Department of Oncology, University of Calgary, Calgary, AB, Canada; Department of Medicine, Queen's University, Kingston, ON, Canada.
Department of Oncology, University of Calgary, Calgary, AB, Canada; Department of Psychosocial Oncology, Tom Baker Cancer Centre, Calgary, AB, Canada.
Handb Clin Neurol. 2022;190:217-237. doi: 10.1016/B978-0-323-85029-2.00002-6.
A request for hastened death can mean many things, from an emotional plea for help with unmet needs to a request for legal provision of chemically induced hastened death. Regardless of whether the clinician supports legally available hastened death, knowing how to respond to requests for hastened death is important. Responding in an empathic and open manner will strengthen the therapeutic relationship between the patient and clinician. Suggested scripts on how to respond are provided. A framework for assessing the patient's preparation at various stages in the decisional journey is suggested. Additional factors including caring for the family and involving other healthcare providers are discussed. Last, there is some exploration of ethics considerations and a summary of legal chemically induced hastened death availability internationally.
安乐死请求可能意味着很多事情，从对未满足需求的情感求助到对化学诱导安乐死的法律规定的请求。无论临床医生是否支持合法的安乐死，了解如何回应安乐死请求都很重要。以共情和开放的方式回应会加强患者和临床医生之间的治疗关系。提供了有关如何回应的建议脚本。还提出了一个评估患者在决策过程各个阶段准备情况的框架。讨论了包括照顾家人和涉及其他医疗保健提供者在内的其他因素。最后，还探讨了一些伦理考虑因素，并总结了国际上化学诱导安乐死的法律规定。
