Euthanasia

Mariama

The Living Force
FOTCM Member
So, their marketing scheme is working then? The daily Trouw was right reporting that it was unlikely that the number of euthanasia requests had decreased last year. It seems to me that they are cooking the numbers. And that bill for 'assisted suicide' at the end of a 'completed life' is simply evil.:curse:

I think we can expect more documentaries and newspaper articles extolling the virtues of AS soon when it comes to people with psychiatric issues, since the government has slashed the budget and these people are now out on the streets, giving police officers extra work. OSIT.
 

Palinurus

The Living Force
The way I interpret these latest news reports is a bit different. To me it seems more like a shift from regular caretakers (mostly GP's) to the Euthanasia Expertise Center than an absolute increase of cases across the board. This shift is caused by the harsher actions of the public prosecutors around so called 'complex' cases like when dementia is involved. Many doctors increasingly shy away from such cases and the Euthanasia Expertise Center is burdened with the the extra care.
FWIW.
 

Oxajil

Ambassador
Ambassador
FOTCM Member
The way I interpret these latest news reports is a bit different. To me it seems more like a shift from regular caretakers (mostly GP's) to the Euthanasia Expertise Center than an absolute increase of cases across the board. This shift is caused by the harsher actions of the public prosecutors around so called 'complex' cases like when dementia is involved. Many doctors increasingly shy away from such cases and the Euthanasia Expertise Center is burdened with the the extra care.
FWIW.
Not only because of the prosecutors I think. I think also because GPs are generally scared when it comes to a decision that actually takes a life. When they do it, they usually prefer the person with dementia to take the drink, and not assist in that action. But it's a difficult sight: seeing someone who has no clue what's going on taking a drink that will take his/her life. It's difficult for a GP with a conscience. There is one GP who had done this, and he cried that night.

When a person with early dementia has good cognitive abilities and decision-making ability, they can write down whether they want euthanasia or not when those abilities decrease or are lost. But when the time comes, GPs experience difficulty knowing whether the person with dementia still wants to go through with it or not. From what I know, there are very few GPs who would do this. When family members sometimes push the issue, pressuring the GP into performing euthanasia, saying that this is what the person with dementia wants/wanted, the question is: are family members pushing this because they are burdened or stressed out from taking care of their family member and want it to end? Just some thoughts.
 

Palinurus

The Living Force
Oxajil, I agree completely. Thanks for your addition.

I only answered Mariama on one aspect of her reaction which seemed faulty to me and didn't have time for more.
 

Palinurus

The Living Force
UPDATE on post #148 .
Source: Doctor acquitted of murder in euthanasia for dementia patient

Doctor acquitted of murder in euthanasia for dementia patient

By Janene Pieters on September 11, 2019 - 13:46

Update, 3:00 p.m., 11 September 2019: This story was updated with statements from the court.

The court in The Hague acquitted a nursing home doctor of patient's murder. The now-retired doctor was careful and followed the euthanasia protocol established in Dutch law when she performed euthanasia on a woman in the advanced stages of dementia, the court said in a statement.

This case revolved around the death of a 74-year-old woman with advanced dementia. While she was still lucid, the woman made a declaration that she did not want to end up in a nursing home and wanted euthanasia when she considered it was the "right time". In addition to the ambiguity of the "right time", the woman also gave alternating signals once in the nursing home. "At certain times she indicated that she did not want to die", the Prosecutor said when the trial started. The doctor eventually performed euthanasia "in close consultation with the family", and after two independent doctors determined that she was suffering unbearably.

According to the Public Prosecutor, there was grounds for charging the doctor with murder because she should have spoken further with the patient about the termination of her life. As the doctor did not do so, the due care requirements in the law were not met, the Prosecutor argued.

The court disagreed that the due care requirements were not met and acquitted the doctor. "Midway through 2015 the patient deteriorated rapidly," a statement from the court said, adding that by January 2016 she "no longer knew what the word 'euthanasia' meant." The doctor consulted with the patient's husband about the woman's statement declaring she wished to end her life, signed years earlier.

The doctor spent more time with the patient, and further consulted with the woman's daughter, medical team, and the nursing home staff where the patient resided. "The image that emerged from all of the observations and conversations was that of a deeply demented, incapable lady who had undergone and continued to undergo a huge shock to her person. Medications to relieve her condition didn't help," the court said.

Further consultation with medical personnel led to the act of ending the patient's life on April 22, 2016. Three years later, a disciplinary panel investing the case determined it did not meet the strict criteria for lawful euthanasia in the Netherlands.

The Prosecutor demanded no punishment against the doctor, expressing more concern over a possible lack of clarity in the Dutch law concerning patient's who lose mental acuity. "The norm that was violated was unclear and the doctor can only be blamed to a limited extent", the Prosecutor said during the trial.

This was the first ever case in the Netherlands in which a doctor was prosecuted for euthanasia since the introduction of the Termination of Life on Request and Assistance with Suicide Act in 2002.

Similar coverage:
Doctor who euthanised patient with severe dementia is not guilty of murder - DutchNews.nl

Sources in Dutch:
ECLI:NL:RBDHA:2019:9506, Rechtbank Den Haag, 09/837356-18

https://www.trouw.nl/binnenland/euthanasie-arts-niet-schuldig-aan-moord~b438ffe2
nd.nl/nieuws/nederland/rechtbank-euthanasie-demente-patient-was-geen.3566336.lynkx
nd.nl/nieuws/nederland/arts-gaat-vrijuit-na-euthanasie-bij-demente.3566620.lynkx
Artsen huiverig na vonnis euthanasie: ‘Wilsverklaring is geen waardebon’
Bij de uitvoering van euthanasie staat de arts op de rem
 

Palinurus

The Living Force
Source: Euthanasia monitor will take context into account after landmark ruling - DutchNews.nl

Euthanasia monitor will take context into account after landmark ruling

September 12, 2019

The commission charged with monitoring cases of euthanasia in the Netherlands is to take context into account when assessing if the rules have been properly met, chairman Jacob Kohnstamm has said.

Kohnstamm was speaking in the wake of Wednesday’s court ruling, in which judges said a doctor charged with murdering an elderly patient with severe dementia had acted with ‘proper care’ and found her not guilty.

The doctor, who has since retired, did not have to verify the patient’s wish to die with her because she was incapable of responding, the judges said. The woman had drawn up a living will some years before her admission to the nursing home and had regularly stated that she wanted to die.

‘The judge was clear,’ Kohnstamm told broadcaster NOS [in Dutch]. ‘Do not just look at the actual letter of the law but look at the patient’s history.’

Doctor Constance de Vries, who works at a special clinic which helps people with euthanasia requests if their own doctor refuses, said the court ruling was a breakthrough for people who are no longer capable of expressing their wish to die.

‘This means that euthanasia is no longer impossible for patients in this situation,’ she said. A living will ‘is something which you and your relatives can fall back on and it says something about how a patient thought about things before they became ill.’

Coffee

The public prosecution department, which brought the case against the doctor, said she should have verified her patient’s wish to die with her. Because this did not happen, the doctor broke the law, the department said.

It was also critical of the doctor’s decision to give the woman a sedative in her coffee before the euthanasia drugs.

The court, however, said it supported the doctor’s decision to put a sedative in the woman’s coffee because it had made her as comfortable as possible. The sedation took place with the full knowledge of her family.
 
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