Stiel S, Elsner F, Pestinger M, Radbruch L
Klinik für Palliativmedizin, Universitätsklinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.
Schmerz. 2010 Apr;24(2):177-89. doi: 10.1007/s00482-010-0891-5.
"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.
“没什么可做的了，所以我们就此结束吧，医生！” 安乐死或医生协助自杀的请求是患者痛苦的一种戏剧性表达，也给工作人员应对这些问题带来了困难。在过去的两个世纪里，人们付出了巨大努力，以更深入地理解绝症患者加速死亡的愿望，并为处理这些情况得出结论。本文介绍了安乐死国际立法的差异，并总结了伦理背景。讨论了目前文献中关于加速死亡愿望的动机、请求的沟通功能、医生的态度和做法以及他们在安乐死中陪伴患者的意愿，以及对临床实践的实际影响。
