

To die, to sleep, perchance to dream? A response to DeMichelis, Shaul and Rapoport

2019 ◽  
Vol 45 (12) ◽  
pp. 832-834 ◽  
Author(s):  
Joel L Gamble ◽  
Nathan K Gamble ◽  
Michal Pruski
Keyword(s):  
Palliative Care ◽  
Medical Ethics ◽  
End Of Life ◽  
Assisted Suicide ◽  
Palliative Sedation ◽  
Physician Assisted Suicide ◽  
Medical Assistance ◽  
End Of Life Decisions ◽  
Medical Assistance In Dying ◽  
Life Decisions

In developing their policy on paediatric medical assistance in dying (MAID), DeMichelis, Shaul and Rapoport decide to treat euthanasia and physician-assisted suicide as ethically and practically equivalent to other end-of-life interventions, particularly palliative sedation and withdrawal of care (WOC). We highlight several flaws in the authors’ reasoning. Their argument depends on too cursory a dismissal of intention, which remains fundamental to medical ethics and law. Furthermore, they have not fairly presented the ethical analyses justifying other end-of-life decisions, analyses and decisions that were generally accepted long before MAID was legal or considered ethical. Forgetting or misunderstanding the analyses would naturally lead one to think MAID and other end-of-life decisions are morally equivalent. Yet as we recall these well-developed analyses, it becomes clear that approving of some forms of sedation and WOC does not commit one to MAID. Paediatric patients and their families can rationally and coherently reject MAID while choosing palliative care and WOC. Finally, the authors do not substantiate their claim that MAID is like palliative care in that it alleviates suffering. It is thus unreasonable to use this supposition as a warrant for their proposed policy.

scholarly journals Fodder for Despair, Masquerading as Hope: Diagnosing the Postures of Hope(lessness) at the End of Life

Religions ◽  
2019 ◽  
Vol 10 (12) ◽  
pp. 651
Author(s):  
Ashley Moyse
Keyword(s):  
End Of Life ◽  
Human Life ◽  
Medical Professionals ◽  
Human Beings ◽  
Medical Assistance ◽  
Medical Assistance In Dying ◽  
Instrumental Reasoning ◽  
Counter Narratives ◽  
Late Modern ◽  
Classical Account

Hope is needed for persons confronting the limits of human life, antagonised by the threats of death. It is needed also for those health and medical professionals constrained by the institution of medicine, determined by market metaphors and instrumental reasoning. Yet, despair can masquerade as hope for such persons when functional hoping for particular outcomes or aims proves futile and aimless. The following will examine such masquerades, while giving attention to particular expressions of autonomy, which persist as fodder for despair in our late modern milieu. The late classical account of Hercules and his death, as well as contemporary reasons for soliciting medical assistance in dying, will focus on the diagnostics of despair, while a Christian account practicing presence, and of hope as a concrete posture enfleshed by habits of patience, among other virtues, will point toward counter-narratives that might sustain persons in times of crisis and enable persons’ flourishing as human beings, even unto death.

Medical Assistance in Dying in Canada: Implications and Considerations for Music Therapists Around the Globe

2020 ◽  
Author(s):  
Amy Clements-Cortes ◽  
Joyce Yip
Keyword(s):  
Music Therapy ◽  
End Of Life ◽  
Assisted Suicide ◽  
Future Research ◽  
Voluntary Euthanasia ◽  
Healthcare Team ◽  
Medical Assistance ◽  
Music Therapists ◽  
Medical Assistance In Dying ◽  
Medical And Healthcare

Abstract Physician-assisted suicide and voluntary euthanasia are two procedures of Medical Assistance in Dying (MAiD) that are readily requested by patients internationally. In April 2016, the legalization of these procedures occurred in Canada after the pursuit of many jurisdictional cases. Known as Bill C-14, this legislation aims to balance patient autonomy at end-of-life with revised standardizations for medical and healthcare professionals. Music therapists may be included in the medical and healthcare team that can be recommended by patients considering MAiD. At present, there are no written guidelines that empirically outline the role of music therapists in this area. This paper explores the global history of MAiD as well as MAiD in the Canadian healthcare system and its implications. Information on the legislation Bill C-14 will be explained, along with a discussion on the current practices of music therapy at end-of-life and the potential scope of a music therapist during the MAiD procedure. Ethical issues and future research are also presented as recommendations to healthcare and music therapy professionals.

scholarly journals Attitudes of the Equestrian Public towards Equine End-of-Life Decisions

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1776
Author(s):  
Catherine Bell ◽  
Suzanne Rogers
Keyword(s):  
End Of Life ◽  
Affective State ◽  
Principal Component ◽  
Peer Pressure ◽  
Negative Attitudes ◽  
End Of Life Decisions ◽  
Life Decisions ◽  
End Of Life Decision ◽  
Physical Reasons ◽  
Horse Owners

A key welfare concern for the equine population in the U.K. has been identified as delayed death, leading to prolonged suffering of horses. Reasons why some horse owners fail to have their horses euthanised include financial cost, emotional attachment, peer pressure, negative attitudes towards killing and poor recognition of behavioural indicators of equine pain and stress. The Five Freedoms framework of welfare was used to build a Likert-style survey to investigate the factors underlying attitudes of horse owners towards welfare measures in an end-of-life decision. Participants were asked to respond to hypothetical welfare scenarios and to give details of any horses they had had euthanised. The survey was conducted predominantly via equestrian Facebook groups and obtained 160 participant responses. Reliability of the scale was acceptable, with Cronbach’s α=0.89. Principal Component Analysis was used to load the hypothetical scenarios onto seven factors containing 62.2% of the variance. The first four factors could be categorized according to “Ethology-informed Management”, “Traditional Horse Management”, “Emotional Issues” and “Physical Issues”. Participants were more likely to consider euthanasia for physical issues, compared with issues relating to affective state and/or ethology, although it was not clear whether this was due to disregard for welfare issues relating to mental health or failure to recognise them as such. A large number of responses stated that the scenario had no bearing on whether a horse should be euthanised, again suggesting a lack of recognition of welfare issues and their implications. When asked to state their reasons for euthanising their horses, participants cited almost exclusively physical reasons, with the exception of those citing dangerous behaviour. Only a small number of responses also included consideration of affective and/or ethological factors, suggesting that welfare issues concerning affective state and/or behaviour are at risk of omission from end-of-life decisions.

Moral distress in end-of-life decisions: A qualitative study of intensive care physicians

2021 ◽  
Vol 62 ◽  
pp. 185-189
Author(s):  
Una St Ledger ◽  
Joanne Reid ◽  
Ann Begley ◽  
Peter Dodek ◽  
Daniel F. McAuley ◽  
...  
Keyword(s):  
Intensive Care ◽  
Qualitative Study ◽  
End Of Life ◽  
Moral Distress ◽  
End Of Life Decisions ◽  
Life Decisions

scholarly journals European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions

Resuscitation ◽  
2021 ◽  
Author(s):  
Spyros D. Mentzelopoulos ◽  
Keith Couper ◽  
Patrick Van de Voorde ◽  
Patrick Druwé ◽  
Marieke Blom ◽  
...  
Keyword(s):  
End Of Life ◽  
European Resuscitation Council ◽  
End Of Life Decisions ◽  
Life Decisions
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