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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 5: Physician-Assisted Suicide Debate
    A Six Step Protocol

    Responding to Persistent Requests

    • Requests for physician-assisted suicide occur infrequently in most physicians’ careers
    • Clinical experience suggests that most requests will resolve if unmet needs are addressed using the approach offered in this module
    • It also remains a fact that, as of early 1999, in all but Oregon, physician-assisted suicide remains illegal
    • Where PAS requests are declined, full comfort care should continue and the professionals should continue to work in partnership with the patient and family
    • However, despite doubled and redoubled efforts to assess and address root causes of suffering and provide high quality palliative care, requests for physician assisted suicide and euthanasia may occasionally persist
      • It is not the purpose of this introductory module to discuss such rare cases

      • These are likely to be complex and should be handled in consultation with experts
    >continue