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An impossible dream?

Barbara Pesut1

  • 1Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, BC, Canada.

Palliative Care and Social Practice
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Summary
This summary is machine-generated.

Assisted dying is expanding to individuals without foreseeable natural death, redefining life-limiting illnesses based on quality of life. This challenges palliative care systems to support end-of-life choices amid suffering.

Keywords:
chronic illnesseuthanasiaexperiencesmedical assistance in dying

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Area of Science:

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

Background:

  • The concept of life-limiting illness is evolving beyond prognosis of lifespan.
  • Current palliative care systems may not adequately address suffering for all patients.
  • Assisted dying is being considered for individuals whose natural death is not imminent.

Purpose of the Study:

  • To explore the implications of extending assisted dying to non-foreseeable natural death.
  • To examine the redefinition of life-limiting illness based on quality of life.
  • To advocate for a specialized palliative care system supporting end-of-life choices.

Main Methods:

  • Case study narrative of a patient (
  • Sam
  • ) choosing assisted death.
  • Reflective analysis of the author's response to the patient's experience.
  • Conceptual framework development for a new palliative care model.

Main Results:

  • The case illustrates a shift in understanding life-limiting illness, focusing on quality of life.
  • Patient's suffering and complex illness led to the choice of assisted death.
  • The narrative highlights the need for tailored support systems for end-of-life decisions.

Conclusions:

  • Assisted dying expansion necessitates a reevaluation of palliative care.
  • Palliative care must adapt to support diverse end-of-life choices, including assisted dying.
  • A specialized system is envisioned to uniquely support individuals choosing death over prolonged suffering.