Foley Rose-Anna, Johnston Wendy S, Bernard Mathieu, Canevascini Michela, Currat Thierry, Borasio Gian D, Beauverd Michel
a Institute of Health Research , University of Health Sciences (HESAV, HES-SO) , Lausanne , Switzerland.
Death Stud. 2015;39(8):473-82. doi: 10.1080/07481187.2015.1029142. Epub 2015 Jun 24.
In Switzerland, where assisted suicide but not euthanasia is permitted, the authors sought to understand how physicians integrate palliative sedation in their practice and how they reflect on existential suffering and death hastening. They interviewed 31 physicians from different care settings. Five major attitudes emerged. Among specialized palliative care physicians, convinced, cautious and doubtful attitudes were evident. Within unspecialized settings, palliative sedation was more likely to be considered as death hastening: clinicians either avoid it with an inexperienced attitude or practice it with an ambiguous attitude, raising the issue of unskilled and abusive uses of sedatives at the end of life.
在瑞士，协助自杀是被允许的，但安乐死不被允许，作者试图了解医生如何在实践中运用姑息性镇静，以及他们如何看待生存痛苦和加速死亡的问题。他们采访了来自不同护理环境的31名医生。出现了五种主要态度。在专业姑息治疗医生中，确信、谨慎和怀疑的态度很明显。在非专业环境中，姑息性镇静更有可能被视为加速死亡：临床医生要么以缺乏经验的态度避免使用，要么以模棱两可的态度使用，这引发了临终时镇静剂使用不熟练和滥用的问题。
