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Should Palliative Care Teams be Involved in Medical Assisted Dying?

Sheri Mila Gerson1, Claudia Gamondi2, Ellen Wiebe3

  • 1Compassionate Care Counseling and Consulting, PLLC, (S.M.G.), Olympia, Washington, USA.

Journal of Pain and Symptom Management
|April 18, 2023
PubMed
Summary

Palliative care teams can be involved in assisted dying, but their role varies by practice type, legal rules, and guidelines. More research is needed to integrate palliative care and assisted dying effectively.

Keywords:
Assisted dyingdecision-makingend of lifeeuthanasiamedical aid in dyingpalliative care

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Area of Science:

  • Medical Ethics
  • Palliative Care
  • End-of-Life Studies

Background:

  • Palliative care provides holistic support for serious illness.
  • Clinicians may be asked by patients to assist in dying.
  • Assisted dying practices are expanding in various regions.

Purpose of the Study:

  • To explore the role of palliative care teams in assisted dying.
  • To provide expert perspectives on clinical approaches and future research.
  • To address the complexities and controversies surrounding assisted dying within palliative care.

Main Methods:

  • Expert review of key studies.
  • Synopsis of expert thought processes and clinical advice.
  • Identification of research gaps and future directions.

Main Results:

  • Palliative care teams should and are involved in medical assisted dying.
  • The extent of involvement depends on the type of assisted dying, scope of practice, legal, and institutional factors.
  • Significant need for research on evidence-based guidelines, family support, and coping strategies.

Conclusions:

  • Integration of palliative care in assisted dying requires careful consideration of various factors.
  • Further research, including international comparative studies, is crucial.
  • Collaboration on developing clinical resources, such as a textbook, is recommended to support clinicians.