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29살 새색시가 선택한 ‘존엄사’ 사연…세계가 ‘울컥’ : 국제일반 : 국제. 등록 : 2014.10.08 10:54 수정 : 2014.10.08 21:35 ‘말기암’ 고통스러운 죽음 대신 ‘존엄사 예고’ 동영상 올려 “절대 자살이 아니다, 나는 살고 싶었지만…” 절절한 심경 말기암으로 ‘6개월 시한부’ 인생을 선고받았다면 어떤 선택을 하게 될까?

29살 새색시가 선택한 ‘존엄사’ 사연…세계가 ‘울컥’ : 국제일반 : 국제

악성 뇌종양을 앓고 있는 29살 미국인 브리터니 메이너드가 고통스런 연명 대신 약을 먹고 편안히 눈감는 ‘존엄사’를 결정하고, 그 심경을 인터넷에 동영상으로 올려 보는 이들의 가슴을 먹먹하게 만들고 있다. 2012년 결혼한 메이너드는 최근 남편의 생일(10월31일) 이튿날인 11월1일 의사가 처방한 약물을 먹고, 남편과 부모, 친구들이 지켜보는 가운데 좋아하는 음악을 틀어놓고 남편과 함께 지냈던 침대에서 세상과 작별할 것이라고 밝혔다. Americans think that most physicians have it made. They're wrong. There’s at least one hidden reason the health care system is failing people who just want some face time with a doctor: too many dedicated physicians are not just overwhelmed but burned out.

Americans think that most physicians have it made. They're wrong.

According to a 2012 JAMA Internal Medicine Mayo Clinic study, 46% of all U.S. physicians are emotionally exhausted, feel cynical about work or have lost their sense of personal accomplishment … or all three. Americans too often lose autonomy at the end of their life. Perhaps it’s because I love the practice of medicine so much.

Americans too often lose autonomy at the end of their life

Or maybe it’s because doctors (and teachers) have always been my heroes. I’m trying to sort out why I feel so offended by Paul McHugh’s editorial in the Wall Street Journal. His sensational and paternalistic view of physician-assisted suicide can be summed up in one word—shameful. It is true, thankfully so, that in the United States offensive speech is protected. And we can agree that right-minded people may see the merits of physician-assisted suicide differently. My view of physician-assisted suicide is that we would do better to view it from the lens of the man whose pancreatic tumor is eating through his spine, or the women whose head and neck mass is eroding into her windpipe or the women whose oxygen level is so low that her blood turns acidic. All dissent should begin with areas of agreement: Dr. Philippe Bataille : "Face à l'agonie, les principes moraux ne suffisent plus"

Après les faits, place au débat de société.

Philippe Bataille : "Face à l'agonie, les principes moraux ne suffisent plus"

Depuis mardi, la cour d’assises de Pau, qui doit juger le docteur Nicolas Bonnemaison, poursuivi pour l'empoisonnement de sept patients, se penche sur l’état de la législation française sur la fin de vie. Avant son audition comme témoin ce jeudi, le sociologue Philippe Bataille (EHESS), auteur de "A la vie, à la mort. Euthanasie, le grand malentendu" (Autrement, 2012), pointe les insuffisances de la loi Leonetti. Humanité : Que révèle selon vous l'affaire Bonnemaison sur la gestion de la fin de vie en France ? Basic Search. Caring Practices in Thailand - Dissertation Reviews.

A review of Senses and Sensibilities: The Practice of Care in Everyday Life in Northern Thailand, by Felicity Aulino.

Caring Practices in Thailand - Dissertation Reviews

The language of care pervades Thai society. We can “look after” [du lae] others, treat others with often almost painful “consideration” [kreng chai], “take others’ hearts and put them in ours” [ao chai khao, sai nai chai rao], or, borrowing from the English, simply “take care” [tek khae]. Suicide assisted by right-to-die associations: a population based cohort study. Avertissement de redirection.

Sedation at home for terminally ill patients. Original article Sédation à domicile des malades en phase terminale ☆

Sedation at home for terminally ill patients

Withdrawing artificial nutrition and hydration from minimally conscious and vegetative patients: family perspectives. + Author Affiliations Correspondence to Professor Celia Kitzinger, Chronic Disorders of Consciousness Research Centre, Department of Sociology, University of York, Heslington, York YO10 5DD, UK; celia.kitzinger@york.ac.uk Received 26 August 2013 Revised 1 October 2013 Accepted 5 November 2013 Published Online First 14 January 2014 Abstract In W v M, family members made an application to the Court of Protection for withdrawal of artificial nutrition and hydration from a minimally conscious patient.

Withdrawing artificial nutrition and hydration from minimally conscious and vegetative patients: family perspectives

의료정책포럼. 배경 1997년 ‘보라매병원 사건’은 우리 사회에서 관행적으로 이루어지던 임종기 환자의 연명의료1) 결정에큰 변화를 주게 되었다.

의료정책포럼

보라매병원 사건에 관여되었던 의료진들이 결국은 2004년에 대법원에 의하여 살인방조죄로 유죄 판결을 받게 되면서 의료계는 연명의료의 중단을 법적 책임을 질 수 있는 매우 중대한 사안으로 인식하게 되었다. 이로 말미암아 의료기관 내에서 연명의료 중단은 이전의 사회적 관행처럼 이루어질 수가 없게 되었고, 연명의료의 결정을둘러싼 많은 문제들이 발생하였다. 그럼에도 불구하고 이후 당사자인 의료계를 제외하고 사회적으로나정부 차원에서 논의가 활발하게 진행되지 못하였으며, 해결을 위한 제도나 법률이 마련되지도 못한 채 10여년이 흘러갔다. 그러나 2008년 2월 폐암이 의심되어 세브란스병원에서 내시경을 이용한 조직검사를 받다가 폐출혈과 심호흡 정지가 일어나 심폐소생술 후에 인공호흡기를 부착하여 연명치료를 받게 된 김 할머니의 가족들이 2008년 5월 서울 서부지법에 ‘무의미한 연명치료 중지 가처분 신청’ 소를 제기하면서 연명의료중단과 관련된 논의는 다시 사회적인 이슈로 등장하게 되었다. 다시 시작하는 연명의료에 관한 논의 2011년 7월 새로이 제3기 국가생명윤리심의위원회가5) 구성되었다. 특별위원회에서 논의된 내용들. Www.mariecurie.org.uk/Documents/PATIENTS-CARERS-FAMILIES/End-of-life/end-of-life-the-facts.pdf. Patient participation: its meaning and significance in the context of caring - Ashworth - 2006 - Journal of Advanced Nursing. End-of-life care ethical decision-making: Shiite scholars' views.

1- Gavrin JR, McMenamin EM.

End-of-life care ethical decision-making: Shiite scholars' views

Pain management in palliative care oncology patients. Curr Pain Headache Rep 2008; 12(4): 257-61. Singer PA, Bowman KW. Quality end of life care: a global perspective. BMC Palliat care 2002; 1: 1-10. Niezen MGH, Stolk EA, Steenhoek A, Uyl-De Groot GA. Farokhi MR, Holahooii Naiini K, Haghdoost AA, Emami A. Gheisarian E. Berger NA, Savvides P, Koroukian SM, et al. Sadjadi A, Nouraie M, Mohagheghi MA, et al.