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Continuous deep sedation, physician-assisted suicide, and euthanasia in Huntington's disorder.

机译:亨廷顿氏病持续深层镇静,医师协助自杀和安乐死。

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AIM: To investigate the attitudes among Swedish physicians and the general public towards continuous deep sedation (CDS) as an alternative treatment for a competent, not imminently dying patient with Huntington's disorder requesting physician-assisted suicide (PAS) and euthanasia. DESIGN: A questionnaire was distributed to 1200 physicians in Sweden and 1201 individuals in Stockholm. It consisted of three parts: 1) A vignette about a competent patient with Huntington's disease requesting PAS. When no longer competent, relatives request euthanasia on behalf of the patient. Responders were asked about their attitudes towards these requests and whether CDS would be an acceptable alternative. 2) General questions about PAS and euthanasia. 3) Background variables. RESULTS: The response rate was 56% (physicians) and 52% (general public). The majority of the general public and a fairly large proportion of physicians reported more liberal views on CDS than are expressed in current Swedish and international recommendations. CONCLUSION: In light of the results, we suggest that there is a need for a broader discussion about the recommendations for CDS, with a special focus on the needs of patients with progressive neurodegenerative disorders.
机译:目的:调查瑞典医师和公众对持续深层镇静(CDS)作为有能力,并非即将死亡的亨廷顿氏病患者要求医师协助自杀(PAS)和安乐死的替代疗法的态度。设计:向瑞典的1200名医生和斯德哥尔摩的1201个人分发了问卷。它由三个部分组成:1)关于亨廷顿氏病患者的要求PAS的小插图。当不再有能力时,亲属代表患者要求安乐死。受访者被问及他们对这些要求的态度以及CDS是否可以被接受。 2)有关PAS和安乐死的一般问题。 3)背景变量。结果:回应率为56%(医师)和52%(公众)。多数公众和相当大比例的医生报告说,对CDS的看法比当前瑞典和国际建议更为宽泛。结论:根据结果,我们建议有必要对CDS的建议进行更广泛的讨论,特别关注进行性神经退行性疾病患者的需求。

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