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Criteria for a good death.

Edwin Shneidman

Suicide & Life-Threatening Behavior

|June 21, 2007

Summary

This paper defines a "good death" and proposes ten criteria for achieving it. It also introduces a golden rule to guide optimal dying experiences.

Area of Science:

Medical Ethics
Palliative Care
Thanatology

Background:

Defining a
good death
is crucial for improving end-of-life care.
Current literature lacks a universally accepted framework for what constitutes a good death.

Purpose of the Study:

To advance the conceptual understanding of a "good death."
To establish specific, actionable criteria for achieving a good death.
To propose a guiding principle for optimal end-of-life experiences.

Main Methods:

Conceptual analysis of existing literature on death and dying.
Development of ten criteria based on ethical and patient-centered principles.
Formulation of a "golden rule" for end-of-life care.

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Main Results:

The paper defines a "good death" as a peaceful and dignified end of life.
Ten specific criteria are outlined, encompassing physical comfort, emotional well-being, and spiritual peace.
A simple "golden rule" is proposed to guide healthcare providers and individuals.

Conclusions:

The proposed framework and criteria offer a valuable tool for clinicians, patients, and families navigating end-of-life decisions.
Promoting a good death requires a multidisciplinary approach focusing on holistic patient needs.
Further research should explore the implementation and impact of these criteria in diverse clinical settings.