[A wish to hasten death : what is behind it].
"There's nothing more to do, so let's come to an end, Doc!" A request for euthanasia or physician-assisted suicide is a dramatic expression of patients' suffering and causes difficulties for staff members to react to these questions. Great efforts have been made in the last two centuries to gain a deeper understanding of the wish for hastened death of terminally ill patients and to develop conclusions for the management of these situations. This article presents differences in international legislation on euthanasia and summarises the ethical background. The current results from the literature according to motivations for the wish for hastened death, communicative functions of the request, attitudes and practices of physicians and their willingness to accompany the patient in euthanasia as well as practical implications for clinical practice are discussed.
Stiel
S
S
Klinik für Palliativmedizin, Universitätsklinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland. sstiel@ukaachen.de
Elsner
F
F
Pestinger
M
M
Radbruch
L
L
D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology; D001291:Attitude of Health Personnel; D003142:Communication; D003431:Cross-Cultural Comparison; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D004992:Ethics, Medical; D005065:Euthanasia / Q000941:ethics / Q000331:legislation & jurisprudence / Q000523:psychology*; D005858:Germany; D006801:Humans; D018447:Medical Futility / Q000941:ethics / Q000331:legislation & jurisprudence / Q000523:psychology*; D009042:Motivation; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D012803:Sick Role; D017236:Suicide, Assisted / Q000941:ethics / Q000331:legislation & jurisprudence / Q000523:psychology*; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000941:ethics / Q000331:legislation & jurisprudence / Q000523:psychology*