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[End-of-life decision-making].

Andreas Kruse1

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Summary
This summary is machine-generated.

This article explores the complex relationship between life and death, emphasizing the preciousness of life even amid end-of-life challenges like depression and fear. It examines criteria for a good life during serious illness, including suicidality.

Keywords:
Advance directivesAttachment to lifeNeurocognitive illnessPhysical illnessSuicidal ideation

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Psychiatry

Context:

  • Explores the complex interplay between the will to live and end-of-life decisions.
  • Addresses the manifestation of life attachment amidst depression, fear, and exhaustion.
  • Highlights the potential conflict between a person's existing commitment to life and living will directives.

Purpose:

  • To analyze the subjective, objective, and social criteria for a good life at the end of life.
  • To provide a framework for understanding end-of-life decision-making in serious illness.
  • To center the discussion on suicidality alongside physical and neurocognitive conditions.

Summary:

  • The article examines the multifaceted nature of life and death, particularly focusing on an individual's attachment to life during terminal illness.
  • It contrasts the inherent value of remaining life with potential directives in a living will, considering factors like depression and exhaustion.
  • Key criteria for defining a 'good life' in critical health situations are explored, encompassing subjective, objective, and social perspectives.

Impact:

  • Informs ethical considerations in palliative care and end-of-life decision-making.
  • Enhances understanding of patient autonomy and quality of life in terminal illness.
  • Contributes to clinical and philosophical discourse on suicidality and existential concerns in serious illness.