Lecture 5 - End Of Life Flashcards

1
Q

What is the definition of euthanasia ?

A

A good death
The act of deliberately ending a persons life to relieve suffering

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2
Q

What is active euthanasia?

A

A deliberate act to end someone’s life to relieve suffering

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3
Q

What is passive euthanasia?

A

Withholding or withdrawing treatment to end a persons life to relieve treatment

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4
Q

What is voluntary euathaniasa?

A

The patient has requested for their life to be ended

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5
Q

What is non voluntary euthanasia?

A

Euthanasia without patient consent (or unable to give consent)

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6
Q

What is the definition of assisted suicide?

A

The act of deliberately assisting another person to kill themselves

(E.g obtaining strong sedatives for a relative that you know wants to kill themselves)

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7
Q

What is physician assisted dying?

A

Prescribing life ending drugs for terminally ill, mentally competent adults to administer themselves after meeting strict legal safeguards

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8
Q

What is the legal stand point for euthanasia or physician assisted dying in the UK?

A

Illegal (treated as murder)

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9
Q

What are some things that a doctor can do that is considered assisted suicide?

A

Advise parents on what is a fatal dose
Advise on anti-emetics in relation to planned OD
Suggest option of suicide abroad
Pass on info via social media that might encourage people to end their life

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10
Q

What is assisted dying?

A

Enabling adults who are terminally ill to be provided at their request with specified assistance to end their own life

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11
Q

What is considered terminally ill?

A

Progressive illness where death is likely within the next 6 months

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12
Q

What is the BMAs current stand point on assisted dying?

A

Neutral

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13
Q

What are the 4 main ethical principles?

A

Autonomy
Non maleficence
Beneficence.
Justice

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14
Q

How does euthanasia concern autonomy ?

A

Have to respect a persons freedom to choose what’s right for them, but we dont allow that to happen with euthanasia

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15
Q

How does euthanasia concern non maleficence ?

A

To do no harm

Can be argued

May be less harmful to allow patient death to relieve suffering but would be considered harmful allowing patient to die

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16
Q

How does euthanasia concern beneficence?

A

All choices for a patient are made with the intent to do good

What is considered the best decision for the patient

17
Q

How does euthanasia concern justice ?

A

Treat and provide care fairly to all patients

18
Q

What is the doctrine of doubles effect?

A

What allows health care professionals to administer potentially fatal medication as long as the intention is to purely control symptoms and not kill the patient

If patient dies then legally they are fine, if they prescribe with intent to kill that’s illegal

19
Q

What is hospice care?

A

Care for patients who are living with an incurable illness

Period from initial terminal diagnosis to end of life care

(Style of holistic care not a building)

20
Q

What is DNACPR?

A

Do Not Attempt CarrdioPulmonary Resusiciation

21
Q

Why is it difficult to assess the success of DNACPR?

A

Is success just to bring person back tot life/resuscitate or for the patient to have a good quality of life following resus

22
Q

Who can make a DNACPR decision?

A

Patient
Doctor (but must tell patient that you wont resuscitate)

A patient cannot demand CPR if a Dr thinks that its not ini their best interest

23
Q

What is the use of a ReSPECT form?

A

Process tot create personalised recommendations on decisions for future emergencies (patient preference and clinical judgment)