Medical assistance in dying and older persons in Belgium : trends, emerging issues and challenges

Article

VAN DEN NOORTGATE, Nele | VAN HUMBEECK, Liesbeth

In 2002, the Belgian Act on euthanasia came into effect, regulating the intentional ending of life by a physician at the patient’s explicit request. Subsequently, the number of reported euthanasia deaths increased every year. Specifically, the proportion of euthanasia deaths in older persons has risen significantly in the last few years. Since the conception of the Euthanasia Act, Belgian physicians have been confronted with challenges concerning euthanasia requests in older persons with polypathology, tiredness of life or dementia. By exploring these issues, this commentary highlights the importance of a meticulous and team-based assessment of the (i) seriousness of the underlying condition, (ii) voluntariness of the request and (iii) decisional capacity of the older person requesting euthanasia.

http://dx.doi.org/10.1093/ageing/afaa116

Voir la revue «Age and ageing»

Autres numéros de la revue «Age and ageing»

Consulter en ligne

Suggestions

Du même auteur

Medical assistance in dying and older persons...

Article indépendant | VAN DEN NOORTGATE, Nele | Age and ageing

In 2002, the Belgian Act on euthanasia came into effect, regulating the intentional ending of life by a physician at the patient’s explicit request. Subsequently, the number of reported euthanasia deaths increased every year...

Medical assistance in dying and older persons...

Article indépendant | VAN DEN NOORTGATE, Nele | Age and ageing

In 2002, the Belgian Act on euthanasia came into effect, regulating the intentional ending of life by a physician at the patient’s explicit request. Subsequently, the number of reported euthanasia deaths increased every year. Spec...

Validation of the supportive and palliative c...

Article indépendant | DE BOCK, Reine | JOURNAL OF PALLIATIVE MEDICINE | n°2 | vol.21

BACKGROUND: Timely identification of patients in need of palliative care is especially challenging in a geriatric population because of prognostic uncertainty. The Supportive and Palliative Care Indicators Tool (SPICT™) aims...

De la même série

Goals of care discussions and treatment limit...

Article | PIERS, Ruth | Age and ageing | n°2 | vol.54

BACKGROUND: It is important to pursue goal-concordant care and to prevent non-beneficial interventions in older people. AIM: To describe serious illness communication and decision-making practices in hospitalised older people in E...

Why we need to consider frailty in the assist...

Article | HOPKINS, Sarah A. | Age and ageing | n°2 | vol.54

BACKGROUND: Assisted dying/assisted suicide (AD/AS) is legal or decriminalised in several countries and Bills to legalise it are currently being considered by the UK and Scottish Parliaments. Older adults living with frailty make ...

Evaluating palliative care case conferences i...

Article | MALLON, Tina | Age and ageing | n°5 | vol.53

BACKGROUND: Patients with congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and dementia are underrepresented in specialist palliative home care (SPHC). However, the complexity of their conditions requir...

Design and development of a new pictorial too...

Article | BAYLINA MELE, Mireia | Age and ageing | n°7 | vol.53

BACKGROUND: Advance care planning (ACP) aims to ensure that people with chronic or advanced disease receive medical care that is consistent with their values and preferences. However, professionals may find it challenging to engag...

Hospital-initiated palliative care interventi...

Article | SHARRATT, Phoebe | Age and ageing | n°9 | vol.53

BACKGROUND: Adults with frailty have palliative care needs [1] but have disproportionately less access to palliative care services [2]. Frailty affects ~4000 patients admitted to hospital per day in the UK [3], making the hospital...

Chargement des enrichissements...