Belgian law on euthanasia - KU Leuven · Belgian law on euthanasia. Definition •Intentionally...
Transcript of Belgian law on euthanasia - KU Leuven · Belgian law on euthanasia. Definition •Intentionally...
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Belgian law on euthanasia
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Definition
• Intentionally terminating life by someone other than the person concerned, at the latter’s request
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• Can only be asked by the PATIENT himself
• Intention = to STOP my LIFE
• Can only be done by MEDICAL DOCTOR
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Euthanasia : two ways
Written request Advance directive
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Conditions
• The physicians who performs euthanasia commits no criminal offence when he ensures that: Patient:
• Reached age of majority (since 2014 also for minors)
• Legally competent and conscious at moment of making request
Request:• Voluntary
• Well considered
• Repeated
Disease:• Condition of constant and unbearable physical or mental
suffering, resulting from a serious and incurable disorder caused by illness or accident
AND respected the procedure
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Procedure
• Inform the patient about • his condition and life expectancy
• possibilities of treatment
• possibilities of palliative care
• To be convinced • there are no reasonable solutions
• request is without external pressure
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Procedure
• Different conversations to be sure of suffering
• Consult another physician
• Discuss the request with nursing team
• So patient desires, discuss request with relatives
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Procedure
• If physician believes patient is clearly not expected to die in the near future, he must also: Consult a second physician
Allow at least 1 month between the written request and the act of euthanasia
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The written request
• Drawn up, dated and signed by the patient himself
• If patient is not capable of doing this: Drawn up by person designated by patient
• Attained age of majority
• No material interest in death of patient
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The advance directive
• In cases where one is no longer able to express one’s will, every legally competent person of age can drawn up an advance directive instructing a physician to perform euthanasia if the physician ensures that: Patient suffers from a serious and incurable
disorder, caused by illness or accident
Patient is no longer conscious
Condition is irreversible
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• Advanced directive: 1 or more persons taken in confidence can be
designated to inform the physician about the patient’s will
Written in presence of 2 witnesses:• At least 1 has no material interest in death patient
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Procedure
• Consult another (independent) physician
• Discuss with nursing team
• Discuss with designated (in directive) person
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Euthanasia for minors
• No age limit ( Netherlands: over 12y)
• Terminally ill and in great pain
• Parental consent
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Medication
• natriumpentothal (Pentothal®) 4 g
• vecuroniumbromide (Norcuron®) 20 mg
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The federal control and evaluation commission
• 16 experts
• Evaluates the registration forms (recieves it within 4 working days after act)
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Evolution euthanasia
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2013
• Officially registred: 1.807 Patient expected to die in near future: 87%
Diagnosis of cancer: 73%
Advance directive: 2%
• Registered advance directives: 20.414
• No minors
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20%
80%
20%
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Cases to discuss
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France: Chantal Sébire
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Italy: Eluana Englaro
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USA: Terri Schiavo
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UK: Tony Nicklinson
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Thank you !