A conclusão do artigo “Dutch experience of monitoring active ending of life for newborns,” publicado no Journal of Medical Ethics 2010;36:234-237 é impressionante:
"We identified several changes in the practice of end-of-life decision-making for infants that may explain the lack of reporting of cases of the active ending of life. Furthermore, it seems virtually impossible to comply with the requirements in the current regulation, due to either time constraints or the nature of the suffering that is addressed. If societal control of active ending of life in newborns is considered useful, a different regulation is needed. Attention should be paid to the requirements for careful practice in the current regulation, to physicians’ awareness of when they should report their act, and to a safe legal environment for reporting."
HT/TC: Wesley J. Smith
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Dutch experience of monitoring active ending of life for newborns.
MedLine Citation: PMID: 20338936 Owner: NLM Status: In-Process
Abstract/OtherAbstract:
INTRODUCTION: In 2007, a national review committee was instituted in The Netherlands to review cases of active ending of life for newborns. It was expected that 15-20 cases would be reported. To date, however, only one case has been reported to this committee. Reporting is essential to obtain societal control and transparency; the possible explanations for this lack of reporting were therefore explored.
METHODS: Data on end-of-life decision-making were scrutinised from Dutch nation-wide studies (1995, 2001 and 2005), before institution of the committee. Physicians received a questionnaire about their medical decision-making for stratified samples of deceased infants up to 1 year, drawn from the central death registry.
RESULTS: In 2005, 58% of all deaths were preceded by an end-of-life decision, compared with 68% in 2001 and 62% in 1995. The use of drugs with a possible life-shortening effect tended to be lower. In 2005, all four cases in the study in which an infants' life was actively ended were preceded by a decision to forego life-prolonging treatment. In three cases, the infant's life expectancy was short; one case involved a longer life expectancy.
DISCUSSION: The expected number of cases is probably an overestimation due to changes in medical practice such as the tendency to attribute less life-shortening effects to opioids. The lack of reports is probably also associated with requirements in the regulation; it may be difficult to fulfil them due either to time constraints or the nature of the suffering that is addressed. If societal control of active ending of life is considered useful, changes in the regulation may be needed.
Authors: Hilde M Buiting; Maartje A C Karelse; Hens A A Brouwers; Bregje D Onwuteaka-Philipsen; Agnes van der Heide; Johannes J M van Delden
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Authors: Hilde M Buiting; Maartje A C Karelse; Hens A A Brouwers; Bregje D Onwuteaka-Philipsen; Agnes van der Heide; Johannes J M van Delden
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Publication Detail: Type: Journal Article; Research Support, Non-U.S. Gov't
Journal Detail: Title: Journal of medical ethics Volume: 36 ISSN: 1473-4257 ISO Abbreviation: J Med Ethics Publication Date: 2010 Apr
Date Detail: Created Date: 2010-03-26 Completed Date: - Revised Date: -
Medline Journal Info: Nlm Unique ID: 7513619 Medline TA: J Med Ethics Country: England
Other Details: Languages: eng Pagination: 234-7 Citation Subset: E; IM
Affiliation: Erasmus MC, Department of Public Health, University Medical Center Rotterdam, Rotterdam 3000 CA, The Netherlands. h.buiting@erasmusmc.nl
BioMedSearch
Journal Detail: Title: Journal of medical ethics Volume: 36 ISSN: 1473-4257 ISO Abbreviation: J Med Ethics Publication Date: 2010 Apr
Date Detail: Created Date: 2010-03-26 Completed Date: - Revised Date: -
Medline Journal Info: Nlm Unique ID: 7513619 Medline TA: J Med Ethics Country: England
Other Details: Languages: eng Pagination: 234-7 Citation Subset: E; IM
Affiliation: Erasmus MC, Department of Public Health, University Medical Center Rotterdam, Rotterdam 3000 CA, The Netherlands. h.buiting@erasmusmc.nl
BioMedSearch
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NOTA CAUSTICANTE DESTE BLOGGER:
O Eterno vai ter que pedir desculpas a Herodes, um infanticida pé de chinelo, ralé, comparado aos Herodes da Holanda. Que se queixam de não executarem a Solução Final de modo burocrático meticuloso e eficiente como os nazistas...
